Other Entities Accountability Tracking

SENIOR CITIZENS' SERVICES FUND BOARD

QUARTERLY ACCOUNTABILITY TRACKING

Other Entities

Camden County Senior Fund - Accountability Tracking Other Entities

Grant Recipient Name:

Date:

Provide total number of Camden County Seniors Utilizing Services (enter number of individual Camden Seniors you provided service to):

Contact Email:

Month	Current Year Number Served	Prior Year Number Served
January (due by 15th)
February
March
April (due by 15th)
May
June
July (due by 15th)
August
September
October (due by 15th)
November
December

Identify the Services you provided, number of times /month each service provided and number of participants below. (For like activities example cards and board games seniors in a church or center together) (Must be reported below in second table)

Service	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec
(Eg Congregate Meals 2/day 5 days/wk, Home bound meal, cards M-W-F 2x/s wk List services below

Enter total opportunities to all Camden Seniors per month including total meals you provide (please keep separate meals and activities

MEALS	Jan	Feb	March	April	May	June	July	Aug	Sept	Oct	Nov	Dec
Congregate Meals
HomeBound Meals
Other
Total of all meals served regardless of where senior lives