GS Affiliate Semi Annual Reporting

Name of administrator filling out this form

Date

Primary email for contact:

Primary country for this group affiliate

Countries represented in your current student groups:

Number of students currently enrolled in GoLife100

Number of students currently enrolled in GoLife200

Number of students currently enrolled in GoBus100

Number of students currently enrolled in GoBus200

Number of students currently enrolled in GoCitizen

Number of facilitators currently leading a GoLife Group

Number of facilitators currently leading a GoBusiness Group

Number of facilitators currently leading a GoCitizen Group

Any notes or special circumstances to report:

If your groups participate in multiple languages, please indicate number of students in each language group:

Are you starting any new groups soon? If so, please list which course(s) (GoLife100, GoLife200, GoBusiness100 or GoBusiness200) and which month(s) it will start.