CCR Government Entity Application

To submit your report for the certificate program, please complete this application. There is no cost to participate in the program. If you have any questions, please email ccr@agacgfm.org.

Application

Participant Information(Required)

Name of Entity Submitting Report (as it will appear on the certificate)

Fiscal Year Period

Example: July 1, 2024-June 30, 2025 for FY 2024

Report Published Date

How was the report distributed to citizens?

Describe any public relations/marketing outreach that was used to promote the report to citizens.

Web link where the report is posted

Report File

Max. file size: 1 MB.

Contact Information

Used for results letter

First Last

Title

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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