Name of Club: City: Name and Position: Street Address: City: Zip Code: Phone: address:

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1 GFWC GEORGIA ARTS COMMUNITY SERVICE PROGRAM January 1 December 31, 2016 January 1 December 31, 2017 Clubs should photocopy this report for use during both years of the Administration. Part I: Tell Us About Your Club Date: Name of Club: City: Membership (Check One): General Junior Juniorette District: Members: Part II: Tell Us About the Person Who Prepared This Report: Name and Position: Street Address: City: Zip Code: Phone: 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 Arts CSP Chair 414 Harpy Eagle Drive Winder, GA Ann Lundin Arts CSP Co-Chair 635 Sullivan Road Newnan, GA JUNIOR CLUBS should also mail a copy of their report to Sandy Ahearn, Director of Junior Clubs, 330 Malabar Way, Athens, GA 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

2 Club Name: Program/Project (brief description) Members Participating Volunteer Hours In Kind* Page Directly from Club** TOTALS Please 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 358

3 GFWC GEORGIA CONSEVATION COMMUNITY SERVICE PROGRAM January 1 December 31, 2016 January 1 December 31, 2017 Clubs should photocopy this report for use during both years of the Administration. Part I: Tell Us About Your Club Date: Name of Club: City: Membership (Check One): General Junior Juniorette District: Members: Part II: Tell Us About the Person Who Prepared This Report: Name and Position: Street Address: City: Zip Code: Phone: 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 Douds Conservation CSP Chair Conservation CSP Co-Chair 3436 Laurel Green Court 203 Malfern Point Kennesaw, GA Peachtree City, GA JUNIOR CLUBS should also mail a copy of their report to Sandy Ahearn, Director of Junior Clubs, 330 Malabar Way, Athens, GA 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

4 Club Name: Program/Project (brief description) Members Participating Volunteer Hours In Kind* Page Directly from Club** TOTALS Please 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 360

5 GFWC GEORGIA EDUCATION COMMUNITY SERVICE PROGRAM January 1 December 31, 2016 January 1 December 31, 2017 Clubs should photocopy this report for use during both years of the Administration. Part I: Tell Us About Your Club Date: Name of Club: City: Membership (Check One): General Junior Juniorette District: Members: Part II: Tell Us About the Person Who Prepared This Report: Name and Position: Street Address: City: Zip Code: Phone: 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 Creamer Education CSP Chair Education CSP Co-Chair 4573 North Beechwood Drive 2022 Graham Road Macon, GA Macon, GA JUNIOR CLUBS should also mail a copy of their report to Sandy Ahearn, Director of Junior Clubs, 330 Malabar Way, Athens, GA 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

6 Club Name: Program/Project (brief description) Members Participating Volunteer Hours In Kind* Page Directly from Club** TOTALS Please 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 362

7 GFWC GEORGIA HOME LIFE COMMUNITY SERVICE PROGRAM January 1 December 31, 2016 January 1 December 31, 2017 Clubs should photocopy this report for use during both years of the Administration. Part I: Tell Us About Your Club Date: Name of Club: City: Membership (Check One): General Junior Juniorette District: Members: Part II: Tell Us About the Person Who Prepared This Report: Name and Position: Street Address: City: Zip Code: Phone: 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. Heard Home Life CSP Chair Home Life CSP Co-Chair 804 McCurdy Blvd Montego Bay Drive Manchester, GA Atlanta, GA JUNIOR CLUBS should also mail a copy of their report to Sandy Ahearn, Director of Junior Clubs, 330 Malabar Way, Athens, GA 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

8 Club Name: Program/Project (brief description) Members Participating Volunteer Hours In Kind* Page Directly from Club** TOTALS Please 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 364

