GFWC GEORGIA ARTS COMMUNITY SERVICE PROGRAMJanuary 1 – December 31, 2016 ◊ January 1 – December 31, 2017Clubs should photocopy this report for use during both years of the 2016-2018

Administration.

Part I: Tell Us About Your Club

Date: _______________

Name of Club: __________________________________________________________________

City: __________________________________________________________________________

Membership (Check One): □ General □ Junior □ Juniorette

District: __________ Number of Members: __________

Part II: Tell Us About the Person Who Prepared This Report:

Name and Position: ______________________________________________________________

Street Address: _________________________________________________________________

City: _______________________ Zip Code: __________ Phone: ___________________

Email address: __________________________________________________________________

Part III: Tell Us What You Did

Please list the Arts Community Service programs and projects your club participated on the chart found on the reverse side of this form. If a program or project is not listed specifically in the GFWC Georgia Club Yearbook or the GFWC Club Yearbook and you have a question as to where it should be reported, please contact the State Second Vice President, Shelby Holland, or the relevant CSP Chairman. If you wish to give a fuller description of a particular program(s) or project(s) please submit a narrative. Clubs may submit four pages of the chart and four pages of narrative. The narrative may not exceed four pages, must be typewritten and double spaced with 10 point font or larger. Narratives are not required but do enhance your chances of an award. Reports must be printed and mailed. Electronic submissions will be disqualified.

ALL CLUBS (General, Junior, and Juniorette) should submit a copy of this report to:

Laedenia Jewell Ann LundinArts CSP Chair Arts CSP Co-Chair414 Harpy Eagle Drive 635 Sullivan RoadWinder, GA 30680 Newnan, GA 30265

JUNIOR CLUBS should also mail a copy of their report to Sandy Ahearn, Director of Junior Clubs, 330 Malabar Way, Athens, GA 30605.

Note: Check the GFWC Georgia Website for address updates of CSP Chairs prior to submitting.

Please retain a copy of this report for your club.

357

Club Name: ________________________________________________________ Page ____

Program/Project (brief description) Number of Members Participating

Number of Volunteer Hours

Dollars DonatedIn Kind*

Dollars Donated Directly from Club**

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

TOTALSPlease subtotal each page with a grand total on last pageYou may photocopy this page for a total of four pages per Community Service Program. Clubs may submit four pages of charts, projects/programs and four pages of narrative. 10 point Arial Narrow font is suggested to allow two lines per block in description. Total number participating cannot exceed club membership total.

*In Kind Donations are made from members directly to an organization or are the equivalent of the cost of an item such as donated food

**Funds directly donated from the club or the club writes a check directly to the organization

Narrative Enclosed: □ Yes □ No

358

GFWC GEORGIA CONSEVATION COMMUNITY SERVICE PROGRAMJanuary 1 – December 31, 2016 ◊ January 1 – December 31, 2017Clubs should photocopy this report for use during both years of the 2016-2018

Administration.

Part I: Tell Us About Your Club

Date: _______________

Name of Club: __________________________________________________________________

City: __________________________________________________________________________

Membership (Check One): □ General □ Junior □ Juniorette

District: __________ Number of Members: __________

Part II: Tell Us About the Person Who Prepared This Report:

Name and Position: ______________________________________________________________

Street Address: _________________________________________________________________

City: _______________________ Zip Code: __________ Phone: ___________________

Email address: __________________________________________________________________

Part III: Tell Us What You Did

Please list the Conservation Community Service programs and projects your club participated on the chart found on the reverse side of this form. If a program or project is not listed specifically in the GFWC Georgia Club Yearbook or the GFWC Club Yearbook and you have a question as to where it should be reported, please contact the State Second Vice President, Shelby Holland, or the relevant CSP Chairman. If you wish to give a fuller description of a particular program(s) or project(s) please submit a narrative. Clubs may submit four pages of the chart and four pages of narrative. The narrative may not exceed four pages, must be typewritten and double spaced with 10 point font or larger. Narratives are not required but do enhance your chances of an award.Reports must be printed and mailed. Electronic submissions will be disqualified.

ALL CLUBS (General, Junior, and Juniorette) should submit a copy of this report to:

Cindy Tisdale Catherine DoudsConservation CSP Chair Conservation CSP Co-Chair3436 Laurel Green Court 203 Malfern PointKennesaw, GA 30144 Peachtree City, GA 30269

JUNIOR CLUBS should also mail a copy of their report to Sandy Ahearn, Director of Junior Clubs, 330 Malabar Way, Athens, GA 30605.

Note: Check the GFWC Georgia Website for address updates of CSP Chairs prior to submitting.

Please retain a copy of this report for your club.

359

Club Name: ________________________________________________________ Page ____

Program/Project (brief description) Number of Members Participating

Number of Volunteer Hours

Dollars DonatedIn Kind*

Dollars Donated Directly from Club**

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

TOTALSPlease subtotal each page with a grand total on last pageYou may photocopy this page for a total of four pages per Community Service Program. Clubs may submit four pages of charts, projects/programs and four pages of narrative. 10 point Arial Narrow font is suggested to allow two lines per block in description. Total number participating cannot exceed club membership total.

*In Kind Donations are made from members directly to an organization or are the equivalent of the cost of an item such as donated food

**Funds directly donated from the club or the club writes a check directly to the organization

Narrative Enclosed: □ Yes □ No

360

GFWC GEORGIA EDUCATION COMMUNITY SERVICE PROGRAMJanuary 1 – December 31, 2016 ◊ January 1 – December 31, 2017Clubs should photocopy this report for use during both years of the 2016-2018

Administration.

