| Name * |
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| Officer: * |
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| Month: * |
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| 1. Participation in educational and community activities: * |
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| 2. DECA Meetings you have attended as State Officer: * |
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| 3. Work done on the Program of Work: * |
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| 4. Help you need from the VA DECA Office: * |
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| 5. Goals for next month: * |
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| Electronic Signature (Type Full Name): * |
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