9 GFWC GEORGIA INTERNATIONAL OUTREACH COMMUNITY SERVICE PROGRAM January 1 December 31, 2016 January 1 December 31, 2017 Clubs should photocopy this report for use during both years of the Administration. Part I: Tell Us About Your Club Date: Name of Club: City: Membership (Check One): General Junior Juniorette District: Members: Part II: Tell Us About the Person Who Prepared This Report: Name and Position: Street Address: City: Zip Code: Phone: 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 Janecki International Outreach CSP Chair International Outreach CSP Co-Chair 102 Ramblewood Drive 4225 Carillion Trace Statesboro, GA Kennesaw, GA JUNIOR CLUBS should also mail a copy of their report to Sandy Ahearn, Director of Junior Clubs, 330 Malabar Way, Athens, GA 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

10 Club Name: Program/Project (brief description) Members Participating Volunteer Hours In Kind* Page Directly from Club** TOTALS Please 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 366

11 GFWC GEORGIA PUBLIC ISSUES COMMUNITY SERVICE PROGRAM January 1 December 31, 2016 January 1 December 31, 2017 Clubs should photocopy this report for use during both years of the Administration. Part I: Tell Us About Your Club Date: Name of Club: City: Membership (Check One): General Junior Juniorette District: Members: Part II: Tell Us About the Person Who Prepared This Report: Name and Position: Street Address: City: Zip Code: Phone: 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 Gabilondo Public Issues CSP Chair Public Issues CSP Co-Chair 2103 Drexel Way 3745 Tamer Lane, SW Dunwoody, GA Lilburn, GA JUNIOR CLUBS should also mail a copy of their report to Sandy Ahearn, Director of Junior Clubs, 330 Malabar Way, Athens, GA 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

12 Club Name: Program/Project (brief description) Members Participating Volunteer Hours In Kind* Page Directly from Club** TOTALS Please 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

13 GFWC GEORGIA EDUCATION COMMUNITY SERVICE PROGRAM January 1 December 31, 2016 January 1 December 31, 2017 Clubs should photocopy this report for use during both years of the administration. ESO Book Report Form Please 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 Books Read: GFWC Club: Address: City: State: Zip Code: Phone: Current ESO Level Address: 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 Busby Education CSP Chair 4573 North Beechwood Drive Macon, GA Joy Creamer Education CSP Co-Chair 2022 Graham Road Macon, GA

14 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 Busby Education CSP Chair 4573 North Beechwood Drive Macon, GA Book Title Joy Creamer Education CSP Co-Chair 2022 Graham Road Macon, GA Author 370

15 GFWC Signature Program GFWC Georgia President s Special Project Domestic Violence Awareness and Prevention Report Form January 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 Administration. Name of Program: Domestic Violence Awareness and Prevention Part I. Tell us about your club Date: Name of Club City District Check One: General Junior Juniorete Members Part II. Tell us about the person who prepared this Report Name Address City Phone Zip Code Part III. Statistics Total number of Volunteer Hours Total number of Programs/Projects Total number of 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 Newton Signature Program Co-Chair Signature Program Co-Chair 4862 Forestglade Circle 5260 Sterling Trace Court NW Stone Mountain, GA Lilburn, GA

16 Club Name: Program/Project (brief description) Members Participating Volunteer Hours In Kind* Page Directly from Club** TOTALS Please subtotal each page with a grand total on last page 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 372

17 GFWC Juniors Special Project Advocates for Children Report Form January 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 Administration. Name of Program: Advocates for Children Part I. Tell us about your club Date: Name of Club City District Check One: General Junior Juniorete Members Part II. Tell us about the person who prepared this Report Name Address City Phone Zip Code Part III. Statistics Total number of Members Participating in Programs/Projects Total number of Volunteer Hours Total number of Programs/Projects Total amount of $ 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, Chairman Advocates for Children 703 Morgans Ridge Drive Monroe, GA

18 Club Name: Program/Project (brief description) Members Participating Volunteer Hours In Kind* Page Directly from Club** TOTALS Please subtotal each page with a grand total on last page 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 374

19 GFWC 1734 Society Report Form January 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 Administration Name of Program: 1734 Society Part I. Tell us about your club Date: Name of Club City District Circle One: General Junior Juniorette Members Part II. Tell us about the person who prepared this Report Name Address City Phone Zip Code Part III. Statistics Total number of 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 Willard 1734 Society Chairman 1734 Society Honorary Chairman 443 Woodstone West Drive 2660 Peachtree Road, NW #12-E Marietta, GA Atlanta, GA