Part I: Tell Us About Your Club

Date: _______________

Name of Club: __________________________________________________________________

City: __________________________________________________________________________

Membership (Check One): □ General □ Junior □ Juniorette

District: __________ Number of Members: __________

Part II: Tell Us About the Person Who Prepared This Report:

Name and Position: ______________________________________________________________

Street Address: _________________________________________________________________

City: _______________________ Zip Code: __________ Phone: ___________________

Email address: __________________________________________________________________

Part III: Tell Us What You Did

Please list the Education Community Service programs and projects your club participated on the chart found on the reverse side of this form. If a program or project is not listed specifically in the GFWC Georgia Club Yearbook or the GFWC Club Yearbook and you have a question as to where it should be reported, please contact the State Second Vice President, Shelby Holland, or the relevant CSP Chairman. If you wish to give a fuller description of a particular program(s) or project(s) please submit a narrative. Clubs may submit four pages of the chart and four pages of narrative. The narrative may not exceed four pages, must be typewritten and double spaced with 10 point font or larger. Narratives are not required but do enhance your chances of an award.Reports must be printed and mailed. Electronic submissions will be disqualified.

ALL CLUBS (General, Junior, and Juniorette) should submit a copy of this report to:

Pat Busby Joy CreamerEducation CSP Chair Education CSP Co-Chair4573 North Beechwood Drive 2022 Graham RoadMacon, GA 31210 Macon, GA 31211

JUNIOR CLUBS should also mail a copy of their report to Sandy Ahearn, Director of Junior Clubs, 330 Malabar Way, Athens, GA 30605.

Note: Check the GFWC Georgia Website for address updates of CSP Chairs prior to submitting.

Please retain a copy of this report for your club.

361

Club Name: ________________________________________________________ Page ____

Program/Project (brief description) Number of Members Participating

Number of Volunteer Hours

Dollars DonatedIn Kind*

Dollars Donated Directly from Club**1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

TOTALSPlease subtotal each page with a grand total on last pageYou may photocopy this page for a total of four pages per Community Service Program. Clubs may submit four pages of charts, projects/programs and four pages of narrative. 10 point Arial Narrow font is suggested to allow two lines per block in description. Total number participating cannot exceed club membership total.

*In Kind Donations are made from members directly to an organization or are the equivalent of the cost of an item such as donated food

**Funds directly donated from the club or the club writes a check directly to the organization

Narrative Enclosed: □ Yes □ No

362

GFWC GEORGIA HOME LIFE COMMUNITY SERVICE PROGRAMJanuary 1 – December 31, 2016 ◊ January 1 – December 31, 2017Clubs should photocopy this report for use during both years of the 2016-2018

Administration.

Part I: Tell Us About Your Club

Date: _______________

Name of Club: __________________________________________________________________

City: __________________________________________________________________________

Membership (Check One): □ General □ Junior □ Juniorette

District: __________ Number of Members: __________

Part II: Tell Us About the Person Who Prepared This Report:

Name and Position: ______________________________________________________________

Street Address: _________________________________________________________________

City: _______________________ Zip Code: __________ Phone: ___________________

Email address: __________________________________________________________________

Part III: Tell Us What You Did

Please list the Home Life Community Service programs and projects your club participated on the chart found on the reverse side of this form. If a program or project is not listed specifically in the GFWC Georgia Club Yearbook or the GFWC Club Yearbook and you have a question as to where it should be reported, please contact the State Second Vice President, Shelby Holland, or the relevant CSP Chairman. If you wish to give a fuller description of a particular program(s) or project(s) please submit a narrative. Clubs may submit four pages of the chart and four pages of narrative. The narrative may not exceed four pages, must be typewritten and double spaced with 10 point font or larger. Narratives are not required but do enhance your chances of an award.Reports must be printed and mailed. Electronic submissions will be disqualified.

ALL CLUBS (General, Junior, and Juniorette) should submit a copy of this report to:

Pat Turner Judine B. HeardHome Life CSP Chair Home Life CSP Co-Chair804 McCurdy Blvd. 4000 Montego Bay DriveManchester, GA 31816 Atlanta, GA 30349

JUNIOR CLUBS should also mail a copy of their report to Sandy Ahearn, Director of Junior Clubs, 330 Malabar Way, Athens, GA 30605.

Note: Check the GFWC Georgia Website for address updates of CSP Chairs prior to submitting.

Please retain a copy of this report for your club.

363

Club Name: ________________________________________________________ Page ____

Program/Project (brief description) Number of Members Participating

Number of Volunteer Hours

Dollars DonatedIn Kind*

Dollars Donated Directly from Club**

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

TOTALSPlease subtotal each page with a grand total on last pageYou may photocopy this page for a total of four pages per Community Service Program. Clubs may submit four pages of charts, projects/programs and four pages of narrative. 10 point Arial Narrow font is suggested to allow two lines per block in description. Total number participating cannot exceed club membership total.

*In Kind Donations are made from members directly to an organization or are the equivalent of the cost of an item such as donated food

**Funds directly donated from the club or the club writes a check directly to the organization

Narrative Enclosed: □ Yes □ No

364

GFWC GEORGIA INTERNATIONAL OUTREACH COMMUNITY SERVICE PROGRAMJanuary 1 – December 31, 2016 ◊ January 1 – December 31, 2017Clubs should photocopy this report for use during both years of the 2016-2018

Administration.

Part I: Tell Us About Your Club

Date: _______________

Name of Club: __________________________________________________________________

City: __________________________________________________________________________

Membership (Check One): □ General □ Junior □ Juniorette

District: __________ Number of Members: __________

Part II: Tell Us About the Person Who Prepared This Report:

Name and Position: ______________________________________________________________

Street Address: _________________________________________________________________

City: _______________________ Zip Code: __________ Phone: ___________________

Email address: __________________________________________________________________

Part III: Tell Us What You Did

Please list the International Outreach Community Service programs and projects your club participated on the chart found on the reverse side of this form. If a program or project is not listed specifically in the GFWC Georgia Club Yearbook or the GFWC Club Yearbook and you have a question as to where it should be reported, please contact the State Second Vice President, Shelby Holland, or the relevant CSP Chairman. If you wish to give a fuller description of a particular program(s) or project(s) please submit a narrative. Clubs may submit four pages of the chart and four pages of narrative. The narrative may not exceed four pages, must be typewritten and double spaced with 10 point font or larger. Narratives are not required but do enhance your chances of an award. Reports must be printed and mailed. Electronic submissions are disqualified.

