NJSFWC Health and Wellness Report Worksheet 2020
Club Name ___________________________________District _______________________ Number of members ____ (per May 1, 2020 Blue Sheet)
Chairman’s Name_____________________________ Phone ________________________ Email ______________________
Indicate the projects your club members have supported from January 1, 2020– December 31, 2020 by completing the information next to the projects listed below.
Additional projects should be listed under Other Health and Wellness Projects”. A worksheet is provided on the reverse side of the page as well. Please share a
detailed description of projects your club has completed in 2020, including the who, what, when, where and why. (No more than 2 pages, do not send pictures,
fliers, etc.)
Community Service Projects # of Projects Hours Dollars In Kind Donations
Donations to medical staff for Covid19, ie; caps, masks, PPE, ear bands, face
shields
Other donations to support Covid19
Support Easter Seals
The Heart Truth- e.g. Observe Wear Red Day First Friday in February
Inside Knowledge Get the facts about Cancer
UN Shot for Life
Operation Smile
Make Blizzard Bags for Meals on Wheels/Sr. Meal Programs for use during
bad weather
Other Health and Wellness Projects (See reverse side)
Total
Number of
Projects
Total
Volunteer
Hours
Total
Dollars
Donated
Total
In-Kind Donations
Report Worksheet and project descriptions must be mailed to be judged to the Health and Wellness Chairman.
Reports may be emailed, but the information will be for statistical information only.
Postmarked no later than February 1, 2021.
Claire Hill
123 Union Place, Ridgefield Park, N.J. 07660
Questions? Call or email:
201-440-2800 hill@njsfwc.org or cjhill65@gmail.com
WORKSHEET FOR ADDITIONAL HEALTH AND WELLNESS PROJECTS
Projects should be reported based on your club’s involvement.
This list is intended as a report writing aid and projects are not limited to what appears below
Projects
# of
Projects
Hours
Dollars
Donated
In Kind
Donations
Adult Day Care
Autism Awareness
New Eyes for the Needy/Seeing Eye/Braille
Alzheimers, dolls for patients
CPR Classes
Comfort Pillows (i.e., breast cancer, heart surgery)
Disabled Persons Help/Support
Displaced Persons (Homeless)
Gilda’s Club /Wellness Centers
Health Fairs/ Physical Fitness
Health Related Projects/Programs- any issues
Hospitals, Clinics, assisting at or sponsoring Screening
Juvenile Diabetes Support
Mental Health Awareness
Promote Immunizations
Red Cross/Disaster Relief
School Supplies/Community Food Bank Kids Closet
Sponsor a walk or run for medical condition
Underserved clinics/health centers
UNICEF
Valerie Fund
Vial of Life
Vineland Developmental Center
Weight loss/walking groups
Additional Projects:
1
2
3
4
5
TOTAL (Place these figures on side one under Other
Health and Wellness Projects)