20 GFWC Georgia Communication and Public Relations Report Form January 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 Administration Name of Program: Communications/Public Relations Part I. Tell us about your club Date: Name of Club City District Circle One: General Junior Juniorette Members Part II. Tell us about the person who prepared this Report Name Address City Phone COMMUNICATION & PUBLIC RELATIONS Zip Code Part 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 display at 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. 376

21 GFWC GEORGIA NEWSLETTER 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 Bretch State Co-Chairman State Co-Chairman Junior Conference Chairman 1518 Maplewood Court 228 Haleys Court P.O. Box Woodstock, GA Woodstock, GA Carrollton, GA Elizabeth Chadwick Sabrina Hancock Nina Smith Newsletter Editor Junior Newsletter Editor GFWC Magazine Chairman 2715 Clearview Drive, SW 4124 Ga. Hwy 33S 4860 Mill Brook Drive Rocky Face, GA Doerun, GA Dunwoody, GA

22 Club Name: Program/Project (brief description) Members Participating Volunteer Hours In Kind* Page Directly from Club** TOTALS Please subtotal each page with a grand total on last page 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 378

23 GFWC Georgia Ella F. White Memorial Endowment Fund Report Form January 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 Administration. Name of Program: Ella F. White Memorial Endowment Fund Part I. Tell us about your club Date: Name of Club City District Circle One: General Junior Juniorete Members Part II. Tell us about the person who prepared this Report Name Address City Zip Code Phone Part III. Statistics Total number of Programs/Projects Total number of 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 Quattleman Ella F. White State Chairman P.O. Box 238 Woodbine, GA

24 GFWC Georgia Fundraising Report Form GFWC Endorsed Fundraising Report Form January 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 Administration Name of Program: Fundraising Part I. Tell us about your club Date: Name of Club City District Circle One: General Junior Juniorete Members Part II. Tell us about the person who prepared this Report Name Address City Zip Code Phone Part III. Statistics Total number of Members Participating in Fund-raisers Total number of Volunteer Hours Total number of Programs/Projects Total amount of $ 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 Shaw GFWC Chairman GFWC GA Chairman GFWC GA Co-Chairman 303 North Azalea Circle 1103 Wigwam Court P.O. Box 1944 Vienna, GA Statesboro, GA LaFayette, GA Jessica Hall Amelia Massey GFWC GA Jr Co-Chair GFWC GA Jr Co-Chair P.O. Box Creek Trail Statesboro, GA Sharpsburg, GA

25 Club Name: Program/Project (brief description) Members Participating Volunteer Hours In Kind* Page Directly from Club** TOTALS Please subtotal each page with a grand total on last page 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 381

26 GFWC Leadership/LEADS Report Form January 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 Administration Name of Program: Leadership/LEADS Part I. Tell us about your club Date: Name of Club City District Circle One: General Junior Juniorette Members Part II. Tell us about the person who prepared this Report Name Address City Phone Zip Code 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 Hephzibah, GA Loganville, GA

27 Club Name: Program/Project (brief description) Members Participating Volunteer Hours In Kind* Page Directly from Club** TOTALS Please 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 membership total. *Total Number Participating cannot Exceed Club Membership Narrative Enclosed: Yes No 382

28 GFWC Georgia Legislation/Public Policy January 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 Administration Name of Program: Legislation/Public Policy Part I. Tell us about your club Date: Name of Club City District Circle One: General Junior Juniorette Members Part II. Tell us about the person who prepared this Report Name Address City Phone Zip Code Part III. Statistics Total number of Members Participating in Programs/Projects Total number of Volunteer Hours Total number of Programs/Projects Total amount of $ 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 Huey P. O. Box Shady Valley Road Vienna, GA Carrollton, GA

29 Club Name: Program/Project (brief description) Members Participating Volunteer Hours In Kind* Page Directly from Club** TOTALS Please 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 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 385

30 GFWC Georgia Lipscomb Society Form January 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 Administration Name of Program: Lipscomb Society Part I. Tell us about your club Date: Name of Club City District Circle One: General Junior Juniorette Members Part II. Tell us about the person who prepared this Report Name Address City Phone Zip Code Part III. Statistics Total number of 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 Stone 130 S. Ole Hickory Trail Carrollton, GA

31 GFWC Georgia Membership Report Form January 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 Administration Name of Program: Membership Part I. Tell us about your club Date: Name of Club City District Circle One: General Junior Juniorette Members Part II. Tell us about the person who prepared this Report Name Address City Phone Zip Code PART III: MEMBERSHIP STATISTICS Members 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 & RETENTION Membership Projects/Programs/Socials Members attending State Institute Members attending State Convention spent on Membership Promotion Total members participating Does your club and/or District support 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) 387

32 Does your club have the following Chairman? 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 ) 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: NARRATIVE The 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 Bolden State Chairman Junior Chairman 1834 Banneker Court Smoke Rise, GA Hidden Meadows Lane Monroe, GA

33 Club Name: Program/Project (brief description) Members Participating Volunteer Hours In Kind* Page Directly from Club** TOTALS Please 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 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 388

34 GFWC Georgia Tallulah Falls School Report Form January 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 Administration. Name of Program: Tallulah Falls School Part I. Tell us about your club Date: Name of Club City District Check One: General Junior Juniorette Members Part II. Tell us about the person who prepared this Report Name Address City Phone Zip Code 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 $ [TFS Perpetual Scholarship Award] Georgia Goal Program [General and Junior Club Awards] $ Christmas at Tallulah Falls Students Winter Dance (By 10/31 each year) $ Other (Annual Fund, memorials, honorariums, etc.) $ Describe TOTAL MONETARY GIFTS DURING THE CLUB YEAR $ 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 Braun 155 Amberbrook Circle 285 Laurel Drive 109 Ridge Crossing Grayson, GA Cornelia, GA Temple, GA

35 Club Name: Program/Project (brief description) Members Participating Volunteer Hours In Kind* Page Directly from Club** TOTALS Please 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 Please contact Tallulah Falls School ( ) should you need a comprehensive report of your Club s and/or Member s donations. Narrative Enclosed: Yes No 391

36 GFWC/GFWC Georgia Women s History & Resource Center Report Form January 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 Administration. Name of Program: Women s History & Resource Center Part I. Tell us about your club Date: Name of Club City District Circle One: General Junior Juniorette Members Part II. Tell us about the person who prepared this Report Name Address City Zip Code Phone Part III. Statistics > Total number of Hours worked on projects Total number of Programs/Projects Total number of 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 Cabaniss WHRC State Chairman P.O. Box Maxeys, GA

37 Club Name: Program/Project (brief description) Members Participating Volunteer Hours In Kind* Page Directly from Club** TOTALS Please 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 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 393

38 GFWC Georgia Club President s Reporting Form January 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 club Date: Name of Club City District Circle One: General Junior Juniorette Members Part II. Tell us about the person who prepared this Report Name Address City Phone Zip Code 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 ARTS CONSERVATION CONSERVATION-ACTrees CONSERVATION PARTNERSHIPS EDUCATION EDUCATION-HOBY EDUCATION-ESO HOME LIFE HOME LIFE-Canine Companions for Independence # of Members Participating Volunteer Hours In Kind Donations 394

39 HOME LIFE-Easter Seals HOME LIFE-The Heart Truth HOME LIFE-Inside Knowledge INTERNATIONAL OUTREACH INTERNATIONAL OUTREACH-Heifer International INTERNATIONAL OUTREACH-Operation Smile INTERNATIONAL INTERNATIONAL OUTREACH-U.S. Fund for UNICEF PUBLIC ISSUES PUBLIC ISSUES-Kettering Foundation PUBLIC ISSUES-Sew Much Comfort PUBLIC ISSUES-USO TOTALS Special Projects DOMESTIC VIOLENCE Projects Volunteer Hours Spent 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 395