EmailMe Form - MNWT Program Manager Trimester Report

Trimester Submitted

District *

Chapter *

Contact Information

Submitter Name *

First Last

Your Email *

Phone

### - ### - ####

Address

Street Address City State / Province / Region Postal / Zip Code

Comments, Questions or Concerns *

Enter any information that would be helpful for the state organization to better the internal and/or external programming areas.

Programming: Community Connections (CC)

CC Program Manager Name

First Last

CC Projects/Donations

List all projects and/or donations for the CC programming area.

CC Service Hours

Enter the total service hours for the CC programming area.

CC Funds Raised (Incoming)

Enter the total funds raised for the CC programming area.

CC In-Kind Donations Received (Incoming)

Enter the total in-kind donations received for the CC programming area.

CC In-Kind Donations (Outgoing)

Enter the total in-kind donations given out for the CC programming area.

CC Monetary Donations (Outgoing)

Enter the total monetary donations given out for the CC programming area.

How was the CC area promoted?

Programming: Living & Learning (LL)

LL Program Manager Name

First Last

LL Hours

Enter the total hours for the LL programming area.

LL Activities/Programs

Describe any activities (projects, forums, presentations to chapters, speakers) completed or planned in your area.

How was the LL area promoted?

Programming: Priority Area

Priority Area Program Manager Name

First Last

Priority Area Projects/Donations

List all projects and/or donations for the Priority Area programming area.

Priority Area Service Hours

Enter the total service hours for the Priority Area programming area.

Priority Area Funds Raised (Incoming)

Enter the total funds raised for the Priority Area programming area.

Priority Area In-Kind Donations Received (Incoming)

Enter the total in-kind donations received for the Priority Area programming area.

Priority Area In-Kind Donations (Outgoing)

Enter the total in-kind donations given out for the Priority Area programming area.

Priority Area Monetary Donations (Outgoing)

Enter the total monetary donations given out for the Priority Area programming area.

How was the Priority Area area promoted?

Programming: Women's Wellness (WW)

WW Program Manager Name

First Last

WW Projects/Donations

List all projects and/or donations for the WW programming area.

WW Service Hours

Enter the total service hours for the WW programming area.

WW Funds Raised (Incoming)

Enter the total funds raised for the WW programming area.

WW In-Kind Donations Received (Incoming)

Enter the total in-kind donations received for the WW programming area.

WW In-Kind Donations (Outgoing)

Enter the total in-kind donations given out for the WW programming area.

WW Monetary Donations (Outgoing)

Enter the total monetary donations given out for the WW programming area.

How was the WW area promoted?

Programming: Youth of Today (YT)

YT Program Manager Name

First Last

YT Projects/Donations

List all projects and/or donations for the YT programming area.

YT Service Hours

Enter the total service hours for the YT programming area.

YT Funds Raised (Incoming)

Enter the total funds raised for the YT programming area.

YT In-Kind Donations Received (Incoming)

Enter the total in-kind donations received for the YT programming area.

YT In-Kind Donations (Outgoing)

Enter the total in-kind donations given out for the YT programming area.

YT Monetary Donations (Outgoing)

Enter the total monetary donations given out for the YT programming area.

Certifications

Living & Learning (MNWT)

Enter the number completed

STEP I (USWT)

Enter the number completed

STEP II (USWT)

Enter the number completed

STEP IV (USWT)

Enter the number completed

STEP III (USWT)

Enter the number completed

Health & Wellness (USWT)

Enter the number completed

Personal Development (USWT)

Enter the number completed

Outstanding Achievement in Programming (USWT)

Enter the number completed

Personal Enrichment Program/PEP Course (MNWT)

Enter the number completed

PEP Course Name(s)

Enter the names of the completed courses