Clone of 2025 SPJST Community Service and Fraternal Activities

SPJST LODGE

Beginning Date of Activity

Ending Date of Activity (leave blank if 1-day activity)

Type of Activity

Name of Activity

examples: June Meeting, Annual Barbecue Cook-Off, Christmas Party, Milestone Member Reception, Appreciation Dinner, Hall Rental - Jones wedding, etc.

Location of Activity

examples: Lodge 44 Hall, Ronald McDonald House, Dairy Queen, Community Swim Park, Texas Children's Hospital

City or Town

examples: Temple, Houston, Rowena, Corpus Christi

Activity Description

ATTENDANCE: Adult Members - ages 18 and above

state the number of SPJST ADULT members - ages 18 and above - who attended/participated in the activity

ATTENDANCE: Youth Members - ages up to 17

state the number of SPJST YOUTH members - ages 0 to 17 - who attended/participated in the activity

ATTENDANCE: Guests (Non-Members) - all ages

state the number of GUESTS (non-members guests or social members - both adults and youth) who attended/participated in the activity

VOLUNTEER HOURS - Adult Members (ages 18 and over)

Include total number of ADULT MEMBER volunteer hours (ages 18 and over). Note: Hours of Home Office, district, or local lodge personnel who are paid for their work are not included.

VOLUNTEER HOURS - Youth Members (ages up to 17)

Include total number of YOUTH MEMBER volunteer hours (ages up to 17). Note: Hours of Home Office, district, or local lodge personnel who are paid for their work are not included.

VOLUNTEER HOURS - Guests (all ages)

Include total number of GUEST volunteer hours (non-members and social members - all ages). 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?

YesNoOther

Upload photo(s) of the Activity Sign-In Form.

Form must show printed names, signed names, and volunteer hours.

Upload photo(s) of the activity.

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.

Comments - Please state if you wish for this to also be submitted to the Vestnik. If so, please include any additional information/details for photos and/or an article. Thank you!

Submitted by:

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.