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2017-2018 – AMERICANISM
UNIT REPORT FORM
Units please report monthly to your County Americanism Chairman. Retain a copy for your records.
REPORTING DATES: November 1, 2017, March 1, 2018 and May 1, 2018
Unit Name & Number: ____________________________________________________
County: _______________________ District #:________________________________
Name of Person Reporting: ________________________________________________
Email Address: ____________________ Daytime Phone #:____________________
Please indicate the number of events held by your unit for each category:
__Flag etiquette program __Get out and Vote
__Americanism Essay Contest __Support of the American Legion Programs
__Flag Day Celebration __Thank You Certificate for displaying the Flag
__Pocket Flag Program __Flag Disposal Ceremony
__Boy/Girl Scout __Flag donated to youth
__Flags donated to the Community __Other: (Please list below or added sheet)
Please answer the following questions (1-6) that apply on the back of this report:
How did the units promote the Americanism essay contest? How did the units promote the Flag program? How did the units promote patriotic holidays? How did the units encourage support of the Flag Amendment? Did the units support American Legion Americanism programs? How? How did the units promote Americanism in the community? __________Total number of volunteers for all projects __________Total volunteer hours for all projects __________Total number served __________Total dollar value of the volunteer hours (multiply total hours by $24.14 hour) __________Total dollar value of goods and materials __________Grand total (add lines 10 and 11) Please describe activities/projects carried out in the units. Please use the back of this form or attach additional
information.
2017-2018 – AMERICANISM
COUNTY REPORT FORM
Reporting Dates: November 10, 2017, March 10, 2018 and May 10, 2018
County reports should be mailed or Emailed to Department Chairman Sharon Beeke, 12 Reddick Lane, Rochester, NY 14624. Email [email protected]. Retain a copy for your records.
County: ________________________District:________________________________
Name of Person Reporting: ______________________________________________
Email Address: _________________________ Daytime Phone: __________________
Please indicate the number of events held by your county for each category:
__ Flag etiquette program __ Americanism Essay Contest
__ Get Out and Vote __ Thank You Certificate for displaying the Flag
__ Flag Day Celebration __ Flag Disposal Ceremony
__ Pocket Flag Program __ Flag donated to youth
__ Boy/Girl Scouts __ Support of the American Legion Programs
__Flags donated to the Community __ Other: (Please list below or added sheet)
Please answer the following questions (1-6) that apply on the back of this report:
How did the units promote the Americanism essay contest? How did the units promote the Flag program? How did the units promote patriotic holidays? How did the units encourage support of the Flag Amendment? Did the units support American Legion Americanism programs? How? How did the units promote Americanism in the community? __________Total number of volunteers for all projects __________Total volunteer hours for all projects __________Total number served __________Total dollar value of the volunteer hours (multiply total hours by $24.14 hour) __________Total dollar value of goods and materials __________Grand total (add lines 10 and 11) Please describe activities/projects carried out in the units. Please use the back of this form or attach additional
information
AMERICANISM ESSAY CONTEST2018 Cover Sheet
Each year, the American Legion Auxiliary (ALA) sponsors an Americanism Essay Contest for students in grades 3-12, including students with special with special needs. Grade levels are divided into six classes. One award in each of the six classes will be presented in each division. Winners will receive $50 and a $50 donation, in the student’s name, will be made to the Children of Warriors National Presidents’ Scholarship Fund. National winners will be posted at www.ALAforVeterans.org at the start of September.
Essay Title:
Essay Classes: Class Grade Level Word RequirementI 3 and 4 150-250II 5 and 6 250-300III 7 and 8 350-400IV 9 and 10 450-500V 11 and 12 450-500Vi Students with Word count should correspond
Special needs with student’s grade level.Essay Checklist:Class competing in ________Sponsoring American Legion Auxiliary Unit # _______Typed or neatly handwritten essay conforming to the word requirement for classCompleted essay coversheet as first page of essayWord count of essay _______Due date for students to return to American Legion Auxiliary Unit______
To be completed by the Student/Parent: PLEASE PRINT OR TYPE
Student Name: ________________________________________________________________
Address (Street, City, State, Zip):__________________________________________________
____________________________________________________________________________
E-mail Address: _______________________________________________________________Phone#:_____________________________________________________________________
School Name: _________________________________________________________________School City/State: ______________________________________________________________Teacher Name and Signature: _____________________________________________________
**Auxiliary Use Only (Must be completed for entry to be considered.):Sponsoring Unit Name/Number: ___________________________________________________
Signature of Unit Americanism Chairman: ____________________________________________Unit winner due to Department on: April 1, 2018
Signature of Department Chairman: _________________________________________________Department winner due to National Americanism Division Chairman by April 15, 2018
Auxiliary Emergency FundMemorial Contributions
In Memory of_______________________________________________
Contribution $______________________________________________
Donor Name_______________________________________________
Unit Name and Number_______________________________________
-------------------------------------------------------------------------------------------------------------------------------
Auxiliary Emergency FundIn Honor of Contributions
In Honor of_________________________________________________
Contribution $______________________________________________
Honoree’s Address___________________________________________
Unit Name and Number_______________________________________
Auxiliary Emergency Fund
Unit Report Form- 2017-2018
Reporting Dates: November 1, 2017, March 1, 2018, May 1, 2018Send Unit reports to your County Chairman. Retain a copy for yourself.
Unit Name and Number___________________________________________________
County_____________________________District_____________________________
Unit Chairman__________________________________________________________
Address_______________________________________________________________
______________________________________________________________________
Email address ______________________Daytime Phone_______________________
Unit Contribution $______________________How many? _______________________
Memorial Contribution $__________________ How many? ______________________
Grand Total of all contributions _________________________________________
Number of AEF Applications submitted ___________________________________
Describe special activities on reverse side or on separate page.
CHAPLAIN - DEATH NOTICE2017-2018
(Please print or type)
Name of Deceased: ____________________________________________________________
Unit Name & No.__________________________________________County:______________
Date of Death: ______________________Junior Member______________________________
Charter Member: _______________Life Member: _____________ Gold Star Mother: ________* * (See below for definitions)
Past Unit President: ___________________Past County President: ______________________
Past District President: _____________ Past Department President: _____________________
Sympathy card to be sent to: _____________________________________________________
Complete address: ____________________________________________________________
____________________________________________________________________________Street City state zip
(Must have complete and correct address to send card)
Relationship of person receiving sympathy card: _____________________________________
========================================================================** Definitions**Charter Member –When a Unit is organized and a Charter is approved and granted, all applicants paying their dues may sign the Charter. (Transfer members may sign also.)
Life Member – Is when a Unit honors an outstanding member and confers a Life Membership to her (only after the approval of the Dept. Secretary). Her dues are then paid by the Unit.
Gold Star Mother – Is a mother whose son or daughter died while serving in the Armed Forces of the United States during specific war and hostility dates.========================================================================
UNIT CHAPLAIN: ___________________________________ Tel#: _____________________
Send this report to: Nancy Babis138 Grant StreetLockport, NY [email protected]
UNIT
CHAPLAIN’S REPORT FORM2017– 2018
To be sent to your County Chaplain (Nov. 1, 2017, Mar.1, 2018, May 1, 2018)=============================================================
Name ofCHAPLAIN: ___________________________________ UNIT: _________________________
No. of Invocations: ________________________Benedictions: _________________________
No. of Grace Cards distributed: ________________Charters Draped: ____________________
Memorial Services held: ____________________Were Juniors included: _________________
No. of members visiting shut-ins or hospitalized members: _____________ Hours: __________
Courtesies to Gold Star Mothers: ___ Dues ____ Cards ____ Gifts ___
Total Cost_______________
List organizations receiving Memorial donations: ________________________________________
____________________________________________________Total Amt.________________
No. of Funerals attended: ______________No. of Members attended: ____________________
Grave markers placed _______________________Total cost ___________________________
Did your Unit participate with The Legion Family in observing?
Veteran’s Day? ___________Memorial Day? ___________Independence Day? ____________
Did your Unit prepare a Prayer Book for the Unit President? ____________________________
Were Prayers sent in for the Department President’s Prayer Book? ______________________
Were Prayers sent in for the National President’s Prayer Book? _____________________________Did your Unit use the “Reflections” page as a resource for their Chaplains activities? _________
=======================================================================
Unit Chaplain: Send this report to your County Chaplain
COUNTY
CHAPLAIN’S REPORT FORM --- 2017 – 2018
Please compile all reports using this form. County Chaplains are to report to me by:November 10, 2017 – March 10, 2018 – Final report May 10, 2018
Name ofCHAPLAIN: ___________________________ COUNTY: _____________________________
No. of Unit in County _______________________No. of Units reporting __________________
No. of Invocations ____________________________Benedictions ______________________
No. of Grace Cards Distributed ________________Charters Draped _____________________
Memorial Services held ______________________Were Juniors included? _______________
No. of members visiting shut-ins or hospitalized members _________ Hours _______________
Courtesies to Gold Star Mothers: ____ Dues_____Cards _____ Gifts ______
Total Cost _________
List organizations receiving Memorial donations: _____________________________________________
________________________________________________Total Amt.___________
No. of Funerals attended ____________No. of Members attended ______________
Grave markers placed __________________Total cost _______________________
Other courtesies to Bereaved __________________________Total Cost_________
Did your Unit participate with The Legion Family in observing?
Veteran’s Day? ________Memorial Day? ____________ Independence Day? ____________
Did Units prepare Prayer Books for Unit President? ___________ How many? ____________
Were prayers sent in for the Department President’s Prayer Book? _____________________
Were prayers sent in for the National President’s Prayer Book? ________________________
How many Units use the “Reflections” page as a resource for their Chaplains activities? _____========================================================================
Send this report to:Nancy Babis138 Grant StreetLockport, NY [email protected]
A copy of this report should be given to your County President
Auxiliary Emergency Fund
County Report Form - 2017-2018
Reporting Dates: November 10, 2017, March 10, 2018, May 10, 2018
Send your County report to: Janice Lee, 165 Park Row #9B, New York, NY 10038You may email your report to Janice Lee at [email protected]
County Name __________________________________District _____________
Number of Units in County __________Number of Units Reporting __________
Name of person reporting____________________________________________
Address__________________________________________________________
Email address _____________________________________________________
Daytime Phone Number_____________________________________________
Total of Memorial Contribution $_______________________________________
How many? _______________________________________________________
Total of In Honor Contribution $________________________________________
How many? _______________________________________________________
Total of Unit Contribution $ ___________________________________________
How many? _______________________________________________________
Grand total of all Contributions $ _______________________________________
Number of AEF applications submitted __________________________________
Describe special activities on reverse side or on separate page.
2017-2018CHILDREN & YOUTH
UNIT REPORT FORM
Reporting dates: November 1, 2017 / March 1, 2018 / May 1, 2018Send completed form to: Your County Children & Youth Chairman
Unit Name______________________________________Unit Number ____________
Name of Person Reporting _______________________________________________
Email Address _________________________Telephone #_____________________
If your Unit participated in any of the activities/programs indicated below, give a brief description of the activity. Please include hours, value and number of children served.
(USE REVERSE SIDE IF NECESSARY.)
Big Brothers/Sisters of America Kids of Deployed R Heroes 2 National Family WeekBoys/Girls Military Program Child Welfare Foundation Josh and FriendsHealth & Safety Programs Star Spangled Kids Other ___________
Please answer the following questions (Please use additional paper to submit your report)1. How did your unit promote “Star Spangled Kids,” educating children and youth about the U.S. Constitution
from the aspect of patriotism and Americanism?
2. How did your unit promote the Youth Hero/Good Deed Award?
3. What success stories do you have regarding support for military or homeless veteran’s children?
Additional Children & Youth Information: Number of Volunteers _________Total Mileage __________ Number of Volunteer hours served for all children, not just military children _________ Total dollars raised for all children, not just military children $_________ Total dollars given in Direct Aid to children $_________ Total dollar value including hours, goods and services $_________ Number of children served _________
Value of a volunteer hour is $24.14
2017-2018CHILDREN & YOUTH
COUNTY REPORT FORM
Reporting dates: November 10, 2017 / March 10, 2018 / May 10, 2018
County Name:_______________________________________District # ____________
Name of Person Reporting ________________________________________________
Address:_______________________________________________________________
Email Address __________________________Telephone # _____________________
If your County participated in any of the activities/programs indicated below, give a brief description of the activity. Please include hours, value and number of children served.
(USE REVERSE SIDE IF NECESSARY.)
Big Brothers/Sisters of America Kids of Deployed R Heroes 2 National Family WeekBoys/Girls Military Program Child Welfare Foundation Josh and FriendsHealth & Safety Programs Star Spangled Kids Other _________
Please answer the following questions (Please use additional paper to submit your report)1. How did your County promote “Star Spangled Kids,” educating children and youth about the U.S.
Constitution from the aspect of patriotism and Americanism?
2. How did your County promote the Youth Hero/Good Deed Award?
3. What success stories do you have regarding support for military or homeless veteran’s children?
Additional Children & Youth Information: Number of Units in your County _________ Number of Units reporting Children & Youth data _________ Number of Volunteers __________ Total Mileage __________ Number of Volunteer hours served for all children, not just military children________ Total dollars raised for all children, not just military children $_________ Total dollars given in Direct Aid to children $_________ Total dollar value including hours, goods and services $_________ Number of children served _________
MAIL REPORT TO: Children & Youth Chairman Mary E. Farley8070 88thAvenueWoodhaven, New York 11421
OR E-MAIL TO: [email protected]
Value of a volunteer hour is $24.14
2017-2018
COMMUNITY SERVICE
Unit Report Form
Reports Due: 11/1/17 - 3/1/18 - 5/1/18
Unit reports should be to your County Community Service Chairman. Please retain a copy for your records.
COUNTY: ________________DISTRICT____________UNIT________________________
Name of Person Reporting: _________________________________________________________________
Address: __________________________________________________________________
E-mail: ____________________________________Phone___________________________
Name of Program No. Of volunteers $ Value/hours x$24.14 $ Value of donations
Attach copies of narratives and newspaper articles. Additional details can be provided on a separate page and send full report to your County Community Service Chairman.
As part of your narrative report, please include answers to the following questions.
How did members recruit community volunteers (non-member) while engaged in ALA Community Service activities and/or projects.
How did members engage high school students (with or without service hour requirements to graduate) in ALA Community Service activities and/or projects.
Did members volunteer for or organize service projects for any of the ALA suggested days of service? If so, which days were most successful for offering service projects? Did you have any challenges?
What types of community service activities and/or projects were done in your department?
2017-2018
COMMUNITY SERVICE
County Report Form
Reports due: 11/10/17 - 3/10/18 - 5/10/18
COUNTY_________________________________DISTRICT___________________________
Name of Person Reporting: ____________________________________________________________________
Address: _____________________________________________________________________
E-Mail_______________________________________Phone___________________________
Name of Program No. Of volunteers $ Value(Hours x$24.14) $ Value of donations
Attach copies of narratives and newspaper articles. Additional detail can be provided on a separate page and send full report to Department Community Service Chairman.
As part of your narrative report, please include answers to the following questions:
How did members recruit community volunteers (non-members) while engaged in ALA Community Service activities and/or projects.
How did members engage high school students (with or without service hour requirements to graduate) in ALA Community Service activities and/or projects.
Did members volunteer for or organize service projects for any of the ALA suggested days of service? If so, which days were most successful for offering service projects? Did you have any challenges?
What types of community service activities and/or projects were done in your department?
Bonnie St. Hilaire77 East Orvis StreetMassena, NY 13662Email [email protected]
CONSTITUTION & BYLAWS
2017-2018
UNIT REPORT FORM
Unit Name and Number __________________________________________________
County _______________________________ District _______________
Unit Constitution & Bylaws Chairman:
Name ________________________________________________
Address _______________________________________________
Telephone _____________________________________________
Email _________________________________________________
Has your Unit done an annual review of their Constitution & Bylaws?
Yes
No
Do you know when your Unit Constitution & Bylaws and/or Standing Rules were last revised?
Yes - on ________________________________
Not sure
Has your Unit sponsored any Constitution & Bylaws activities? If so, what?
Send completed form by November 1, 2017, March 1, 2018, and May 1, 2018, to your County Constitution & Bylaws Chairman.
CONSTITUTION & BYLAWS
2017-2018
COUNTY REPORT FORM
County Name ___________________________________ District ______________
Number of Units in the County ________ Number of Units reporting _________
County Constitution & Bylaws Chairman:
Name ________________________________________________
Address _______________________________________________
Telephone _____________________________________________
Email _________________________________________________
Have your Units done an annual review of their Constitution & Bylaws?
Yes, all of them have
No, none of them have
Some of them have (please list the Unit numbers of those who have)
When were your County Rules and/or Standing Rules last revised? ______________
How did you inspire the Units in your County to review their governing documents?
Have any Units in your County sponsored any Constitution & Bylaws activities? If so, what?
Send completed form by November 10, 2017, March 10, 2018, and May 10, 2018, to:
Joan E. Caccamo
77 Sherman Street
Brooklyn, NY 11218
CONSTITUTION & BYLAWS
2017-2018
TRANSMITTAL FORM
Unit Name and Number __________________________________________________
County ________________________ District __________________________
Constitution & Bylaws Chairman:
Name ________________________________________________
Address _______________________________________________
Telephone _____________________________________________
Email _________________________________________________
Have you:
Used the "Suggested Unit Constitution & Bylaws" form from the Department website? Printed and completed two copies? Completed all blanks on both forms, including the date the changes were approved? Obtained the signatures of the President and Secretary on both forms?
Send the completed documents with this form to:
Joan E. Caccamo
77 Sherman Street
Brooklyn, NY 11218
PLEASE NOTE: If you are mailing in your Constitution and By-Laws with updates for approval please send via regular mail. DO NOT send via Certified Mail/Registered Mail.
You may also scan the completed and signed documents and send them via email to: [email protected]
AMERICAN LEGION AUXILIARY
DEPARTMENT OF NEW YORK, INC.
UNIT REPORT FORM
Reporting Dates: *November 1, 2017 * March 1, 2018 *May 1, 2018
Unit Number: ______________________Unit Name _________________________________
Unit Chairman: _______________________________________________________________
Phone:____________________________ E-Mail___________________________________
1. Number of Schools participating: ________ Unit Girls State quota: ________
2. Number interviewed __________ # Citizens selected: ______ # Alternates selected ____
3. Number of school officials that worked with your Unit:
____ Principals ____ Counselors ____ Other
4.Number of Auxiliary members participating in interviews. _______ Number of previous Girls State citizens participating in interviews ___________
1. Number of hours spent on the Empire Girls State Program _______________________
6. Date of Orientation________ Number in Attendance ____Delegates _____ Alternates ____Parents/Guardians
7.Number of new members recruited in 2017-2018 that were previous Girls State citizens ______
8. Types of recognition for your Girls State citizen and number attending:
Banquet #: _______ Unit Meeting #: _______ Other (Identify) _______________
Joint with Legion #_______ Yes ____ No ____
9. How do you raise funds to sponsor girls to attend Girls State?_______________________
___________________________________________________________________________
10. Types of publicity used_________________________________________________
________________________________________________________________________
Mail completed form to: Your County Girls State Chairman!
AMERICAN LEGION AUXILIARY
DEPARTMENT OF NEW YORK, INC.
COUNTY REPORT FORM
Reporting Dates: *November 10, 2017 * March 10, 2018 *May 10, 2018
County: _________________________________District _____________________________
Chairman: ___________________________________________________________________
Phone: ______________________________ E-Mail_________________________________
1. Number of Units participating: ________
2. Number of schools participating: ________
3. Number of Girls State citizens: ________
4. Number of Auxiliary members participating in interviews: _________
5.Total number of hours spent on the Empire Girls State Program ______________________
6. Number of school officials that worked with the Units: ____ Principals ____ Counselors ____ Other
7. Did your County citizens attend Orientation? Yes ____ No ____ Number in attendance ________
8. Number of new members recruited in 2017-2018 that were previous Girls State Citizens ______
9. Types of recognition by Units and number attending:
Banquet #: _______ Unit Meeting #: ______ Other (Identify) ______________________
Joint with Legion #_______ Yes ____ No ____
10. Types of publicity by Units_________________________________________________________________________________________________________________________
1. How do units/county raise funds to sponsor citizens to attend Empire Girls State? _____________________________________________________________________
_____________________________________________________________________
Send completed form to:
Lucille Mozzillo, EGS Chairman, 747 Route 31, Purling, NY 12470
Email: [email protected]
AMERICAN LEGION AUXILIARY Department of New York, Inc.
Unit Audit Data Form
Unit Name Unit # _
County______________ District __________ Fed. EIN# _
Unit President (print name and address below )
Name. _
Address _
Phone #( ) --------e-mail address-------
Unit Treasurer (print name and address below) ·
Name ·--.....,.·
Address
Phone #( ) e-mail address. _
In accordance with the Unit Constitution & Unit held an audit on ____________for the year
ending ______________ and is attested to by the Unit President and the Unit
Finance/Audit Chairman.
Name________________________ Signature _ Please
Print Unit President
Name---------------------------------___Signature _
Please Print Unit Finance/Audit Chairman
Please send completed form, no later than December 31, 2017 to the American Legion Auxiliary,
Department of New York, 112 State Street, Suite 1310, Albany, N.Y. 12207.
UNIT HISTORIANReport Form
2017-2018
Reporting Dates: November 1, 2017 – March 1, 2018 – May 1, 2018
Unit Name ___________________________________________________________________
Unit #__________________County________________________________________________
Historians Name_______________________________________________________________
Phone _____________________________Email_____________________________________
District________________________________________________________________
Check the Activities / Programs that your Unit carries out:
_______________ retaining records (minutes, treasurer, correspondence)
_______________ Document events through photos
_______________ Retain Newspaper Articles and other Publicity
_______________ Create a Picture History
_______________ Create a Written History
Will your Unit celebrate special anniversary this year? How do you plan to celebrate it?
Has your Unit received any special awards or recognition during this period? Please describe
Unit Historian: Send copy of this report to your County Historian
RETAIN A COPY FOR YOUR UNIT RECORDS
Please use the back of this form to provide more details about projects in your Unit
COUNTY HISTORIANREPORT FORM
2017-2018
Reporting Dates: November 10, 2017 - March 10, 2018 – May 10, 2018
County_________________________________District________________________________
Number of Units in County___________________ Number of Units Reporting ______________
County Historians Name_________________________________________________________
Phone # ________________________________Email________________________________
Check the Activities / Programs that your Units carried out:
_______________Retaining records (minutes, treasurer, and correspondence)
_______________ Document events through photos
_______________ Retain Newspaper Articles and other Publicity
_______________ Create a Picture History
_______________ Create a Written History
Did any Unit Celebrate a special anniversary this year? How did they celebrate it?
______________________________________________________________________
Did any Unit receive any special awards or recognition during this report period? Please describe.
________________________________________________________________________________________________________________________________________________________
County Historian : Send a copy of this report to your Department Historian
Lori A. McFarland1 Wisconsin AvenueSherwood ParkRensselaer, NY 12144Email [email protected] A COPY FOR YOUR COUNTY RECORDS
Please use the back of this form to provide more details about projects in your County
2017-2018 UNIT REPORT FORMJUNIOR ACTIVITIES
REPORTING DATES: November 1, 2017 – MARCH 1, 2018 – MAY 1, 2018
Unit Name______________________________________________ Unit #________________
County: ________________________________________________ District_______________
Name of person reporting: _______________________________________________________E-mail address: _______________________________Daytime Phone: ___________________
Check the activities / programs performed by the Junior members of you Unit
________ Held regular Junior business meetings ______Promoting Americanism
________Participated in the Pocket Flag Project ______Assisted Senior Member Projects
________Helped develop and maintain a website ______Operation Military Kids
________Volunteer at VAMC ______Attended Senior meeting
________Conduct a Cookie Pack for troops or ______Held membership workshop Local Veterans
________Increased awareness of Children of ______Service to Veterans Warriors National President’s Scholarship
_______No. of Juniors in Unit ______No. of Active Juniors
_______No. of Veterans Served Total hours Juniors volunteered________
Totals: Total $ value of volunteer hours (total hours x $24.14) ________________ Total $ value of goods and materials donated _________________
Grand Total ($ value of hours + goods and materials _________________As part of your narrative report, please include answers to the following questions:How has participation in the Patch Program increased enthusiasm among the Juniors?What are the various service projects in which Juniors were involved? Has participation inthe service projects increased as the year has progressed?What type of volunteer hours did Junior members perform?What ways did your senior members mentor the Junior members?How does your unit plan to increase Junior member participation in meetings andactivities?Please include pictures and news articles showing Juniors involved in their activities.Describe Projects/activities of Junior Members. You may use the back of form and/or additional page(s).
Send to: Your County Junior Activities Chairman
2017 2018COUNTY REPORT FORM
Junior Activities
REPORT DATES: NOVEMBER 10, 2017, MARCH 10, 2018, MAY 10, 2018Send to: Cheryl Kollander, Junior Activities Chair, 3254 Seneca St. #12, West Seneca, NY
14224 Phone (716)675-8836 E-mail: [email protected]
County________________________________ District________________________
No. of Units in County_______________________ No. of Units Reporting____________
Name of person reporting___________________________________________________
E-mail address___________________________________________________________
Check Activities/programs carried out by Junior groups in your county:
_____Held regular Junior business meeting _____Promoting Americanism
_____Participated in Pocket Flag Project _____Assisted Senior member Projects
_____Helped develop and maintain a website _____Operation Military Kids
_____Volunteer at VAMC _____Attended Senior meeting
_____Conduct a Cookie Pack for troops or _____Held a membership workshop Local Veterans_____Increased awareness of Children of _____Service to Veterans
Warriors National President’s Scholarship
_____No. of Units w/Juniors in County _____Total No. of Juniors
_____No. of Active Juniors _____Total No. of Veterans Served
Total Hours Juniors Volunteered_________
Totals: Total $ value of volunteer hours (total hours x $24.14) _________________
Total $ value of good and materials donated _________________
Grand Total ($value of hours + goods and materials) ________________
As part of your narrative report, please include answers to the following questions?How has participation in the Patch Program increased enthusiasm among the Juniors?What are the various service projects in which Juniors were involved? Has participation inthe service projects increased as the year has progressed?What type of volunteer hours did Junior members perform?
What ways did your senior members mentor the Junior members?How does your unit plan to increase Junior member participation in meetings and Activities?Please include pictures and news articles showing Juniors involved in their activities.****ATTACH OR COPY UNIT NARRATIVE
2017-2018UNIT REPORT FORM
LEGISLATIVE
Directions: Unit Reports should be given to the County Legislative Chairman. Retain a copy for your records.
Unit Name: __________________________________________________________________________
Unit Number: ________________ Name of Person Reporting: ________________________________
Daytime Phone: __________________________ Email Address: _______________________________
Check the activities/programs that the unit completed:
LOCAL ELECTED OFFICIALS:SUBSCRIPTIONS:
___ # of phone calls to ___ # to The Dispatch___ # of emails & letters sent to ___ # to Auxiliary Legislative e-newsletter___ # of personal visits to ___ # to American Legion e-newsletter
STATE ELECTED OFFICIALS:___ # to www.capwiz.com/legion
___ # of phone calls to___ # of emails & letters sent to EVENTS:___ # of personal visits to ___ Coordinate/Attend “ Meet the Candidate”
NATIONAL ELECTED OFFICIALS:___ Coordinate/Attend “Town Hall Meeting”
___ # of phone calls to ___ Coordinate/Attend a Legislative Reception___ # of emails & letters sent to ___ Attend “Hill Day” in Albany___ # of personal visits to ___ Attend Washington DC Conference
POST FAMILY MEMBERS:RESPONSE:
___# of Post Family Functions shared leg. Issues Y N Did you receive a response from an official?___# of Post Events elected officials attended If Yes, how many? _____ From whom? ________
SUMMARY QUESTIONS:Did your Unit utilize the Congressional Meeting Report Form? ____________________Did your Unit nominate a member to the Legion Legislative Council? ______ If so, how many? ______What is the total number of hours donated by your Unit to the legislative program? _______________What is the total dollar amount expended by your Unit to promote the Legislative program? ________What are the Legislative issues you have been focusing on?
What other Legislative issues are veterans in your area concerned with?
Please describe activities/projects carried out in your unit. Additional paper or the back of this form May be used.
District #:_______________
County: _________________
REPORT DATE:___ November 1, 2017___ March 1, 2018___ May 1, 2018
PLEASE SEND TO YOUR COUNTY CHAIRPERSON
2017-2018COUNTY REPORT FORM
LEGISLATIVE
Directions: County Reports should be mailed or emailed to Department Legislative Chairman.
Number of Units in Your County: _________________ Number of Units Reporting: ________________
Name of Person Reporting: _____________________________________________________________
Daytime Phone: __________________________ Email Address: _______________________________
Check the activities/programs that the units in your County completed:
LOCAL ELECTED OFFICIALS:SUBSCRIPTIONS:
___ # of phone calls to ___ # to The Dispatch___ # of emails & letters sent to ___ # to Auxiliary Legislative e-newsletter___ # of personal visits to ___ # to American Legion e-newsletter
STATE ELECTED OFFICIALS:___ # to www.capwiz.com/legion
___ # of phone calls to___ # of emails & letters sent to EVENTS:___ # of personal visits to ___ Coordinate/Attend “ Meet the Candidate”
NATIONAL ELECTED OFFICIALS:___ Coordinate/Attend “Town Hall Meeting”
___ # of phone calls to ___ Coordinate/Attend a Legislative Reception___ # of emails & letters sent to ___ Attend “Hill Day” in Albany___ # of personal visits to ___ Attend Washington DC Conference
POST FAMILY MEMBERS:RESPONSE:
___# of Post Family Functions shared leg. Issues Y N Did you receive a response from an official?___# of Post Events elected officials attended If Yes, how many? _____ From whom? ________
SUMMARY QUESTIONS:Did your County utilize the Congressional Meeting Report Form? ____________________Did your County nominate a member to the Legion Legislative Council? ______ If so, how many? ______What is the total number of hours donated by your County to the legislative program? ______________What is the total dollar amount expended by your County to promote the Legislative program? _______What are the Legislative issues you have been focusing on?
What other Legislative issues are veterans in your area concerned with?
Please describe activities/projects carried out in your unit. Additional paper or the back of this form may be used.PLEASE SEND REPORT TO:
REPORT DATE:___ November 10, 2017___ March 10, 2018___ May 10, 2018
District #:_______________
County: _________________
Amy McEathron 26001 Crowner RoadCarthage, NY 13619Email - [email protected]
UNIT MEMBERSHIP REPORT FORM2017 – 2018
This form is to be submitted to your County Membership Chairman.
Retain a copy for your records.
Reporting Dates: November 1, 2017, March 1, 2018 and May 1, 2018
Unit Name _______________________________________ Unit #___________________
County _______________________, Person Reporting_____________________________
Email/Phone_______________________________
Unit Goal _____________ # Member Paid to Date _______________ % of Goal ________
Unit participated in:
_____ Membership Recruitment ____ Sent Unit Dues Notices
____ Early Bird Membership Perks ____ Invited New Members to Meetings
____ Mentored New Members ____ Membership Renewal Campaign
____ Recruited New Junior or Senior Members
____ Rejoined Former Junior or Senior Members
Please answer the following questions:
1. How have you disseminated information to your unit members?
2. What did you do to encourage membership in your unit?
3. What were your successes throughout the year?
4. What were some of your hurdles/difficulties faced during this year?
Describe your Unit’s activities or projects to recruit, retain and revitalize your membership. You can use the back of this form and additional sheets if needed.
COUNTY MEMBERSHIP REPORT FORM
2017 – 2018
This form is be submitted to the DEPARTMENT MEMBERSHIP CHAIRMAN and a copy kept for your records.
Mail to: Marie Mock, 168 Dunsbach Ferry Rd., Cohoes, NY 12047
Email to: [email protected]
REPORT DATES: NOVEMBER 10, 2017 -- MARCH 10, 2018 --MAY 10, 2018
County _______________________________________ District #___________________
# Units in County ________________, # Units Reporting________________________
Name of Person Reporting_________________________________
Email/Phone_______________________________
County Goal _____________# Member Paid to Date _______________ % of Goal ________
Check if your County has participated in:
_____ Membership Recruitment ____ Sent Unit Dues Notices
____ Early Bird Membership Perks ____ Invited New Members to Meetings
____ Mentored New Members ____ Membership Renewal Campaign
____ Recruited New Junior or Senior Members
____ Rejoined Former Junior or Senior Members
Please answer the following questions:
1. How have you disseminated information to your units in the county?
2. What did you do to encourage membership in the county?
3. What were your successes throughout the year?
4. What were some of your hurdles/difficulties faced during this year?
Describe your County activities or projects to recruit, retain and revitalize your membership. You can use the back of this form and additional sheets if needed.
NATIONAL SECURITYUnit Report Form 2017 - 2018
Reporting dates: November 1, 2017, March 1, 2018 and May 1, 2018
Send to County National Security Chairman
Unit Name & Number__________________________________________Unit Chairman________________________________________________Address: ____________________________________________________Phone: _____________________________________________________Email: ______________________________________________________
Check the activities or programs that the Unit worked on.____Operation Comfort Warriors ___Family Readiness Groups____Honor welcome home events ___Family to Family Support____How many blue/gold star banners presented ___Citizens Corps in Community____American Legion Blood Donor Program ___ROTC/JROTC____National Military Appreciation Month ___Use gateway to Services____#Families POW/MIA notified of remains ___Other Specific As part of your narrative report, please include answers to the following questions: Please use back of this report for answers.How were Blue Star and Gold Star Banners presented?How were MIA families recognized following notification of remains?How were service members honored during welcome-home events?How were military families connected to other units when moving?
Coupon Clipping: Total Hours clipping coupons______________ Total estimated value of coupons$__________
____Total # volunteers ____Total #volunteer hours ____# people served1. $_________ Value of Volunteer hours at $24.14 per hour2. $_________ Value of goods and materials used3. $_________ Total value (add lines 1 and 2)
***Our service for active duty military
Include shopping for and preparing care packages, writing letters, helping with U.S. Military or National Guard send-off and welcome home events. (Yellow Ribbon Reintegration Program)Hours volunteered: ____ Dollars Spent: ______#of military served__
***Our service for military families
Examples include organizing and delivering Hero Packs, helping with service projects, build or help a neighbor build emergency preparedness kit and plan (CERT)Please use the reverse side of this form to tell us more of what you do. Feel free to send photos, newspapers, announcements and more
NATIONAL SECURITYCounty Report form for 2017 - 2018
Reporting dates: November 10, 2017: March 10, 2018: May 10, 2018
Send to National Security Chairman: Cecile R Davey, 310 Crystal Hill Lane, Poughkeepsie, NY, 12603 © 845-464-2862 E-mail: [email protected]
County__________________________________District_______________________County Chairman______________________________________________________Address______________________________________________________________E-mail_______________________________________________________________Check the activities or programs your Units worked on.
____Operation Comfort Warriors ____Family Readiness Groups____Honor welcome home events ____Family to Family Support____How many Blue/Gold Star banners Presented ____Citizen corps in Community____American Legion Blood Donor Program ____ROTC/JROTC____National Military Appreciation Month ____Use Gateway to Services____#Families POW/MIA Notified of remains ____Other, Specific
As part of your narrative report, please include answers to the following questions on the back of this report form.
How were Blue Star and Gold Star Banners presented?How were MIA families recognized following notification of remains?How were service members honored during welcome-home events?How were military families connected to other units when moving?
Total hours clipping coupons _____Total Estimated value of coupons $_____Total # of Volunteers ____Total # Volunteer hours’ ___# People served1. $____________ Value of Volunteer hours @$24.14 per hour2. $____________ Value of goods and material used3. $____________ Total value (add lines 1 and 2)
***Our service for active duty military
Include shopping for and preparing care packages, writing letters, helping U.S. Military or National Guard send off and welcome home events. (Yellow Ribbon Reintegration Program)Hours volunteered _________________Dollars spent $ _______# of military served ___
****Our service for Military Families
(Examples include organizing and delivering Hero Packs, helping with service projects, build or help build an emergency preparedness kit and plan (CERT)
Please use reverse side of this form to tell us more about your activities and programs!Feel free to send photos, newspapers, announcement and more!1
PAST PRESIDENTS PARLEY COMMITTEE
“UNIT MEMBER OF THE YEAR NOMINATION FORM”
Deadline for entries, May 1, 2018, Please PRINT
Unit Name_____________________________________________ Unit # _______________
County___________________________________________________ District ___________
Unit President_______________________________________________________________
Address____________________________________________________________________
____________________________________________________________________
President’s Cell #______________ Landline #__________ email____________________________________________________________________________________________________“Unit member of the Year”Nominee’s name & Member #____________________________________________________
Cell #_______________ Landline #_________________email__________________________
Nominee’s background, eligibility, years of membership, involvement & notes of interest____________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________List nominee’s accomplishments & activities during the administrative year 2017-2018 ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Read & follow rules carefully, you may add an attachment if needed.
________________________________Signature of Unit President
________________________________ Signature of Unit Secretary
Submit to Department Chairman:Deborah Kryczkowski223 Riverview Parkway, NRome, NY 13440315-225-4631 [email protected]
PAST PRESIDENT’S PARLEY – 2017-2018UNIT REPORT FORM
UNIT REPORTING DATES BY: Nov. 1, 2017; March 1, 2018; May 1, 2018Send this form to your County PPP Chairman, Unit keep 1 copy for your records
Unit Name & Number____________________________________________________
County _____________________________________________ District # __________
Unit PPP Chairman Name________________________________________________ _____________________________________________________________________
Address _____________________________________________________________________
Cell # _______________ Landline # __________________email_________________
# Of Past Presidents in Unit Parley ________# Unit Past President dues paid________
# of female veterans served _________ Value$_________________Hours__________
Activities to assist female veterans: __________________________________________________________________________________________________________________________________________________________________________________________________________________
______________________________________________________________________
# of female veterans in your Post__________ # of dual members in Unit____________
List unit activities done under PPP Committee _______________________________________
List unit activities done under PPP Committee, fundraisers, cards, gifts, assistance etc. ______________________________________________________________________
____________________________________________________________________________________________________________________________________________
# of Scholarships awarded in Medical Field ___________ Value $ _________________
# of Unit Past Presidents mentoring new member’s _________
Are you promoting “Unit Member of the Year” ________yes ________no
Total # of hours served under PPP Committee __________
Make copies for reporting
PAST PRESIDENT’S PARLEYCOUNTY REPORT FORM 2017-18
COUNTY REPORTING DATES; Nov. 10, 2017, March 10, 2018, May 10, 2018
PLEASE PRINT Keep copy for your records
County Name ___________________________________________District #_______
County PPP Chairman Name_____________________________________________
Address______________________________________________________________ _____________________________________________________________________
Cell # ____________ Home # _______________ email_________________________
# of Past Presidents in Unit Parleys ______ # of Unit Past President dues paid_______
# of female veterans served _________ Value $_____________Hours______________
Activities to assist female veterans: __________________________________________________________________________________________________________________________________________________________________________________________________________________
______________________________________________________________________
Total # of female veterans in Post________ # of Posts____________________
# of female dual members in Units_________ # of Units reporting duals________
List unit activities done under PPP Committee, fundraisers, cards, gifts, assistance etc. ____________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________
# of Scholarships awarded in Medical Field ___________ Value $ _________________
# of Unit Past Presidents mentoring new member’s _________
# Units promoting “Unit Member of the Year” ________yes ________no
Total # of hours served under PPP Committee __________
Report to
Deborah Kryczkowski, PPP Chrm. [email protected]
223 Riverview Pky, N Rome, NY 13440
315-225-4631
Poppy – 2017-2018
Unit Report FormReporting Dates – November 1, 2017; March 1, 2018; May 1, 2018
(Please circle reporting period above)
Send a copy of the report to your County Chairman for each reporting period.
Unit Name & Number__________________________District/County_______________
Unit Chairman________________________________E-mail_____________________
Address_____________________________________Phone:____________________
# of Poppies Ordered_________ Dollar Amount Paid$________# of Poppies Distributed______
# of Participants of Distribution: ALA____ Legion_____ S.A.L.____ Juniors_____
Total Hours ALA Members volunteered for Poppy Distribution_________
Poppy Funds Used For: ______________________________Dollar Amount$ ____________
Poppy Promotion# of Businesses Distributing Poppies (Cans) _______ Dollar Amount Raised$_____________
# of schools involved with Poppy Drives___________ Dollar Amount Raised$_____________
Media Promotion: Newspaper_____ TV____ Radio____ Facebook_____ Other___________(Please check how you raised Poppy Awareness in Your Community and attach copies if available, ex. Newspaper clippings, proofs of ads, etc.)
Contacted Local Legislative offices to request Proclamation declaring Poppy Days in your community ________ (Yes/No) Date Proclaimed____________ (Attach a copy of proclamation if available)
Poppies Delivered to local media outlets (television, radio, newspapers) #______
# of members participating in “Poppies Across America” ____ (Purchase of Poppy Seeds and sprinkling in fields in your area)
Poppy Poster Contest - # of participant’s ______ Prizes Awarded ________
Little Miss Poppy / Miss Poppy - # of Juniors Participating ____ Poppy Scrapbooks #_____
Please describe on back of form or separate sheet of paper poppy promotion activities in your Unit.
Poppy – 2017-2018
County Report FormReporting Dates – November 10, 2017; March 10, 2018; May 10, 2018
(Please circle reporting period above)
Send a copy of the report to this Department Chairman for each reporting period.
County_________________________District_______________
County Chairman________________________________E-mail_____________________
Address_____________________________________Phone:____________________
# of Poppies Ordered_________ Dollar Amount Paid$________# of Poppies Distributed______
# of Participants of Distribution: ALA____ Legion_____ S.A.L.____ Juniors_____
Total Hours ALA Members volunteered for Poppy Distribution_________
Poppy Funds Used For: ______________________________Dollar Amount$ ____________
Poppy Promotion# of Businesses Distributing Poppies (Cans) _______ Dollar Amount Raised$_____________
# of schools involved with Poppy Drives___________ Dollar Amount Raised$_____________
Media Promotion: Newspaper_____ TV____ Radio____ Facebook_____ Other___________(Please check how you raised Poppy Awareness in Your Community and attach copies if available, ex. Newspaper clippings, proofs of ads, etc.)
Contacted Local Legislative offices to request Proclamation declaring Poppy Days in your community ________(Yes/No) Date Proclaimed____________ (Attach a copy of proclamation if available)
Poppies Delivered to local media outlets (television, radio, newspapers) #______
# of members participating in “Poppies Across America” ____ (Purchase of Poppy Seeds and sprinkling in fields in your area)
Poppy Poster Contest - # of participant’s ______ Prizes Awarded ________
Little Miss Poppy / Miss Poppy - # of Juniors Participating ____ Poppy Scrapbooks #_____
Please describe on back of form or separate sheet of paper poppy promotion activities in your Unit.
Send County reports to; Vivian Brame-GardnerPoppy Chairman of Dept. N.Y.P O Box 714Whitney Point, NY 13862607-634-4099 [email protected]
Official Poppy Order FormAmerican Legion Auxiliary Department of New York, Inc.
2017-2018
Send the 2 copies of the form (Yellow and Pink) and check made payable to: ALA, Department of New York and mail to:
American Legion Auxiliary, Department of New York112 State Street, Suite 1310, Albany, NY 12207
Place your order prior to December 1, 2017. (The Department of New York will continue to have poppies made by Veterans in hospitals or special workshops supervised by the American Legion Auxiliary.) In consideration of your furnishing and shipping the following material, we hereby agree to conduct ourselves under the rules and regulations as set forth by our Department and National Organizations. It is understood that the merchandise is not returnable. Upon receipt of your poppy order, please store in a dry place.
PLEASE TYPE OR PRINT LEGIBLY
Poppy Order: 1000 poppies $225.__________ 500 poppies $115.________
_______Poppy Can Label $__________ ($.20 per label. Minimum order 5/$1.00
Unit/Post Name_________________________________# _______ County __________District_______
Signature_____________________________________________________Date___________________
Phone :(___) __________________________E-mail__________________________________________
Rules Governing American Legion Auxiliary Poppy DrivePoppies offered to the public in New York State under the name and emblem of the American Legion Auxiliary and American Legion are still being made by Veterans who are being paid for their work. Posts and Units sponsoring Poppy Drives and offering poppies are prohibited from buying or selling poppies other than those offered on the above order blank. A resolution amended and adopted on May 9, 2013 by the American Legion National Executive Committee replaces and supersedes all previous American Legion National Poppy Program Resolutions. Orders shall be sent to the name and address appearing on this order blank. Service on the Poppy Drive shall be voluntary. There are no paid workers. Net proceeds from the Poppy Drive shall be used for Veterans, military and their families.
Patricia Hennessey Vivian Brame-GardnerDepartment President Department Poppy Chairman
-------------------------------------------------------------------------------------------------------------------------------Ship To: (Please open and inspect poppies when received.)
PLEASE TYPE OR PRINT CLEARLY
Name_______________________________________________________________________
Address_______________________________________________ (No Box or RD Numbers)
City____________________________________ State_____________ Zip _______________
2016 – 2017 - Public Relations – UNIT Report Form
UNIT NAME & NUMBER________________________________________________
Name of Person Reporting ______________________________________________
Email Address ________________________________________________________
Mail Address__________________________________________________________
Daytime Phone Number_____________________ Cell Phone Number__________
Total Minutes of Radio Time______________________________________________
Total Minutes of Television Time___________________________________________
Total Minutes of Social Network (Twitter, Instagram, Internet, etc.)________________
Grand Total ___________________________________________________________
______ # Interviews ______ # Print Advertising ______ # Pictures ______ # Letters ______ # Articles ______ # Editorial Letters______ # Junior Press Releases ______ # Dept. President Project Articles
Total of all of the above ___________
Does your Unit have a Website ________ Facebook Page______
Does your Unit publish a Newsletter _________ Post Family Newsletter_______
E-Bulletin ___________ E-Newsletter_________
For More Information please add to the back of this form
Unit Reports should be handed to the County Public Relations Chairman. Retain a copy for your files. Reminder to attach 2 copies of print media. As part of your Narrative Report, please include the answers to the following questions: Please use the back of this form.
How have your unit website and/or Facebook page inspired unit members to develop social media at the local level?
Has unit been mentioned in local media about the promotion of mission relatedActivities? What type of promotions have they received?
Were PSAs distributed by your unit and what type of response did you receive? How does your unit keep an active and updated media contact list? How has this list impacted the
unit? Have there been specific social media events sponsored by the unit that broadly spread the
brand of the ALA? What specific activities have you done to work toward Goal 5 of the Centennial Strategic Plan?
Unit Report Deadlines:___ November 1, 2017___ March 1, 2018___ May 1, 2018
District #:_________
County: ____________
SEND THIS REPORT TO YOUR COUNTY PUBLIC RELATIONS CHAIRMAN
2016 – 2017 - Public Relations – COUNTY Report Form
County _________________________ District _________________________
Name of Person Reporting ______________________________________________
Email Address ________________________________________________________
Mail Address__________________________________________________________
Daytime Phone Number_____________________ Cell Phone Number___________
Total Minutes of Radio Time______________________________________________
Total Minutes of Television Time___________________________________________
Total Minutes of Social Network (Twitter, Instagram, Internet, etc.)_________________
Grand Total ___________________________________________________________
______ # Interviews ______ # Print Advertising ______ # Pictures ______ # Letters ______ # Articles ______ # Editorial Letters______ # Junior Press Releases ______ # Dept. President Project Articles Total of all of the above ___________Does your Unit have a Website ________ Facebook Page______ Does your Unit publish a Newsletter _________ Post Family Newsletter_______E-Bulletin ___________ E-Newsletter_________
As part of your Narrative Report, please include the answers to the following questions: How has your county website and/or Facebook page inspired units to develop social
Media at the local level? Have units in your county been mentioned in local media promotion of mission related
Activities? What type of promotions have they received? Were PSAs distributed in your county and what type of response did you receive? How does your county keep an active and updated media contact list? How has this
list impacted units? Have there been specific social media events sponsored by either a unit or county that broadly
spread the brand of the ALA? What specific activities have you done to work toward Goal 5 of the Centennial Strategic Plan?
More Information please add to the back of this form
Forward a copy of this Report Form to: Department Public Relations ChairmanMichelle M Le Jeune5 Main Street. P O Box 412Philadelphia, NY 13673 Cell-315-771-3710
County Report Dates:___ November 10, 2017___ March 10, 2018___ May 10, 2018
District #:_______
County: ___________
2017 – 2018UNIT REPORT FORM
WARRIORS FAMILY ASSISTANCE
Reporting dates: November 1, 2017, March 1, 2018 and May 1, 2018
Unit Reports are to be sent to the COUNTY Chairman, Retain a copy for your records.
Unit Name: ____________________________________Unit # ____________________(Please Print)
County: _______________________________District: ____________________________
Name of Person Reporting: __________________________________________________
Email address:____________________________Phone Number: ____________________
Check Activities in which your Unit participated and describe below
Publicized WFA in Community _____Provided brochures to VA clinics, hospitals, veterans service officers Provided ____ information on WFA to American Legion Post _____Developed a Unit Review Panel _____
Donated to the WFA _____Solicited donations from other organizations _____
Held fundraiser to benefit WFA _____Provided additional assistance to a WFA applicant _____
Total donations to Warriors Family Assistance Program $_______Total monetary donations directly to WFA Applicants $_______
Total Goods and material donations to WFA Applicants $_______ Grand total of all donations $_______
DESCRIBE ACTIVITIES/FUNDRAISERS/PUBLICITY your Unit held for this Committee. Use the back of this form or additional paper: SEND REPORT TO YOUR COUNTY CHAIRMAN
2017-2018COUNTY REPORT FORM
WARRIORS FAMILY ASSISTANCE
COUNTY CHAIRMAN please mail your report to the Department Chairman prior to the dates below and retain a copy for your records.
Reporting Dates: November 10, 2017 - March 10, 2018 - May 10, 2018
County: ________________________________District: ___________________________
Number of Units in County: ___________________Number of Units Reporting: _________
Name of Person Reporting: _________________________________________
(PLEASE PRINT)
Contact Information: Email Address: _______________________________________
(Phone) _________________________________________
Check activities in which Units in your County participated and give as much detail as possible
Publicized WFA in our community: _______Provided Brochures to 'VA Clinics, Hospitals, Veterans Service Officers, Etc.: _______Provided information on 'WFA to American Legion members: _______Developed a Unit and/or County Review Panel: ________
Donated to the WFA: _______ Solicited donations from other organizations: _______
Held fundraiser to benefit WFA: _______Provided additional assistance to a WFA applicant: ______
Total number of hours dedicated to this program: _______Total amount of donations to Warriors Family Assistance Program: _______Total monetary donations provided directly to WFA Applicants: _______Total value of goods and/or services donated directly to WFA Applicants: _______
Grand Total of all donations $___________Please provide details of Your activities performed by your County using the back of this form, use additional paper or enclose Unit narratives.
Mail report to: Mary Anne Casadei604 Kent StreetRome, New York 13440H 315-339-1953 C 315-225-1247 Email:[email protected]