GFWC Georgia DOMESTIC VIOLENCE AWARENESS AND PREVENTION Report Form
ALL Reports will be judged from one entry. If you are competing for awards in this category, PLEASE be sure to follow all requirements for each Award.

FORMS Are DUE NO Later than JANUARY 25 by 11:59 PM.

IF THIS FORM IS COMPLETE AND SUBMITTED NO FURTHER REPORT IS NEEDED (You will receive an email copy for your records)
Email address *
Your Name *
First and Last
Your Title *
Club *
District *
Mailing Address *
City *
State *
Zip Code *
Phone Number *
Type of club *
Number Of Club Members *
Number you reported for dues
Statistical Information
Total Projects and hours and monies including Affiliates
WAS A DOMESTIC VIOLENCE CHAIRMAN APPOINTED TO SERVE YOUR CLUB? *
Number Of Projects *
Captionless Image
Volunteer Hours (All) *
Dollars Donated by Club (All) *
Dollars Donated by Members (All) *
In Kind Donations (All) *
Would you like to include a Narrative or Creative Entry? *
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