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,
Community Service Projects # of Projects Hours Dollars In Kind Donations
Donations to medical staff for Covid19, ie; caps, masks, PPE, ear bands, face
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
Make Blizzard Bags for Meals on Wheels/Sr. Meal Programs for use during
Other Health and Wellness Projects (See reverse side)
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.
123 Union Place, Ridgefield Park, N.J. 07660
Questions? Call or email:
201-440-2800 email@example.com or firstname.lastname@example.org