Date of this report  - mm/dd/yy               

Auxiliary Number              District Number            

Enter Name of person completing online  report     

Enter Auxiliary Chairman's name              

                    street address         
 

              city state and zip        

                  Phone                          999-999-9999
 

    Email:                 

    You must enter an email address where you can be reached.  If the chairman doesn't have an email address, enter the email

    of the person completing the report.

Please do not enter dollar signs or commas in numeric amounts.

Did your Auxiliary have entries, or participate by promotion in the Continuing Education Scholarship?  

Did your Auxiliary Participate in the following

    Military Assistance Program  Yes    No    Dollars Spent        Hours

    Operation Uplink                   Yes    No    Dollars Spent        Hours

    Unmet Needs                        Yes    No    Dollars Spent        Hours

        Adopt-A-Unit                         Yes    No    Dollars Spent        Hours

    Snowball Express                  Yes    No    Dollars Spent        Hours

    Fisher House                         Yes    No    Dollars Spent        Hours

    Wreaths Across America        Yes    No    Dollars Spent        Hours

Number of Auxiliary members attending a Department Service Officers Seminar:                

                                                                                                                                             # Hours                 Cash Spent

Cash Spent for Veterans and their families for food, clothing, household goods, etc.                                  

Estimated cost to  Auxiliary members for donations of food, clothing for food, clothing,

           household goods, etc. Veterans and their families accepted as an Auxiliary Project                           

Estimated Hours participating in Stand Down project                                                                                    

Auxiliary participation in a  MAP program?                                                                                                   

Auxiliary participation in a  OPERATION UPLINK?                                                                                       

Auxiliary participation in a  UNMET Needs?                                                                                                 

Auxiliary participation in ADOPT A UNIT?                                                                                                    

Total estimated hours spent providing assistance to veterans and their families                       

Moral Support through Get Well cards, Sympathy Cards, Funeral Sprays, Memorials, Meals for Bereaved families etc:                                                                                                                                                     

Medical Assistance:  Transportation provided List miles traveled and hours spent in keeping Dr. Appointments, shopping, church, entertainment elections etc:                                                                                                                                            

                                                                                                                                  Miles Traveled      

Any other information you want the Department Chairman to know: