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Charitable Data Reporting Form 2024-25 (North)
All State Officers, Chairpersons, & District Chairpersons to fill out this form. Fields marked with an asterisk (*) are required fields.
Name
*
Date of Event
*
MM
/
DD
/
YY
The event should be within the current elk year.
Your Home Lodge
*
Select Your Home Lodge
Bullhead City #2408
Chino Valley #2842
Flagstaff #499
Holbrook #2450
Jerome #1361
Kingman #468
Page #2498
Payson #2154
Prescott #330
Sedona #2291
Show Low #2090
Winslow #536
Select your home Lodge from this dropdown menu.
Position(s)
*
AEMP Affiliation
District Chairperson
District Deputy
District Leader
Grand Lodge Committeeman
Laws & Resolution Committee
Past Presidents Association
Ritual Advisor
State Chairperson
State Officer
Veterans Affairs
Other
Please check what position(s) you hold in the Arizona Elks Association.
Function
*
Please select
Arizona Elks Major Projects
Convention State/National
DDGER/Leading Knight Clinic
Donate Life/Blood Drive
Drug Awareness
Elks National Foundation
Food Basket Programs
Golf
Hoop Shoot
Meetings District and Above
National Disaster Relief
Official Visitation District and Above
Patriotic/Veteran Programs
Ritual
Scholarship
Scouts/Youth Programs
Special Olympics
Soccer Shoot
Other
Select a function from the dropdown menu. If function is not listed, please select "Other" at the bottom and fill in the next field with the function name.
Other Function
Enter Function Name if not listed in above dropdown menu.
Number of Participants
*
Total Number of people that participated
Number of Elks
*
Number of Elks that participated
Number of Helpers (Non Elks)
*
Number of Helpers (Non Elks) that participated
Total Hours Planning & Attending (Elk Member)
*
Total hours spent planning for, working, and attending meetings, functions, Lodge Visits, and other Elk functions of a charitable nature. Elk Members Only
Total Hours Planning & Attending (Non Elk Helpers)
*
Total hours spent planning for, working, and attending meetings, functions, Lodge Visits, and other Elk functions of a charitable nature. Non Elk Members only.
Elk Miles
*
Total mileage to & from meetings, functions, Lodge Visits, and other Elk functions of a charitable nature. Elk Members only.
Helper Miles
*
Total mileage to & from meetings, functions, Lodge Visits, and other Elk functions of a charitable nature. Non Elk Members only.
Total Contributions - Non Cash (Estimated Value)
*
Total of Elk and Non Elk Members contributions. This can be estimated to the best of your ability.
Monetary Contributions
*
Total of your "Out of Pocket" as well as your "Budgeted" funds
Misc Items
Any other items or remarks you think would pertain to Charitable Data.