ALL CLUBS (General, Junior, and Juniorette) should submit a copy of this report to:

Sheila Sanchez-Vesga Stacie JaneckiInternational Outreach CSP Chair International Outreach CSP Co-Chair102 Ramblewood Drive 4225 Carillion TraceStatesboro, GA 30458 Kennesaw, GA 30144

JUNIOR CLUBS should also mail a copy of their report to Sandy Ahearn, Director of Junior Clubs, 330 Malabar Way, Athens, GA 30605.

Note: Check the GFWC Georgia Website for address updates of CSP Chairs prior to submitting.

Please retain a copy of this report for your club.

365

Club Name: ________________________________________________________ Page ____

Program/Project (brief description) Number of Members Participating

Number of Volunteer Hours

Dollars DonatedIn Kind*

Dollars Donated Directly from Club**

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

TOTALSPlease subtotal each page with a grand total on last pageYou may photocopy this page for a total of four pages per Community Service Program. Clubs may submit four pages of charts, projects/programs and four pages of narrative. 10 point Arial Narrow font is suggested to allow two lines per block in description. Total number participating cannot exceed club membership total.

*In Kind Donations are made from members directly to an organization or are the equivalent of the cost of an item such as donated food

**Funds directly donated from the club or the club writes a check directly to the organization

Narrative Enclosed: □ Yes □ No

366

GFWC GEORGIA PUBLIC ISSUES COMMUNITY SERVICE PROGRAMJanuary 1 – December 31, 2016 ◊ January 1 – December 31, 2017Clubs should photocopy this report for use during both years of the 2016-2018

Administration.

Part I: Tell Us About Your Club

Date: _______________

Name of Club: __________________________________________________________________

City: __________________________________________________________________________

Membership (Check One): □ General □ Junior □ Juniorette

District: __________ Number of Members: __________

Part II: Tell Us About the Person Who Prepared This Report:

Name and Position: ______________________________________________________________

Street Address: _________________________________________________________________

City: _______________________ Zip Code: __________ Phone: ___________________

Email address: __________________________________________________________________

Part III: Tell Us What You Did

Please list the Public Issues Community Service programs and projects your club participated on the chart found on the reverse side of this form. If a program or project is not listed specifically in the GFWC Georgia Club Yearbook or the GFWC Club Yearbook and you have a question as to where it should be reported, please contact the State Second Vice President, Shelby Holland, or the relevant CSP Chairman. If you wish to give a fuller description of a particular program(s) or project(s) please submit a narrative. Clubs may submit four pages of the chart and four pages of narrative. The narrative may not exceed four pages, must be typewritten and double spaced with 10 point font or larger. Narratives are not required but do enhance your chances of an award.Reports must be printed and mailed. Electronic Submissions will be disqualified.

ALL CLUBS (General, Junior, and Juniorette) should submit a copy of this report to:

Linda Mote Patty GabilondoPublic Issues CSP Chair Public Issues CSP Co-Chair2103 Drexel Way 3745 Tamer Lane, SWDunwoody, GA 30346 Lilburn, GA 30047

JUNIOR CLUBS should also mail a copy of their report to Sandy Ahearn, Director of Junior Clubs, 330 Malabar Way, Athens, GA 30605.

Note: Check the GFWC Georgia Website for address updates of CSP Chairs prior to submitting. Please retain a copy of this report for your club.

367

Club Name: ________________________________________________________ Page ____

Program/Project (brief description) Number of Members Participating

Number of Volunteer Hours

Dollars DonatedIn Kind*

Dollars Donated Directly from Club**

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

TOTALSPlease subtotal each page with a grand total on last page

You may photocopy this page for a total of four pages per Community Service Program. Clubs may submit four pages of charts, projects/programs and four pages of narrative. 10 point Arial Narrow font is suggested to allow two lines per block in description. Total number participating cannot exceed club membership total.

*In Kind Donations are made from members directly to an organization or are the equivalent of the cost of an item such as donated food

**Funds directly donated from the club or the club writes a check directly to the organization.

Narrative Enclosed: □ Yes □ No

368

GFWC GEORGIA EDUCATION COMMUNITY SERVICE PROGRAMJanuary 1 – December 31, 2016 ◊ January 1 – December 31, 2017

Clubs should photocopy this report for use during both years of the 2016-2018 administration.

ESO Book Report FormPlease copy and complete the following report form and send it to your state ESO chairman. This form will be used to track your progress through the ESO levels.

Date:

Member Name: Total Number of Books Read:_______

GFWC Club:

Address:

City: State: Zip Code:

Phone: E-mail Address:

Current ESO Level Pledge Member Star Torch Century

Please list the title, author and the total number of books read this year. We do not need a review of the books.

Send this form to:Pat BusbyEducation CSP Chair4573 North Beechwood DriveMacon, GA 31210

369

Please list the title, author and the total number of books read this year. We do not need a review of the books.

Send this form to: Pat BusbyEducation CSP Chair4573 North Beechwood DriveMacon, GA 31210

Book Title Author

370

TBA

GFWC Signature ProgramGFWC Georgia President’s Special Project

Domestic Violence Awareness and Prevention Report FormJanuary 1, 2016 to December 31, 2016 ♦ January 1, 2017 to December 31, 2017

Clubs should photocopy this report for use during both years of the 2016-2018 Administration.

Name of Program: Domestic Violence Awareness and Prevention Part I. Tell us about your clubDate: _____________________________________________

Name of Club ___________________________________________________________________________

City ___________________________________________________________________________________

District ______________ Check One: General Junior Juniorette

Number of Members _____________

Part II. Tell us about the person who prepared this ReportName ________________________________________________________________________________

Address _______________________________________________________________________________

City ______________________________________________ Zip Code ____________________

Phone _________________________________ Email ___________________________________

Part III. Statistics Total number of Volunteer Hours ____________________ Total number of Programs/Projects _____________________ Total number of Dollars donated _____________________ Total number of members participating in programs/projects _____________________ How many members participated in programs/projects that educated

them about Domestic Violence _____________________ Was a Domestic Violence Chairman appointed by club? _____________________

Part IV. Narrative This report form should be used as a cover sheet only. Do not begin narrative report on this form. Explain projects and results up to two (2) pages – single spaced.

General, Junior, and Juniorette Clubs should mail a copy of this report to the following:

Marty Bryan Linda NewtonSignature Program Co-Chair Signature Program Co-Chair4862 Forestglade Circle 5260 Sterling Trace Court NWStone Mountain, GA 30087 Lilburn, GA 30048

371

Club Name: ______________________________________________________ Page ________

Program/Project (brief description) Number of Members Participating

Number of Volunteer Hours

Dollars DonatedIn Kind*

Dollars Donated Directly from Club**

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

TOTALSPlease subtotal each page with a grand total on last page

Total number participating cannot exceed club membership total.

*In Kind Donations are made from members directly to an organization or are the equivalent of the cost of an item such as donated food

**Funds directly donated from the club or the club writes a check directly to the organization

Narrative Enclosed: □ Yes □ No

372

GFWC Juniors’ Special Project – Advocates for ChildrenReport Form

January 1, 2016 to December 31, 2016 ♦ January 1, 2017 to December 31, 2017Clubs should photocopy this report for use during both years of the 2016-2018 Administration.

Name of Program: Advocates for Children Part I. Tell us about your clubDate: _____________________________________________

Name of Club ___________________________________________________________________________

City ___________________________________________________________________________________

District ______________ Check One: General Junior Juniorette

Number of Members _____________

Part II. Tell us about the person who prepared this ReportName ________________________________________________________________________________

Address _______________________________________________________________________________

City ______________________________________________ Zip Code ____________________

Phone _________________________________ Email ___________________________________

Part III. Statistics Total number of Members Participating in Programs/Projects _____________________ Total number of Volunteer Hours ____________________ Total number of Programs/Projects _____________________ Total amount of Dollars Donated $ _____________________

Part IV. Narrative This report form should be used as a cover sheet only. Do not begin narrative report on this form. Describe all programs/projects conducted by your club. Describe any special efforts your club made to promote this Special Program. Describe any publicity your club did for the program. Miscellaneous. Be sure to include with each program and/or project the number of members, hours and monies

involved. Mail this sheet along with your Special Report as required to chairman listed below. Narratives

may be up to two (2) pages single-spaced.

General, Junior, and Juniorette Clubs should mail a copy of this report to the following:

Lori Townley, ChairmanAdvocates for Children703 Morgans Ridge DriveMonroe, GA 30656

373

Club Name: ______________________________________________________ Page ________

Program/Project (brief description) Number of Members Participating

Number of Volunteer Hours

Dollars DonatedIn Kind*

Dollars Donated Directly from Club**

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

TOTALSPlease subtotal each page with a grand total on last page

Total number participating cannot exceed club membership total.

*In Kind Donations are made from members directly to an organization or are the equivalent of the cost of an item such as donated food

**Funds directly donated from the club or the club writes a check directly to the organization

Narrative Enclosed: □ Yes □ No

374

GFWC 1734 Society Report FormJanuary 1, 2016 to December 31, 2016 ♦ January 1, 2017 to December 31, 2017

Clubs should photocopy this report for use during both years of the 2016-2018 Administration

Name of Program: 1734 Society Part I. Tell us about your clubDate: _____________________________________________

Name of Club _________________________________________________________________________________

City _________________________________________________________________________________________

District ______________ Circle One: General Junior Juniorette

Number of Members _____________

Part II. Tell us about the person who prepared this ReportName ______________________________________________________________________________________

Address _____________________________________________________________________________________

City ______________________________________________ Zip Code ___________________________

Phone _________________________________ Email ____________________________________________

Part III. Statistics Total number of Dollars donated _____________________ Total number of members participating _____________________ Did your club order brochures _____________________

General, Junior, and Juniorette Clubs should mail a copy of this report to the following:

Myra Carmon Lucy Willard1734 Society Chairman 1734 Society Honorary Chairman443 Woodstone West Drive 2660 Peachtree Road, NW #12-EMarietta, GA 30068 Atlanta, GA 30306

375

GFWC Georgia Communication and Public Relations Report Form

January 1, 2016 to December 31, 2016 ♦ January 1, 2017 to December 31, 2017Clubs should photocopy this report for use during both years of the 2016-2018 Administration

Name of Program: Communications /Public Relations Part I. Tell us about your clubDate: _____________________________________________

Name of Club ___________________________________________________________________________

City ___________________________________________________________________________________

District ______________ Circle One: General Junior Juniorette

Number of Members _____________

Part II. Tell us about the person who prepared this ReportName ________________________________________________________________________________

Address _______________________________________________________________________________

City ______________________________________________ Zip Code ____________________

Phone _________________________________ Email ___________________________________

COMMUNICATION & PUBLIC RELATIONSPart III. Statistics

Does your club have a Communication & Public Relations chairman? _____________________ Does your club maintain an updated media list to assist in publicizing

its activities? _____________________ Does your club send news releases of upcoming programs/projects to

local newspapers, radio and TV stations? _____________________ Does your club have other ways of publicizing its projects? _____________________ How many times did your club’s programs/projects get reported? _____________________ Has your club developed its own brochure? _____________________ Does your club have a public relations display that includes photos of

club projects, newspaper clippings and a calendar of events to displayat public events and locations? _____________________

Is your club on Facebook? Is your club utilizing other social media? ____________________ Does your club have a website? ____________________

Part IV. Narrative This report form should be used as a cover sheet only. Do not begin narrative report on this form. Explain projects and results up to two (2) pages. To enter the Publicity Book Silver Award Contest

REMEMBER TO MAIL PUBLICITY/MEDIA BOOK to the Communications and Public Relations State Chairman.

