STATE PROGRAM DIRECTOR RECEIVES FROM DD AT STATE DIRECTOR SENDS ACKNOWLEDGEMENT TO DD & GK

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1 STATE PROGRAM DIRECTOR RECEIVES FROM DD AT STATE DIRECTOR SENDS ACKNOWLEDGEMENT TO DD & GK

2 FAITH ACTIVITY AWARD CONTEST ENTRY FORM AND REPORT COVER SHEET SEND TO PROGRAM DIRECTOR: Bill Van Horn, Club View Drive, Damascus, MD Cell number , Home number is , is Date received by State Program Director GRAND KNIGHT TELEPHONE NO. COUNCIL NAME NUMBER DISTRICT LOCATION (CITY) (ZIP CODE) THE INFORMATION THAT FOLLOWS DESCRIBES OUR COUNCIL'S PROJECT AND SERVES AS OUR ENTRY IN THE STATE COUNCIL S SERVICE PROGRAM AWARDS CONTEST. DATE PROJECT CONDUCTED TITLE OR NATURE OF PROJECT WHO BENEFITED MOST FROM THIS PROJECT? CHAIRMAN (NAME-ADDRESS-TELEPHONE NO.) NUMBER OF COUNCIL MEMBERS PARTICIPATING IN PROJECT NUMBER OF NON-COUNCIL MEMBERS PARTICIPATING IN PROJECT ATTACH DETAILED DESCRIPTION OF PROGRAM/PROJECT. PHOTOGRAPHS, NEWS CLIPPINGS, ETC., MAY BE INCLUDED WITH THIS REPORTING FORM. USE ADDITIONAL SHEETS AS NECESSARY SIGNED ATTEST (DATE) (GRAND KNIGHT) (DISTRICT DEPUTY) THIS FORM MUST BE COMPLETED BY THE COUNCIL CHAIRMAN. COMPLETED ENTRY MUST BE RECEIVED BY THE STATE PROGRAM DIRECTOR AS FOLLOWS: BEST FIRST REPORT PERIOD ACTIVITY (MAR - AUG) DUE BY SEPTEMBER 15 TH 2018 BEST SECOND REPORT PERIOD ACTIVITY (SEPT, OCT, NOV) DUE BY DECEMBER 15 TH 2018 BEST THIRD REPORT PERIOD ACTIVITY (DEC, JAN, FEB) DUE BY MARCH 5 TH 2019 (Please check the appropriate box for the report being submitted)

3 FAITH ACTIVITY REPORT

4 FAITH ACTIVITY REPORT

5 COMMUNITY ACTIVITY AWARD CONTEST ENTRY FORM AND REPORT COVER SHEET SEND TO PROGRAM DIRECTOR: Bill Van Horn, Club View Drive, Damascus, MD Cell number , Home number is , is Date received by State Program Director GRAND KNIGHT TELEPHONE NO. COUNCIL NAME NUMBER DISTRICT LOCATION (CITY) (ZIP CODE) THE INFORMATION THAT FOLLOWS DESCRIBES OUR COUNCIL'S PROJECT AND SERVES AS OUR ENTRY IN THE STATE COUNCIL S SERVICE PROGRAM AWARDS CONTEST DATE PROJECT CONDUCTED TITLE OR NATURE OF PROJECT WHO BENEFITED MOST FROM THIS PROJECT? CHAIRMAN ( NAME, ADDRESS, TELEPHONE NO.) NUMBER OF COUNCIL MEMBERS PARTICIPATING IN PROJECT NUMBER OF NON-COUNCIL MEMBERS PARTICIPATING IN JECT ATTACH DETAILED DESCRIPTION OF PROGRAM/PROJECT. PHOTOGRAPHS, NEWS CLIPPINGS, ETC., MAY BE INCLUDED WITH THIS REPORTING FORM. USE ADDITIONAL SHEETS AS NECESSARY SIGNED ATTEST (GRAND KNIGHT) (DATE) (DISTRICT DEPUTY) THIS FORM MUST BE COMPLETED BY THE COUNCIL CHAIRMAN. COMPLETED ENTRY MUST BE RECEIVED BY THE STATE PROGRAM DIRECTOR AS FOLLOWS: BEST FIRST REPORT PERIOD ACTIVITY (MAR THRU AUG) DUE BY SEPTEMBER 15 TH 2018 BEST SECOND REPORT PERIOD ACTIVITY (SEPT, OCT, NOV) DUE BY DECEMBER 15 TH 018 BEST THIRD REPORT PERIOD ACTIVITY (DEC, JAN, FEB) DUE BY MARCH 5 TH 2019 (Please check the appropriate box for the report being submitted)

