• USC NJ PHA - Making A Difference Report

  THIS FORM IS USED TO RECORD MAKING A DIFFERENCE ACTS OF SERVICE PLEASE BE SURE TO ANSWER ALL APPLICABLE QUESTION.
• Name of Individual Completion Report*
  First NameLast Name
• Email Address of Individual Completion Report*
  example@example.com
• Date that the Service Project was completed*
   -Month -DayYear

  Date
• Back

  Next

• Orient Selections

• Select Your Orient*
  USCNJ PHA / CathedralALASKA - Clifford Hastings (Deputy)BAHAMAS - Everett Mackey (Deputy)CANADA - Frederick Ofosu (Deputy)CARIBBEAN - Lomax Elder (Deputy)COLORADO - Lionell Cummings (Deputy)CONNECTICUT - Ronald Thomas (Deputy)DELAWARE- James Scott (Deputy)EUROPE & TURKEY - Enrique John (Deputy)FAR EAST - Charles Bush (Deputy)ILLINOIS - Melvin Frierson (Deputy)INDIANA - Carl Drummer (Deputy)IOWA - Osumana V. Cassell (Deputy)KANSAS - James Webb (Deputy)MASSACHUSETTS - Daniel Brightwell (Deputy)MICHIGAN - Christopher Buck (Deputy)MINNESOTA - John Hardemann III (Deputy)NEBRASKA - Johnny Cummings (Deputy)NEW JERSEY -- Robert Oglesby (Deputy)NEW YORK - Hermon Simpson (Deputy)OHIO - Carl Williams (Deputy)PENNSYLVANIA - Leonard A. Heard (Deputy)RHODE ISLAND - Prince Reid (Deputy)WASHINGTON / Oregon - Gregory Wraggs (Deputy)WISCONSIN - Marshall Tharpe (Deputy)
• Back

  Next

• ALASKA

• Choose Appropriate Consistory*
  COUNCIL OF DELIBERATION (COD)NORTHERN LIGHTS #72TOP OF THE WORLD #102
• Back

  Next

• BAHAMAS

• Choose Appropriate Consistory*
  COUNCIL OF DELIBERATION (COD)BAHAMAS #73GRAND BAHAMAS #83GEORGE TOWN #87BIMINI #108
• Back

  Next

• CANADA

• Choose Appropriate Consistory*
  COUNCIL OF DELIBERATION (COD)BEAVER #74MOUNT ROYAL #97
• Back

  Next

• CARIBBEAN

• Choose Appropriate Consistory*
  COUNCIL OF DELIBERATION (COD)Errol W. Barrows #109
• Back

  Next

• COLORADO

• Choose Appropriate Consistory*
  COUNCIL OF DELIBERATION (COD)MOUNTAIN & PLAINS #33PIKES PEAK #81BEN LOMOND #94
• Back

  Next

• CONNECTICUT

• Choose Appropriate Consistory*
  COUNCIL OF DELIBERATION (COD)NEW HAVEN #7HARTFORD #80
• Back

  Next

• DELAWARE

• Choose Appropriate Consistory*
  COUNCIL OF DELIBERATION (COD)CORINTHIAN #5G.O. CARRINGTON #93COURTNEY P. HOUSTON, Jr. #119
• Back

  Next

• EUROPE & TURKEY

• Choose Appropriate Consistory*
  COUNCIL OF DELIBERATION (COD)KARAMURSEL #96SPAIN MILITARY #99GUSTAVE SOLOMONS #101EUREKA #113ARARAT #115W.E.B. DUBOIS #116BOOKER T. ALEXANDER #117
• Back

  Next

• FAR EAST

• Choose Appropriate Consistory*
  COUNCIL OF DELIBERATION (COD)KEYSTONE #85JOSEPH I. STATON #103JEROME LIPSCOMB #110JOHN J. STORY #111J.C. LOGAN #114
• Back

  Next

• ILLINOIS

• Choose Appropriate Consistory*
  COUNCIL OF DELIBERATION (COD)WESTERN #28MENELIK #49HIRAM #51TYREE #64TRI-CITIES #82NORTH SHORE #91BALTHASAR #92MARQUETTE-JOLIET #104
• Back

  Next

• INDIANA

• Choose Appropriate Consistory*
  COUNCIL OF DELIBERATION (COD)CONSTANTINE  #25MALTA #34ST. JOHNS #54MARION #60MAGIC CITY #62FORT WAYNE #66WABASH #77
• Back

  Next

• IOWA

• Choose Appropriate Consistory*
  COUNCIL OF DELIBERATION (COD)WILLIAM F. POWELL #46A.G. CLARK #68
• Back

  Next

• KANSAS

• Choose Appropriate Consistory*
  COUNCIL OF DELIBERATION (COD)KAW VALLEY #16WESTERN STAR #18ORIENT #19SE-KAN #69NATHAN W. THATCHER #107
• Back

  Next

• MASSACHUSETTS

• Choose Appropriate Consistory*
  COUNCIL OF DELIBERATION (COD)HOLY SEPULCHRE #17SPRINGFIELD #89
• Back

  Next

• MICHIGAN

• Choose Appropriate Consistory*
  COUNCIL OF DELIBERATION (COD)WOLVERINE #6PENNISULAR #44SAGINAW VALLEY #71HOMER E. GAINES #112
• Back

  Next

• MINNESOTA

• Choose Appropriate Consistory*
  COUNCIL OF DELIBERATION (COD)NORTH STAR #14
• Back

  Next

• NEBRASKA

• Choose Appropriate Consistory*
  COUNCIL OF DELIBERATION (COD)JOSHUA D. KELLEY #27
• Back

  Next

• NEW JERSEY

• Choose Appropriate Consistory*
  COUNCIL OF DELIBERATION (COD)DE HUGO #2DOUGLAS #10MOUNT CALVARY #22SARDONIAS #41OPHIR #48SAMUEL W. GORDON #50
• Back

  Next

• NEW YORK

• Choose Appropriate Consistory*
  COUNCIL OF DELIBERATION (COD)KING DAVID #3BISON #29UTICA #45LONG ISLAND #61ALBANY #90PENTECOST #98ERROL W. BARROW #109
• Back

  Next

• OHIO

• Choose Appropriate Consistory*
  COUNCIL OF DELIBERATION (COD)BEZALEEL #15KING SOLOMON #20L.D. EASTON #21ST. MATTHEWS #24MIAMI #26
• Back

  Next

• PENNSYLVANIA

• Choose Appropriate Consistory*
  COUNCIL OF DELIBERATION (COD)DE MOLAY #1ST. CYPRIAN #4NIMROD #9CHARLES E. GORDON #65MARTIN L. KING, JR #86WHITNEY M. YOUNG #88
• Back

  Next

• RHODE ISLAND

• Choose Appropriate Consistory*
  COUNCIL OF DELIBERATION (COD)MOUNT SINAI #12
• Back

  Next

• WASHINGTON

• Choose Appropriate Consistory*
  COUNCIL OF DELIBERATION (COD)WILLAMETTE #23PRINCE HALL #67CASCADIAN #75INLAND #78CAPITAL CITY #106EVERETTE #118
• Back

  Next

• WISCONSIN

• Choose Appropriate Consistory*
  COUNCIL OF DELIBERATION (COD)IONIC #70MADISON-BELOIT #84
• Back

  Next

• USCNJ PHA / Cathedral

• Choose Appropriate
  USCNJ PHA / Cathedral
• Back

  Next

• Service Type Reporting

• Please select the type of "Making A Difference" service that you are logging for this report?*
  ScholarshipCommunity ServiceCharitable Donation
• Back

  Next

• Scholarship

• Total Number of Recipients for Scholarship*
  Enter as a number (Examples: 5 , 10, 25, etc)
• Total Amount of Scholarships Awarded*
  Enter as Currency ($1.00, $500.00, $5,000.00, etc)
• Brief Description of Project / Event*
• Back

  Next

• Community Service

• Please select the appropriate Making A Difference Community Service News you are reporting.*
  MentorshipElderly AssistanceFood AssistanceVoter Registration / Voter OutreachHealth / Wellness AssistanceUnhoused AssistanceOther
• Number of Volunteers for the Community Service*
  Enter as a number (Examples: 5 , 10, 25, etc)
• Number of Hours for Each Volunteer*
  Enter as a number (Examples: 5 , 10, 25, etc)
• Average Number of Miles For Each Volunteer To/From Event*
  Enter as a number (Examples: 5 , 10, 25, etc)
• Cost / Spend For Event Execution*
  Enter as Currency ($1.00, $500.00, $5,000.00, etc)
• Brief Description of Project / Event*
• Back

  Next

• Charitable Donations

• Total amount of donation made to the Charitable Organization*
  Enter as Currency ($1.00, $500.00, $5,000.00, etc)
• Please select the appropriate Making A Difference Charitable Donation News you are reporting.*
  USC Benevolent FoundationNAACPDirect ReliefHunger ReliefWounded Warriors Family SupportAmerican Red CrossUnited WayUrban LeagueBoys & Girls ClubYMCA of the USASalvation ArmyGoodwillLegal Defense LeagueNational Urban LeaguePrince Hall Colonial Day CareWilberforce UniversityNation Freedom Day AssociationNational Alzheimer's AssociationOther
• Brief Description of Project / Event*
• Back

  Next

• Please hit the submit button to complete process and record the entry.

• Submit
• Should be Empty: