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* 1. Submitted by

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* 2. Name of your Faith-Based Organization:

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* 3. How many group meetings did you attend this month?

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* 4. How many individual catchups/discussions did you have with FBOs this month?

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* 5. What was the date of the Peer Advisory Board meeting you attended this month?

Date

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* 6. Event/meeting summary: Please describe key HIV/AIDS themes discussed at the meeting and how this will impact on your work as a per advisor?

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* 7. One-to-one peer discussions: Please describe key HIV/AIDS themes you discussed with individual FBOs and how you supported them this month?

T