NJSFWC Domestic and Sexual Violence Awareness and Prevention 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 indicated
below. Additional projects should be listed under Other Domestic and Sexual Violence Awareness and Prevention 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
Donate to GFWC Survivors Scholarship
Observe Domestic Violence Awareness Month
Donate Socks to Support Domestic Violence Shelter
Teen and Young Adult Dating Violence Prevention
Support for Battered Women/Children Shelters
Prevent Child Abuse America's Pinwheels for Prevention Campaign
(#_______Pinwheel Gardens planted)
Child Abuse Prevention
Participate in local program “Go Blue” events during Child Abuse
Prevention Month in April
Other Domestic and Sexual Violence Awareness and Prevention
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 Domestic and Sexual Violence Awareness Chairman.
Report forms may be emailed, but the information will be for statistical information only.
Postmarked no later than February 1, 2021.
Joyce Fredericks
1053 Waterway Drive, Barefoot Bay, FL 32976
Questions? Call or email:
570-646-5686 fredericks@njsfwc.org
WORKSHEET FOR ADDITIONAL DOMESTIC and SEXUAL VIOLENCE AWARENESS and PREVENTION
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
Anger kits
Hygiene kits
Khaki Pants Project
“Mardi-Bra collection” of NEW bras
Million Voices Campaign
Palm Cards (Domestic Violence)
Partner/ Program Elder Abuse Prevention
Sponsor/Attend a Vigil
Sweat Suits for Rape Victims
Used Cellular Phone Donation
TOTAL (Place these figures on side one
under Other Domestic and Sexual Violence