OPTIMIST INTERNATIONAL - N C EAST DISTRICT ACHIEVEMENT AND AWARDS PROGRAM QUARTERLY REPORTING FORM
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1 OPTIMIST INTERNATIONAL - N C EAST DISTRICT ACHIEVEMENT AND AWARDS PROGRAM QUARTERLY REPORTING FORM POINTS AWARDED ONLY FOR CATEGORY COMPLETED IN THE REPORTING QUARTER CLUB NAME NUMBER ZONE QUARTER If you complete the form in Excel it will total at the end. 1 Number of Club Members end of Quarter Less Number of Club Members, Beg. of Quarter NET 0 or + (Gain) 150 (Note: Do not include FOO Members in this section) 2 Number of FOO Members end of Quarter Less Number of FOO Members, Beg. of Quarter NET 0 or + (Gain) 50 3 Number of New Members (do not include FOO) times 300 pts 4 Number of New FOO Members times 100 pts 5 ATTENDING NC EAST QUARTERLY MEETING Club President 50 Club Secretary 25 Club Treasure 25 Club Secretary/Treasure 25 Club Members (per member) times 25 pts 6 ATTENDING QUARTERLY ZONE MEETING Club President 50 Club Secretary 25 Club Treasure 25 Club Secretary/Treasure 25 Club Members (per member) times 25 pts Page 1 of 6
2 7 Attendance at OI Convention Club Members (per member) times 50 pts 8 INTER-CLUB VISIT (By at least 5 members) Number of Visitations times 75 pts per visit. Maximum 150 pts 9 BUILD / SPONSOR / CHARTER NEW ADULT CLUB Number of New Clubs Built / Sponsored times 4,500 pts per Club 10 BUILD / SPONSOR / CHARTER NEW COLLEGE CLUB OR JOOI CLUB Number of New Clubs Built / Sponsored times 2,000 pts per Club 11 Sponsoring Club Follow Up with Clubs built / sponsored times 200 pts per FU 12 Publish Club Bulletin. 25 pts per issue. Maximum 75 pts Attach copy and copy to Wayne Sidelinger ( wsidelinger@nc.rr.com ) 13 Develop / Maintain Club Web Site Web Site Address: 50 pts 14 Develop / Maintain Club Face Book Page Face Book Name: 50 pts 15 Club Newspaper article, press release, TV or Radio coverage Number of Newspaper articles, etc. times 25 pts Maximum 150 pts. (Attach copies of articles, press releases, or details of radio or TV coverage) 16 Hold a NOW (New Optimists Wanted) meeting meetings times 150 pts 17 Present Club scholarship(s) 150 pts each 18 Hold a Club or Zone Oratorical or CCDHH contest. 150 pts each Page 2 of 6
3 19 Essay Contest 25 pts per contestant sponsored. Maximum 200 pts 20 Oratorical Contest 25 pts per contestant sponsored. Maximum 200 pts 21 CCDHH Contest 25 pts per contestant sponsored. Maximum 200 pts 22 Hold a Club qualifier for NC East District Junior Golf Tournament 150 pts each 23 NC East District OIJGC Qualifying Junior Golf Tournament. 25 pts per golfer sponsored. 24 PGI Program 25 pts per level attained. Maximum 150 pts Level X attained. 250 pts per member awarded 25 OI FOUNDATION Appointment of Club Representative (BE SURE TO SEND TO OI) 100 $5 per member contribution 250 $10 per member contribution 500 Dime a Day Club member ($36.50 donation by member ) 250 Century Club member ($100 donation by member) 100 Presidents Club member ($500 donation by member ) 500 Friends of Today ($500 donation by member) 500 Friends of Tomorrow (member includes Foundation in their will) 500 Club participates in Zone fund raiser and raise $2 per member in Club 200 Club participates in Zone fund raiser and raise $5 per member in Club 500 Christian D. Larson Partners ($1,000 donation by member in Club: Club may make donation in the name <honor or memory> of club member) CHILDHOOD CANCER CAMPAIGN (50 points for each $100 donation) CHILDHOOD CANCER CAMPAIGN FUND RAISERS (250 points for each Project - Include Dollar Amount) LIST: 250 Page 3 of 6
4 LIST: BOYS AND GIRLS HOME OF NC $5 per member 250 $10 per member 500 For the Love of Children - $100 Century Club gift (500 per member ) SERVICE PROJECTS 1) 300 pts per project. Add 100 pts if project is co-sponsored/partnered with other Optimist Clubs, other civic clubs or non-profits. Provide a brief description of project and name the co-sponsoring organization if any. 2) 3) 4) 5) 6) 7) 30 Fund Raisers 200 pts per projecadd 100 pts if project is co-sponsored/partnered with other Optimist Clubs, other civic clubs or non-profits. Describe the project and name the co-sponsoring organization if any. 1) 2) Page 4 of 6
5 3) 4) 5) 6) 7) 8) 31 Club Donations Total quarterly donations of $10.00 per club member Total quarterly donations of $20.00 per club member Total quarterly donations of $50.00 per club member Total quarterly donations of $75.00 per club member Total quarterly donations of $ per club member Single donation of $ Single donation of $1, Single donation of $2, or Greater 50 pts 100 pts 150 pts 200 pts 250 pts 50 pts each 100 pts each 200 pts each 32 REEL VIDEO ENTERED (250 POINTS PER ENTRY) 250 pts 33 Officer Election Report sent to OI by due date ( 5/20/2018 ) 50 pts 34 President's Pride Report sent to oi by due date ( 9/30/2018 ) 50 pts 35 Meeting Financial Obligations: 100 pts To OI each quarter and the NC East District each 6 months. 36 CLUB EARNED HONOR STATUS 5000 pts 37 CLUB EARNED DISTINGUISHED STATUS 2000 pts Page 5 of 6
6 38 A&A Report sent to A&A Chairman by due date 50 pts (1/15/2018, 4/15/2018, 7/15/2018, 10/15/2018 ) TOTAL POINTS FOR QUARTER 0 POINTS AWARDED ONLY FOR CATEGORIES COMPLETED IN THE REPORTING QUARTER Name of Preparer Preparer s Signature Date: Telephone Number address Received by A&A Chairman Date: Dan Durham NC EAST District A&A Chairman Address: Dan Durham, 1512 Kirk St, Roanoke Rapids, NC Phone: optimistdurham@yahoo.com Page 6 of 6
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