CHAPTER___________________________________________

REGION________________

MAILING ADDRESS__________________________________________________________

(Street or P.O. Box No.)

___________________________________________________________________________

(City)                                                           (State)                                                    (ZIP)

CHAPTER COMMANDER_____________________________________________________

CHAPTER PEP COMMITTEE CHAIRMAN ________________________________________

Please complete the above information and have the required officials sign on the appropriate lines at the bottom of the page.

Complete each of the following report sections as applicable, using this page as the cover sheet. All reports must contain documentation to support the various activities of your chapter.

All reports must be postmarked no later than 10 July of the current calendar year. Reports sent after that date will not be considered in the competition.

_______________________________________

(CHAPTER COMMANDER)

_______________________________________                   ___________________________

(PEP CHAPTER CHAIRMAN)                                                                (DATE)

YEAR: 1 JULY 20__ TO 30 JUNE 20__.

CHAPTER:_______________________________________________

REGION:_____________________

PART A. Complete the following information.

I. CHAPTER PARTICIPATION:

Total living Companions as of 30 June 20__.

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Number of chapter Companions who too an active part in the Patriotic Education Committee's activities during the year.

____________

Calculation to be done by National Patriotic Ed. Committee)

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II. CHAPTER'S PATRIOTIC EDUCATION GOALS FOR 20__ TO 20__.

Check box at end of each line if the goal was successfully reached.

(Use back for additional goals).

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(5 points for each successfully reached goal - maximum 50 points)

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III. FUNDING

List the methods used to obtain funding for the Chapter's Patriotic Education Programs. (Use back of this page for additional methods.)

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____________________________________________________________________________

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(5 points for each method used - maximum 50 points)                                          ____________

IV. PROMOTION

List methods used to promote or publicize the Chapter's Patriotic Education Programs. (Use back of this page to list additional methods.)

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____________________________________________________________________________

____________________________________________________________________________

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(5 points for each method used - maximum 50 points.)                                         _____________

PART B. CHAPTER PATRIOTIC EDUCATION PROGRAM:

Using the following headings, complete the required information on separate sheets of paper and attach to the report.

I. CONTINUING YOUTH ORIENTED ACTIVITIES:

Briefly describe the activities that the chapter successfully repeats each year. State year activity first began and indicate if any years were missed. Include exhibits in Exhibit Section.

(10 points for each successful program - maximum 100 points)

II. CONTINUING ADULT ORIENTED ACTIVITIES:

Briefly describe the activities that the Chapter successfully repeats each year. State year the activity was first begun and indicate if any years were missed. Include exhibits in Exhibit Section.

(10 points for each successful program - maximum 100 points.)

PART B. CHAPTER PATRIOTIC EDUCATION PROGRAM (Cont'd)

III. NEW YOUTH ORIENTED ACTIVITIES

Briefly describe each new activity started by your Chapter this year. Include in this statement the status of the activity. Is it to be an ongoing activity or a one-time event, and an evaluation as to the success of the new activity. Include exhibits in the Exhibits Section.

(Maximum of 100 points for each new successful activity.)

(Maximum 500 total points for New Youth Oriented Activities.)                        __________

IV. NEW ADULT ORIENTED ACTIVITIES:

Briefly describe each new activity started by your Chapter this year. Include in this statement the status of the activity - is it an ongoing activity or a one-time event - and an evaluation as to the success of the new activity. Include exhibits in the Exhibit Section.

(Maximum 100 points for each new successful activity.)

(Maximum 500 total points for New Adult Oriented Activities.)                           __________

V. OTHER PATRIOTIC ACCOMPLISHMENTS WORTHY OF RECOGNITION:

Briefly describe such accomplishments, e.g., awards, grants, community patriotic activities. Explain how this activity was of value to MOWW. Support your statement with exhibits in the Exhibit Section.

(10 points for each recognition - 100 points maximum.)                                        __________

VI. EXHIBIT SECTION:

Include in this section documents that support your descriptions, e.g., photographs, newspaper clippings, certificates, programs, and letters. Add and number additional pages as necessary. Each exhibit must be indexed to the basic narrative, e.g. B.I.a. for Continuing Youth Oriented Activities; B.II.a. for Continuing Adult Oriented Activities, etc.

VII. EVALUATION FORM FOR CHAPTER ENTRY

To be completed by Chapter:

To be completed by Committee:

Part A.

Part A.

I. Membership                    XXXXXXXXX

I. Membership              _____________

II. Goals                             _____________

II. Goals                       _____________

III. Funding                        _____________

III. Funding                   _____________

IV. Promotion                    _____________

IV. Promotion               _____________

VII. EVALUATION FORM FOR CHAPTER ENTRY (Cont'd)

Part B. Programs

Part B. Programs

I. Continuing Youth Oriented Activities ________

I. Continuing Youth Oriented Activities _______

II. Continuing Adult Oriented Activities ________

II. Continuing Adult Oriented Activities _______

III. New Youth Oriented Activities       ________

III. New Youth Oriented Activities       ________

IV. New Adult Oriented Activities        ________

IV. New Adult Oriented Activities       ________

V. Other Accomplishments                ________

V. Other Accomplishments               ________

BONUS ____________________________*

TOTAL POINTS _____________________

A maximum of 100 points may be awarded based on the Patriotic Education Committee's evaluation of the individual Chapter's overall program.