Linfield College-Good Samaritan School of Nursing Committee Report Form

*Bold items are required

*Member Name:
*Date:
*Committee:
*Date of comittee meeting:
Primary points discussed during meeting/primary points addressed:
Primary concerns of committee/to bring to the attention of ASLC-PC:
New goals set/progress on past goals:
Any concerns to be expressed to ASLC-PC or your Committee Liaison:

Please submit this form within four days of the committee meeting that you are reporting on.