6 COMMUNITY ACTIVITY REPORT

7 COMMUNITY ACTIVITY REPORT

8 LIFE ACTIVITY AWARD CONTEST ENTRY FORM AND REPORT COVER SHEET SEND TO PROGRAM DIRECTOR: Bill Van Horn, Club View Drive, Damascus, MD Cell number , Home number is , is Date received by State Program Director GRAND KNIGHT TELEPHONE NO. COUNCIL NAME NUMBER DISTRICT LOCATION (CITY) (ZIP CODE) THE INFORMATION THAT FOLLOWS DESCRIBES OUR COUNCIL'S PROJECT AND SERVES AS OUR ENTRY IN THE STATE COUNCIL S SERVICE PROGRAM AWARDS CONTEST. DATE PROJECT CONDUCTED TITLE OR NATURE OF PROJECT WHO BENEFITED MOST FROM THIS PROJECT? CHAIRMAN (NAME-ADDRESS-TELEPHONE NO.) NUMBER OF COUNCIL MEMBERS PARTICIPATING IN PROJECT NUMBER OF NON-COUNCIL MEMBERS PARTICIPATING IN PROJECT ATTACH DETAILED DESCRIPTION OF PROGRAM/PROJECT. PHOTOGRAPHS, NEWS CLIPPINGS, ETC., MAY BE INCLUDED WITH THIS REPORTING FORM. USE ADDITIONAL SHEETS AS NECESSARY SIGNED ATTEST (GRAND KNIGHT) (DISTRICT DEPUTY) (DATE) THIS FORM MUST BE COMPLETED BY THE COUNCIL CHAIRMAN. COMPLETED ENTRY MUST BE RECEIVED BY THE STATE PROGRAM DIRECTOR AS FOLLOWS: BEST FIRST REPORT PERIOD ACTIVITY (MAR THRU AUG) DUE BY SEPTEMBER 15 TH 2018 BEST SECOND REPORT PERIOD ACTIVITY (SEPT, OCT, NOV) DUE BY DECEMBER 15 TH 2018 BEST THIRD REPORT PERIOD ACTIVITY (DEC, JAN, FEB) DUE BY MARCH 5 TH 2019 (Please check the appropriate box for the report being submitted)

9 LIFE ACTIVITY REPORT

10 LIFE ACTIVITY REPORT

11 FAMILY ACTIVITY AWARD CONTEST ENTRY FORM AND REPORT COVER SHEET SEND TO PROGRAM DIRECTOR: Bill Van Horn, Club View Drive, Damascus, MD Cell number , Home number is , is Date received by State Program Director GRAND KNIGHT TELEPHONE NO. COUNCIL NAME NUMBER DISTRICT LOCATION (CITY) (ZIP CODE) THE INFORMATION THAT FOLLOWS DESCRIBES OUR COUNCIL'S PROJECT AND SERVES AS OUR ENTRY IN THE STATE COUNCIL S SERVICE PROGRAM AWARDS CONTEST. DATE PROJECT CONDUCTED TITLE OR NATURE OF PROJECT WHO BENEFITED MOST FROM THIS PROJECT? CHAIRMAIN (NAME-ADDRESS-TELEPHONE NO.) NUMBER OF COUNCIL MEMBERS PARTICIPATING IN PROJECT NUMBER OF NON-COUNCIL MEMBERS PARTICIPATING IN PROJECT ATTACH DETAILED DESCRIPTION OF PROGRAM/PROJECT. PHOTOGRAPHS, NEWS CLIPPINGS, ETC., MAY BE INCLUDED WITH THIS REPORTING FORM. USE ADDITIONAL SHEETS AS NECESSARY SIGNED ATTEST (GRAND KNIGHT) (DISTRICT DEPUTY) (DATE) THIS FORM MUST BE COMPLETED BY THE COUNCIL CHAIRMAN. COMPLETED ENTRY MUST BE RECEIVED BY THE STATE PROGRAM DIRECTOR AS FOLLOWS: BEST FIRST REPORT PERIOD ACTIVITY (MAR THRU AUG) DUE BY SEPTEMBER 15 TH 2018 BEST SECOND REPORT PERIOD ACTIVITY (SEPT, OCT, NOV) DUE BY DECEMBER 15 TH 2018 BEST THIRD REPORT PERIOD ACTIVITY (DEC, JAN, FEB) DUE BY MARCH 5 TH 2019 (Please check the appropriate box for the report being submitted)

12 FAMILY ACTIVITY REPORT ADDITIONAL INFORMATION FOR DETAILS AND PHOTOS

13 FAMILY ACTIVITY REPORT

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