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 Name
Last Name
Email Address of Individual Completion Report
*
example@example.com
Date that the Service Project was completed
*
-
Month
-
Day
Year
Date
Back
Next
Orient Selections
Select Your Orient
*
USCNJ PHA / Cathedral
ALASKA - Clifford Hastings (Deputy)
BAHAMAS - Everett Mackey (Overseer)
CANADA - Frederick Ofosu (Overseer)
CARIBBEAN - Edward B. Darnell (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 (Overseer)
OHIO - Carl Williams (Deputy)
PENNSYLVANIA - Leonard A. Heard (Deputy)
RHODE ISLAND - Prince Reid (Overseer)
WASHINGTON - Gregory Wraggs (Deputy)
WISCONSIN - Marshall Tharpe (Deputy)
Back
Next
ALASKA
Choose Appropriate Consistory
*
NORTHERN LIGHTS #72
TOP OF THE WORLD #102
Back
Next
BAHAMAS
Choose Appropriate Consistory
*
BAHAMAS #73
GRAND BAHAMAS #83
GEORGE TOWN #87
BIMINI #108
Back
Next
CANADA
Choose Appropriate Consistory
*
BEAVER #74
MOUNT ROYAL #97
Back
Next
CARIBBEAN
Choose Appropriate Consistory
*
Errol W. Barrows #109
Back
Next
COLORADO
Choose Appropriate Consistory
*
MOUNTAIN & PLAINS #33
PIKES PEAK #81
BEN LOMOND #94
Back
Next
CONNECTICUT
Choose Appropriate Consistory
*
NEW HAVEN #7
HARTFORD #80
Back
Next
DELAWARE
Choose Appropriate Consistory
*
CORINTHIAN #5
G.O. CARRINGTON #93
COURTNEY P. HOUSTON, Jr. #119
Back
Next
EUROPE & TURKEY
Choose Appropriate Consistory
*
KARAMURSEL #96
SPAIN MILITARY #99
GUSTAVE SOLOMONS #101
EUREKA #113
ARARAT #115
W.E.B. DUBOIS #116
BOOKER T. ALEXANDER #117
Back
Next
FAR EAST
Choose Appropriate Consistory
*
KEYSTONE #85
JOSEPH I. STATON #103
JEROME LIPSCOMB #110
JOHN J. STORY #111
J.C. LOGAN #114
Back
Next
ILLINOIS
Choose Appropriate Consistory
*
WESTERN #28
MENELIK #49
HIRAM #51
TYREE #64
TRI-CITIES #82
NORTH SHORE #91
BALTHASAR #92
MARQUETTE-JOLIET #104
Back
Next
INDIANA
Choose Appropriate Consistory
*
MALTA #34
ST. JOHNS #54
MARION #60
MAGIC CITY #62
FORT WAYNE #66
WABASH #77
Back
Next
IOWA
Choose Appropriate Consistory
*
WILLIAM F. POWELL #46
A.G. CLARK #68
Back
Next
KANSAS
Choose Appropriate Consistory
*
KAW VALLEY #16
WESTERN STAR #18
ORIENT #19
SE-KAN #69
NATHAN W. THATCHER #107
Back
Next
MASSACHUSETTS
Choose Appropriate Consistory
*
HOLY SEPULCHRE #17
SPRINGFIELD #89
Back
Next
MICHIGAN
Choose Appropriate Consistory
*
WOLVERINE #6
PENNISULAR #44
SAGINAW VALLEY #71
HOMER E. GAINES #112
Back
Next
MINNESOTA
Choose Appropriate Consistory
*
NORTH STAR #14
Back
Next
NEBRASKA
Choose Appropriate Consistory
*
JOSHUA D. KELLEY #27
Back
Next
NEW JERSEY
Choose Appropriate Consistory
*
DE HUGO #2
DOUGLAS #10
MOUNT CALVARY #22
SARDONIAS #41
OPHIR #48
SAMUEL W. GORDON #50
Back
Next
NEW YORK
Choose Appropriate Consistory
*
KING DAVID #3
BISON #29
UTICA #45
LONG ISLAND #61
ALBANY #90
PENTECOST #98
ERROL W. BARROW #109
Back
Next
OHIO
Choose Appropriate Consistory
*
BEZALEEL #15
KING SOLOMON #20
L.D. EASTON #21
ST. MATTHEWS #24
MIAMI #26
Back
Next
PENNSYLVANIA
Choose Appropriate Consistory
*
DE MOLAY #1
ST. CYPRIAN #4
NIMROD #9
CHARLES E. GORDON #65
MARTIN L. KING, JR #86
WHITNEY M. YOUNG #88
Back
Next
RHODE ISLAND
Choose Appropriate Consistory
*
MOUNT SINAI #12
Other
Back
Next
WASHINGTON
Choose Appropriate Consistory
*
WILLAMETTE #23
PRINCE HALL #67
CASCADIAN #75
INLAND #78
CAPITAL CITY #106
EVERETTE #118
Back
Next
WISCONSIN
Choose Appropriate Consistory
*
IONIC #70
MADISON-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?
*
Scholarship
Community Service
Charitable 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.
*
Mentorship
Elderly Assistance
Food Assistance
Voter Registration / Voter Outreach
Health / Wellness Assistance
Unhoused Assistance
Other
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 Foundation
NAACP
Direct Relief
Hunger Relief
Wounded Warriors Family Support
American Red Cross
United Way
Urban League
Boys & Girls Club
YMCA of the USA
Salvation Army
Goodwill
Legal Defense League
National Urban League
Prince Hall Colonial Day Care
Wilberforce University
Nation Freedom Day Association
National Alzheimer's Association
Other
Brief Description of Project / Event
*
Back
Next
Please hit the submit button to complete process and record the entry.
Submit
Should be Empty: