SRM Committee Report Form THIS IS A DRAFT PAGE FOR REVIEW AND NOT FOR PUBLIC USE YET SRM Committee Report Form Committee Leadership and Membership Roster Committee Name*Committee Report Year*Committee Chair Name/Email/Phone*(as of this meeting)Committee Chair Name (CONSIDER USING THESE SEPARATE FIELDS)*(as of this meeting)Committee Chair Email (CONSIDER USING THESE SEPARATE FIELDS) (as of this meeting)Committee Chair Phone (CONSIDER USING THESE SEPARATE FIELDS)(as of this meeting)Chair Start Date*Include Month and YearChair End Date*Include Month and YearChair-Elect Name/Email/Phone*(as of this meeting)Chair-Elect Start Date*Include Month and YearChair-Elect End Date*Include Month and YearCommittee Board Representative Name (Select One)*Select OneKaren HickmanJeff GoodwinMaría Fernández-GiménezBarry PerrymanPat JohnsonDavid ToledoDon't KnowTest(as of this meeting)Committee Members/Others in AttendanceProgress Report for Current Report Year - Narrative/Bullet items*Status of Committee Funding Requests for Current Report Year*Please list how your Committee's Budget/Funding Requests from last year were utilized this past year (workshop development/presentation; Annual Meeting attendance assistance, etc.);Planned Activities for Upcoming Year - Narrative/Bullet items:*Items for BOD consideration For Upcoming Year (including any critical dates/deadlines)*Action & Process on Requested Items: Please outline direct Board action requests. If you haven’t heard back regarding your request for Board action during the span of the year, please check back with your BoD rep to get a status report on your requested items. The BoD rep is tasked to report back with any updates or follow-up items.Committee Funding Requests For the Coming YearPlease state any funding needs and/or requests that the committee requires for; A. Needs, and B. Potential Sources.Other items for BOD considerationCommentsThis field is for validation purposes and should be left unchanged.