Program Assistant Weekly Itinerary	MISC-398 7-1-2006
Extension Program Assistant	Program Area	County
Week of	Date Filed
WEEKLY ITINERARY	WEEKLY REPORT
Day of Week	Groups or Families to be visited (Must have families’ name or name of group, addresses and estimated times.)	Nature of work to be done	Actual work done. Note only changes from itinerary	Hours worked	Nr of phone calls	Nr. of home visits	Nr. Reached	Nr. of adult Groups	Attendance (Attach attendance sheets)	Nr. of Youth Group Mtgs.	Attendance (Attach attendance sheets)	Agent Use Only
Monday
Tuesday
Wednes day
Thursday
Friday
Saturday
Approved:	Date
Note any reported behavioral changes that would make a good success story.
The Arkansas Cooperative Extension Service offers its programs to all eligible persons regardless of race, color, sex, gender identity, sexual orientation, national origin, religion, age, disability, marital or veteran status, genetic information, or any other legally protected status, and is an Affirmative Action/Equal Opportunity Employer.