District
Please Select
District 1
District 2
District 3
District 4
District 5
District 6
District 7
Adult LODGE
Please Select
Lodge 001, Fayetteville
Lodge 004, Hallettsville
Lodge 006, Cottonwood
Lodge 008, Weimar
Lodge 009, Snook
Lodge 013, Dime Box
Lodge 015, Buckholts
Lodge 017, New Tabor
Lodge 018, Elgin
Lodge 020, Granger
Lodge 023, Moravia
Lodge 024, Cyclone
Lodge 025, Ennis
Lodge 028, East Bernard
Lodge 029, Taylor
Lodge 030, Taiton
Lodge 032, Victoria
Lodge 035, Elk
Lodge 038, Kovar
Lodge 039, Bryan
Lodge 040, El Campo-Hillje
Lodge 041, Port Lavaca
Lodge 047, Seaton
Lodge 048, Beyersville
Lodge 049, Rowena
Lodge 054, West
Lodge 063, Sweet Home
Lodge 066, Waco
Lodge 067, Schulenburg
Lodge 076, Wichita Falls
Lodge 079, Corpus Christi
Lodge 080, Holland
Lodge 081, Needville
Lodge 084, Dallas
Lodge 087, Temple
Lodge 088, Houston
Lodge 091, San Jacinto
Lodge 092, Fort Worth
Lodge 094, Wheelock
Lodge 097, Placedo
Lodge 107, Floresville
Lodge 117, Robstown
Lodge 133, San Antonio
Lodge 139, Danbury
Lodge 141, Sealy
Lodge 142, Houston
Lodge 151, Wharton
Lodge 154, Fort Worth
Lodge 155, Austin
Lodge 157, Lubbock
Lodge 160, San Angelo
Lodge 172, Pasadena
Lodge 177, Academy
Lodge 178, Longview
Lodge 179, Warrenton
Lodge 180, Burleson
Lodge 183, Arlington
Lodge 184, Moulton
Lodge 185, New Braunfels
Lodge 186, Caldwell
Lodge 187, Round Rock
Lodge 189, Bryan-College Station
Lodge 191, Lufkin
Lodge 196, Houston-West
Lodge 202, Jourdanton
Lodge 219, El Paso
Lodge 229, Abilene
Lodge 246, Morgan's Point
Lodge 258, Seguin
Other (lodge not listed)
Youth Group (complete for youth incentives)
Please Select
Lodge 009, Snook
Lodge 017, New Tabor
Lodge 020, Granger
Lodge 025, Ennis
Lodge 030, Taiton
Lodge 040, El Campo-Hillje
Lodge 047, Seaton
Lodge 048, Beyersville
Lodge 066, Waco
Lodge 079, Corpus Christi
Lodge 081, Needville
Lodge 088, Houston
Lodge 107, Floresville
Lodge 142, Houston
Lodge 154, Fort Worth
Lodge 185, New Braunfels
Lodge 187, Round Rock
Lodge 202, Jourdanton
Lodge 219, El Paso
Other (lodge not listed)
Beginning Date of Activity
Ending Date of Activity (leave blank if 1-day activity)
Type of Activity
Meeting
Social
Community Service
Fundraiser
Other (please specify)
Name of Activity
examples: March Meeting, Annual Barbecue Cook-Off, Christmas Party, Milestone Member Reception, Appreciation Dinner, Hall Rental - Jones wedding, etc.
Location of Activity
examples: Lodge 3 Hall, Ronald McDonald House, Olive Garden, Taiton City Park, El Paso City Cemetery
City or Town
examples: Temple, San Angelo, Smithville, Floresville
Activity Description
Number of Members in Attendance
state the number of SPJST members who attended/participated in the activity
Number of Non-Members (Guests) in Attendance
state the number of non-members (or guests) who attended/participated in the activity
Total Number of Volunteer Hours
Include total number of volunteer hours - both members and non-members (guests). Note: Hours of Home Office, district, or local lodge personnel who are paid for their work are not included.
Monetary Donations
state the $$ amount of cash donations
In-Kind Donation Value
state the $$ value of donated door prizes, supplies, materials, gifts, etc.
Expenses Related to Activity
state the total $$ amount that lodge spent on activity (include all expenses - facility rental, food, prizes, supplies, remunerations, etc.)
Revenue
state the $$ income from registration fees, food sales, ticket sales, etc. NOTE: Do not include $$ donations.
SOCIAL: Was notice of this activity published in the Vestnik or communicated to your lodge membership?
Yes
No
Other
Upload photo(s) of the Activity Sign-In Form.
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Form must show printed names, signed names, and volunteer hours.
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Upload photo(s) of the activity.
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1 to 3 photos are adequate. They should effectively capture the essence of the activity. Photos may be used in the Vestnik or on SPJST's social media.
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