GFWC GEORGIA NEWSLETTER

376

Part III. Statistics How many members subscribe to GFWC Georgia Newsletter? _____________________ How many of these members are new subscribers (within the past year)?_____________________ How many times have club programs/projects been reported to Newsletter ____________________ Has your club appointed a GFWC Georgia Newsletter Chairman? _____________________ Has your club been a 100% subscriber to GFWC Georgia Newsletter? _____________________

Part IV. Narrative This report form should be used as a cover sheet only. Do not begin narrative report on this form. Tell us what your club did to promote the GFWC Georgia Newsletter and get participation Look at the Newsletter award criteria and be sure to include that information in your narrative. Miscellaneous Narrative may be up to two (2) single-spaced

GFWC CLUBWOMAN MAGAZINE

Part III. Statistics How many members subscribe to GFWC Clubwoman Magazine? _____________________ How many of these members are new subscribers (within the past year)?_____________________ How many times have club programs/projects been reported to Magazine_____________________ Has your club appointed a GFWC Clubwoman Magazine Chairman? _____________________ Has your club been a 100% subscriber to GFWC Clubwoman Magazine?_____________________

Part IV. Narrative This report form should be used as a cover sheet only. Do not begin narrative report on this form. Tell us what your club did to promote the GFWC Clubwoman Magazine and get participation. Miscellaneous Narrative may be up to two (2) pages single-spaced, single-sided typewritten pages. Be sure to include with each program and/or project the number of members, hours and monies

involved.

General, Junior, and Juniorette Clubs should mail a copy of this report(s) to the following:

Amanda Burke Buczek Claire Frost Allison BretchState Co-Chairman State Co-Chairman Junior Conference Chairman1518 Maplewood Court 228 Haleys Court P.O. Box 10656Woodstock, GA 30189 Woodstock, GA 30189 Carrollton, GA 30118

Elizabeth Chadwick Sabrina Hancock Nina SmithNewsletter Editor Junior Newsletter Editor GFWC Magazine Chairman2715 Clearview Drive, SW 4124 Ga. Hwy 33S 4860 Mill Brook DriveRocky Face, GA 30740 Doerun, GA 31744 Dunwoody, GA 30338

377

Club Name: ______________________________________________________ Page ________

Program/Project (brief description) Number of Members Participating

Number of Volunteer Hours

Dollars DonatedIn Kind*

Dollars Donated Directly from Club**

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

TOTALSPlease subtotal each page with a grand total on last page

Total number participating cannot exceed club membership total.

*In Kind Donations are made from members directly to an organization or are the equivalent of the cost of an item such as donated food

**Funds directly donated from the club or the club writes a check directly to the organization

Narrative Enclosed: □ Yes □ No

378

GFWC Georgia Ella F. White Memorial Endowment FundReport Form

January 1, 2016 to December 31, 2016 ♦ January 1, 2017 to December 31, 2017Clubs should photocopy this report for use during both years of the 2016-2018 Administration.

Name of Program: Ella F. White Memorial Endowment Fund Part I. Tell us about your clubDate: _____________________________________________

Name of Club __________________________________________________________________________

City __________________________________________________________________________________

District ______________ Check One: General Junior Juniorette

Number of Members _____________

Part II. Tell us about the person who prepared this ReportName ________________________________________________________________________________

Address _______________________________________________________________________________

City ______________________________________________ Zip Code ____________________

Phone _________________________________ Email ________________________________________

Part III. Statistics Total number of Programs/Projects _____________________ Total number of Dollars donated _____________________ Total number of members participating in programs/projects _____________________ How many members participated in programs/projects that educated

them about Ella F. White Memorial Endowment Fund _____________________ Was an Ella F. White Memorial Endowment Fund Chairman appointed? _____________________

Part IV. Narrative This report form should be used as a cover sheet only. Do not begin narrative report on this

form. Explain projects and results up to two (2) pages – single spaced.

General, Junior, and Juniorette Clubs should mail a copy of this report to the following:

Sandi QuattlemanElla F. White State ChairmanP.O. Box 238Woodbine, GA 31569

379

GFWC Georgia Fundraising Report FormGFWC Endorsed Fundraising Report Form

January 1, 2016 to December 31, 2016 ♦ January 1, 2017 to December 31, 2017Clubs should photocopy this report for use during both years of the 2016-2018 Administration

Name of Program: Fundraising Part I. Tell us about your clubDate: _____________________________________________

Name of Club ___________________________________________________________________________

City ___________________________________________________________________________________

District ______________ Check One: General Junior Juniorette

Number of Members _____________

Part II. Tell us about the person who prepared this ReportName ________________________________________________________________________________

Address _______________________________________________________________________________

City ______________________________________________ Zip Code ____________________

Phone _________________________________ Email _________________________________________

Part III. Statistics Total number of Members Participating in Fund-raisers _____________________ Total number of Volunteer Hours ____________________ Total number of Programs/Projects _____________________ Total amount of Dollars Donated $ ____________________

Part IV. Narrative This report form should be used as a cover sheet only. Do not begin narrative report on this

form. Narratives may not exceed two (2) pages single-spaced. GFWC Georgia considers all fund-raising projects important and wants to hear about them. GFWC considers only endorsed fund-raising projects. Describe in detail the fund-raisers that were conducted during the year citing one or more unique

and/or outstanding projects Miscellaneous. Be sure to include with each program and/or project the number of members, hours and monies

involved.

General, Junior, and Juniorette Clubs should mail a copy of this report to the following:

Brenda Gramm Julie Hamon Irma ShawGFWC Chairman GFWC GA Chairman GFWC GA Co-Chairman303 North Azalea Circle 1103 Wigwam Court P.O. Box 1944Vienna, GA 31092 Statesboro, GA 30461 LaFayette, GA 33092

Jessica Hall Amelia MasseyGFWC GA Jr Co-Chair GFWC GA Jr Co-Chair P.O. Box 442 50 Creek Trail Statesboro, GA 30459 Sharpsburg, GA 30277

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Club Name: ______________________________________________________ Page ________

Program/Project (brief description) Number of Members Participating

Number of Volunteer Hours

Dollars DonatedIn Kind*

Dollars Donated Directly from Club**

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TOTALSPlease subtotal each page with a grand total on last page

Total number participating cannot exceed club membership total.

*In Kind Donations are made from members directly to an organization or are the equivalent of the cost of an item such as donated food

**Funds directly donated from the club or the club writes a check directly to the organization

Narrative Enclosed: □ Yes □ No

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GFWC Leadership/LEADS Report FormJanuary 1, 2016 to December 31, 2016 ♦ January 1, 2017 to December 31, 2017

Clubs should photocopy this report for use during both years of the 2016-2018 Administration

Name of Program: Leadership/LEADS Part I. Tell us about your clubDate: _____________________________________________

Name of Club _________________________________________________________________________________

City _________________________________________________________________________________________

District ______________ Circle One: General Junior Juniorette

Number of Members _____________Part II. Tell us about the person who prepared this ReportName ______________________________________________________________________________________

Address _____________________________________________________________________________________

City ______________________________________________ Zip Code ___________________________

Phone _________________________________ Email ____________________________________________

Part III. Statistics Does your club have a leadership chairman? ___________ Did your club improve personal leadership skills for members? ___________

If so, explain in the narrative Did your club have at least one leadership workshop during the club year? ___________

If so, explain the workshop in your narrative. Did your club establish a Lending Library of Leadership tools? (Explain) ___________ Did your club establish a Volunteer’s resume booklet/ file? (Explain) ___________ Did you use the GFWC Conflict Resolution materials in your club? ___________ Was GFWC Georgia Newsletter & GFWC magazine shared at club meetings? ___________ Does your club financially assist members attending state and

international meetings? (If yes, explain in narrative). ___________ How many club members attended the following meetings?

District _____State ______Region _____International _____ Were job descriptions provided for all club leaders? (Explain in narrative) ___________ Did your club review bylaws and rules with members? ___________ Revised? ___________ Did your club work with Youth Leadership? (Give details in narrative) ___________ Total funds used for Youth Projects/Programs $__________

Part IV. Narrative This report form should be used as a cover sheet only. Do not begin narrative report on this form. Miscellaneous. Narrative may be up to two (2) pages single spaced. Be sure to include with each program and/or project the number of members, hours and monies involved.

General, Junior, and Juniorette Clubs should mail a copy of this report to the following:

Karen Clydesdale Mary Beth Jacobson Tiffany Cooper State Chairman State Co-Chairman Junior Chairman 8915 Huntcliff Lake Court 2851 Tobacco Road 3598 Natalie Court Atlanta, GA 30350 Hephzibah, GA 30815 Loganville, GA 30052Club Name: ______________________________________________________ Page ________

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Program or Project (brief description)

Number of Members Participating

Number of Volunteer Hours

Dollars Raised (for use in the area of work)

Dollars Donated

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TOTALSPlease subtotal each page with a grand total on last page

If you have more than 15 programs or projects, you may photocopy this page twice, for a total of three chart pages (45 programs/projects). 10 point Arial Narrow font is suggested to allow two lines per block in description.*Total Number Participating cannot Exceed Club MembershipNarrative Enclosed Yes No

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GFWC Georgia Legislation/Public PolicyJanuary 1, 2016 to December 31, 2016 ♦ January 1, 2017 to December 31, 2017

Clubs should photocopy this report for use during both years of the 2016-2018 Administration

Name of Program: Legislation /Public Policy Part I. Tell us about your clubDate: _____________________________________________

Name of Club _________________________________________________________________________________

City _________________________________________________________________________________________

District ______________ Circle One: General Junior Juniorette

Number of Members _____________

Part II. Tell us about the person who prepared this ReportName ______________________________________________________________________________________

Address _____________________________________________________________________________________

City ______________________________________________ Zip Code ___________________________

Phone _________________________________ Email ____________________________________________

Part III. Statistics Total number of Members Participating in Programs/Projects _____________________ Total number of Volunteer Hours ____________________ Total number of Programs/Projects _____________________ Total amount of Dollars Donated $ ____________________

Part IV. Narrative This report form should be used as a cover sheet only. Do not begin narrative report on this form. Describe in detail how your club meets the three objectives of the GFWC Legislation/Public Policy Program:

1. Educate 2. Engage 3. Mobilize Miscellaneous. Narrative may be up to two (2) pages single-spaced. Be sure to include with each program and/or project the number of members, hours and monies involved.

General, Junior, and Juniorette Clubs should mail a copy of this report to the following:

Beth English Sandra HueyP. O. Box 384 205 Shady Valley RoadVienna, GA 31092 Carrollton, GA 30116

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Club Name: ______________________________________________________ Page ________Program or Project (brief description)

Number of Members Participating

Number of Volunteer Hours

Dollars Raised (for use in the area of work)

Dollars Donated

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TOTALSPlease subtotal each page with a grand total on last page

If you have more than 15 programs or projects, you may photocopy this page twice, for a total of three chart pages (45 programs/projects). 10 point Arial Narrow font is suggested to allow two lines per block in description.*Total Number Participating cannot Exceed Club MembershipNarrative Enclosed Yes No

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GFWC Georgia Lipscomb Society FormJanuary 1, 2016 to December 31, 2016 ♦ January 1, 2017 to December 31, 2017

Clubs should photocopy this report for use during both years of the 2016-2018 Administration

Name of Program: Lipscomb Society Part I. Tell us about your clubDate: _____________________________________________

Name of Club _________________________________________________________________________________

City _________________________________________________________________________________________

District ______________ Circle One: General Junior Juniorette

Number of Members _____________

Part II. Tell us about the person who prepared this ReportName ______________________________________________________________________________________

Address _____________________________________________________________________________________

City ______________________________________________ Zip Code ___________________________

Phone _________________________________ Email ____________________________________________

Part III. Statistics Total number of Dollars donated _____________________ Total number of members participating _____________________ Did you send a Christmas Ornament _____________________ Did you promote the Lipscomb Society at club meetings, etc. _____________________

If so, please explain in narrative Did Club make a visit _____________________

Part IV. Narrative This report form should be used as a cover sheet only. Do not begin narrative report on this form. Explain projects and results up to two (2) pages – single spaced.

General, Junior, and Juniorette Clubs should mail a copy of this report to the following:

Tish Stone130 S. Ole Hickory TrailCarrollton, GA 30117

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GFWC Georgia Membership Report FormJanuary 1, 2016 to December 31, 2016 ♦ January 1, 2017 to December 31, 2017

Clubs should photocopy this report for use during both years of the 2016-2018 Administration

Name of Program: Membership Part I. Tell us about your clubDate: _____________________________________________

Name of Club _________________________________________________________________________________

City _________________________________________________________________________________________

District ______________ Circle One: General Junior Juniorette

Number of Members _____________

Part II. Tell us about the person who prepared this ReportName ______________________________________________________________________________________

Address _____________________________________________________________________________________

City ______________________________________________ Zip Code ___________________________

Phone _________________________________ Email ____________________________________________

PART III: MEMBERSHIP STATISTICSMembers paid to State 12/1/16 (12/1/17) (Prior Year) ___________Loss by: Relocation _____ Deceased ______ Other ______ Total Loss = ___________New Members: Please attached a NEW MEMBER ROSTER = + ___________

TOTAL MEMBERS: Members paid dues to GFWC Georgia 12/1/16 (12/1/17) = ___________Did one member personally recruit five (5) or more new members? ___________If so, please list her name, address, and list members’ data on a separate sheet of club stationery. Must be signed by Club President & Treasurer. Send recruiting data to State Membership Chairman for GFWC Georgia Special Award.

PART IV: RECRUITMENT & RETENTIONMembership Projects/Programs/Socials __________ Members attending State Institute __________Members attending State Convention __________Dollars spent on Membership Promotion __________ Total members participating __________Does your club and/or District support Dollars for Delegates? __________

Did your club conduct an orientation? ______ How Many? __________Who conducted the orientation?

Club Officer _______ District Officer_______State Officer _______

Number new members participating _________; Number other members participating _____

(Complete back side and you can list all your Membership projects on the extra project list sheet)

Does your club have the following Chairman?

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Membership _____ Communications & Public Relations _____GFWC Magazine _____GFWC Georgia Newsletter _____

# Media Articles Published _____ # TV/Radio _____ # Paid GFWC Clubwoman Magazine _____ # GFWC Georgia Newsletter Subscriptions _____

(Hard Copy and/or Email) How many club articles/photos submitted to GFWC magazine ________ # Articles submitted to Georgia Newsletter ________ Does your club publish a newsletter

______ Monthly ____ Quarterly _____ Please send a copy

PART V: NARRATIVEThe State Membership Chairman needs the above information to report to GFWC. Please help the GFWC Georgia be 100% reported. Please send this form even if you are not competing for the Membership Awards. If you would like to compete for awards, please attach a narrative report along with addenda on Media, Public Relations, Membership Retention, Orientation booklets, Programs, etc. Narrative is limited to two (2) pages single spaced. THANK YOU FOR REPORTING!

General, Junior, and Juniorette Clubs should mail a copy of this report to the following:

Kim Sekulow Becky BoldenState Chairman Junior Chairman1834 Banneker Court 4510 Hidden Meadows LaneSmoke Rise, GA 30087 Monroe, GA 30656

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Club Name: ______________________________________________________ Page ________Program or Project (brief description)

Number of Members Participating

Number of Volunteer Hours

Dollars Raised (for use in the area of work)

Dollars Donated

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TOTALSPlease subtotal each page with a grand total on last page

If you have more than 15 programs or projects, you may photocopy this page twice, for a total of three chart pages (45 programs/projects). 10 point Arial Narrow font is suggested to allow two lines per block in description.*Total Number Participating cannot Exceed Club MembershipNarrative Enclosed Yes No

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GFWC Georgia Tallulah Falls School Report FormJanuary 1, 2016 to December 31, 2016 ♦ January 1, 2017 to December 31, 2017

Clubs should photocopy this report for use during both years of the 2016-2018 Administration.

Name of Program: Tallulah Falls School Part I. Tell us about your clubDate: _____________________________________________

Name of Club ___________________________________________________________________________

City ___________________________________________________________________________________

District ___________ Check One: □ General □ Junior □ Juniorette Number of Members _________

Part II. Tell us about the person who prepared this ReportName ________________________________________________________________________________

Address _______________________________________________________________________________

City ______________________________________________ Zip Code ____________________

Phone _________________________________ Email ___________________________________

Part IV: Tell Us What You Did This report form should be used as a “cover sheet” only. Do not begin the narrative report on this

form. Narratives may not exceed two (2) pages – single spaced – no lower than 10pt font. Describe all fundraising projects for the school. Describe all projects – other than fundraising – on behalf of the school. Detail all non-monetary gifts to the school (vehicles, furniture, pictures, etc.) Describe all trips to TFS by Clubwomen Describe all publicity efforts promoting TFS (attach clippings, pictures, brochures, etc.) Did anyone in your club recommend a student for TFS? Was the student accepted? Did you/members secure brochures and information for any student?

GENERAL, JUNIOR AND JUNIORETTE CLUBS – MAIL A COPY OF THIS REPORT TO:Elizabeth Wells Martha Lee Sherman Nicole Braun155 Amberbrook Circle 285 Laurel Drive 109 Ridge CrossingGrayson, GA 30017 Cornelia, GA 30531 Temple, GA 30179

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Part III. Specific Questions – How Much Was Given to the: Extra Mile Fund [Martha McElhannon TFS Award (General); Grace Hughes Browning $

________________Cup Award (Junior); Pat Swan/Lilburn WC Award (District); Gewene Womack Award (District)]

TFS: Training For Success – GFWC Georgia President’s Special TFS Project [Award] $ ________________

Score 1 for TFS – Director of Junior Clubs’ Special TFS Project [Award] $ ________________

Elaine Singley Chandler Memorial Scholarship Fund [ESC Memorial Award] $ ________________

Perpetual Scholarship in the name of ___________________________ $ ________________

Club Name: ______________________________________________________ Page ________Program/Project (brief description) Number of

Members Participating

Number of Volunteer Hours

Dollars DonatedIn Kind*

Dollars Donated Directly from Club**

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

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15.

TOTALSPlease subtotal each page with a grand total on last pageTotal number participating cannot exceed club membership total.

*In Kind Donations are made from members directly to an organization or are the equivalent of the cost of an item such as donated food

**Funds directly donated from the club or the club writes a check directly to the organization Please contact Tallulah Falls School (706-754-0400) should you need a comprehensive report of your Club’s and/or Member’s donations.

Narrative Enclosed: □ Yes □ No

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GFWC/GFWC Georgia Women’s History & Resource Center Report Form

January 1, 2016 to December 31, 2016 ♦ January 1, 2017 to December 31, 2017Clubs should photocopy this report for use during both years of the 2016-2018 Administration.

Name of Program: Women’s History & Resource Center Part I. Tell us about your clubDate: _____________________________________________

Name of Club _______________________________________________________________________________

City _______________________________________________________________________________________

District _________ Circle One: General Junior Juniorette

Number of Members ________

Part II. Tell us about the person who prepared this ReportName ____________________________________________________________________________________

Address ___________________________________________________________________________________

City ______________________________________ Zip Code _____________________________

Phone _________________________________ Email _________________________________________

Part III. Statistics > Total number of Hours worked on projects _____________________

Total number of Programs/Projects _____________________ Total number of Dollars donated _____________________ Total number of members participating in programs/projects _____________________ How many members participated in programs/projects that educated

them about the role of the Women’s History & Resource Center _____________________ Was a WHRC Chairman appointed by club? _____________________ How many individuals were interviewed for oral histories? _____________________ How many schools observed National Women’s History Month? _____________________ Did your club preserved records? _____________________ Did your club preserve a clubhouse ? _____________________

Part IV. Narrative This report form should be used as a cover sheet only. Do not begin narrative report on this form. Explain projects and results up to two (2) pages, single-spaced.

General, Junior, and Juniorette Clubs should mail a copy of this report to the following:

Barbara CabanissWHRC State ChairmanP.O. Box 710134Maxeys, GA 30697

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Club Name: ______________________________________________________ Page ______Program or Project (brief description)

Number of Members Participating

Number of Volunteer Hours

Dollars Raised (for use in the area of work)

Dollars Donated

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

TOTALSPlease subtotal each page with a grand total on last page

If you have more than 15 programs or projects, you may photocopy this page twice, for a total of three chart pages (45 programs/projects). 10 point Arial Narrow font is suggested to allow two lines per block in description.*Total Number Participating cannot Exceed Club MembershipNarrative Enclosed Yes No

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GFWC Georgia Club President’s Reporting FormJanuary 1, 2016 to December 31, 2016 ♦ January 1, 2017 to December 31, 2017(It is the Club President’s responsibility to copy this form and use it for both years.)

THIS FORM SHOULD ONLY BE USED BY THE CLUB PRESIDENT.ALL COMMUNITY SERVICE PROGRAM AND SPECIAL PROJECT FORMS ARE

LOCATED IN THE YEARBOOK.

Part I. Tell us about your clubDate: _____________________________________________

Name of Club _________________________________________________________________________________

City _________________________________________________________________________________________

District _____________________ Circle One: General Junior Juniorette

Number of Members _____________

Part II. Tell us about the person who prepared this ReportName ______________________________________________________________________________________

Address _____________________________________________________________________________________

City ______________________________________________ Zip Code ___________________________

Phone _________________________________ Email ____________________________________________ Part III. Tell Us What You Did

Activities listed in GFWC/GFWC Georgia Community Service Programs and Special Projects should be reported in the appropriate program/program area in the chart provided.

Activities not listed in GFWC/GFWC Georgia program materials should be reported in the program/project area which most closely relates to your project.

Write a 2 page narrative highlighting the main events and projects your club did this calendar year. Copy your report for your own club and then mail a copy to your District President by February 15.:

Community Service Programs # of Members Participating

Volunteer Hours

In Kind Donations

Dollars Donated

ARTS

CONSERVATION

CONSERVATION-ACTrees

CONSERVATION PARTNERSHIPS

EDUCATION

EDUCATION-HOBY

EDUCATION-ESO

HOME LIFEHOME LIFE-Canine Companions for IndependenceHOME LIFE-Easter Seals

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HOME LIFE-The Heart Truth

HOME LIFE-Inside Knowledge

INTERNATIONAL OUTREACHINTERNATIONAL OUTREACH-Heifer InternationalINTERNATIONAL OUTREACH-Operation Smile

INTERNATIONAL OUTREACH-Shot@LifeINTERNATIONAL OUTREACH-U.S. Fund for UNICEFPUBLIC ISSUES

PUBLIC ISSUES-Kettering Foundation

PUBLIC ISSUES-Sew Much Comfort

PUBLIC ISSUES-USO

TOTALS

Special Projects Number of Projects

Volunteer Hours

Dollars Spent

DOMESTIC VIOLENCE

DOMESTIC VIOLENCE-Prevent Abuse America

ADVOCATES FOR CHILDREN

ADVOCATES FOR CHILDREN-March of Dimes

COMMUNICATIONS & PUBLIC RELATIONS

FUNDRAISING

LEADERSHIP

LEGISLATION & ADVOCACY IN ACTION

WOMENS HISTORY & RESOURCE CENTER

MEMBERSHIP

TALLULAH FALLS SCHOOL

1734 SOCIETY

LIPSCOMB SOCIETY

TOTALS

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