NJSFWC PROGRAM INFORMATION SHEET (January 1, 2020-December 31, 2020)
Club Name _________________________________________________________ District __________________Number of members ________
(per May 1, 2020 Blue Sheet)
Your Name ________________________________________________________ Phone _______________ E-Mail ______________________
Please include all details for each program:
This information is used to develop the Classified Program Pamphlet, which all clubs receive.
Please mail this form to the State Chairman listed on the back of this form, no later than February 1, 2021. If attending January Council, please come
prepared to report on 3 programs of your choice. All of the information listed below should appear on the appropriate Department Report Worksheet
which is submitted by February 1, 2021. For example, if you have a program on Literacy, this program should be listed on the Education Report
Worksheet
.
MONTH
FEE
PROGRAM TITLE
AUDIENCE
REACTION
(check one)
PERFORMERS
NAME, COMPLETE ADDRESS & TELEPHONE #
LENGTH OF
PROGRAM
WHERE WAS
PROGRAM
OBTAINED
Jan ‘20
____Excellent
____Good
____Poor
Feb ‘20
____Excellent
____Good
____Poor
Mar ‘20
____Excellent
____Good
____Poor
Apr ‘20
____Excellent
____Good
____Poor
May ‘20
____Excellent
____Good
____Poor
June ‘20
____Excellent
____Good
____Poor
MONTH FEE PROGRAM TITLE
AUDIENCE
REACTION
(check one)
PERFORMERS
NAME, COMPLETE ADDRESS & TELEPHONE #
LENGTH OF
PROGRAM
WHERE WAS
PROGRAM
OBTAINED
Jul ‘20
____Excellent
____Good
____Poor
Aug ‘20
____Excellent
____Good
____Poor
Sep ‘20
____Excellent
____Good
____Poor
Oct ‘20
____Excellent
____Good
____Poor
Nov ‘20
____Excellent
____Good
____Poor
Dec ‘20
____Excellent
____Good
____Poor
Annual Club Program Budget: $__________________
Report Worksheet and project descriptions must be mailed to be judged to the Program Assistance Chairman.
Reports may be emailed, but the information will be for statistical information only.
Postmarked no later than February 1, 2021.
Judy Filippini
349 E. Lakeshore Drive, Highland Lakes, NJ 07433
Questions? Call or Email:
973-764-1670 filippini@njsfwc.org