Hadronics/NALC
Club of the Year Award
Application
Name of Club_________________________________________________________
Address____________________________________________________________________
City_____________________________________ State _______________Zip____________
Contact Person_____________________________________
Telephone________________________________
NUMBER OF CLUB MEMBERS AT BEGINNING OF YEAR____________
NUMBER OF CLUB MEMBERS GAINED_________NUMBER OF CLUB MEMBERS LOST____________
AMOUNT OF SCHOLARSHIPS AWARDED__________________
JUNIOR LITHO CLUB INFORMATION_________________________________
___________________________________________________________________
FINANCES
A. ATTACH A COPY OF YOUR BUDGET.
MEETING PROGRAMS: (MONTH BY MONTH)______________________________________________________________
______________________________________________________________________
HIGHEST ATTENDANCE AT YOUR MEETING____________________
SCHOLARSHIPS:
A. OUTLINE YOUR SCHOLARSHIP ACTIVITIES___________________________
__________________________________________________________________________
__________________________________________________________________________
CLUB FUND RAISERS______________________________________________________________
______________________________________________________________________
______________________________________________________________________
OUTSTANDING CLUB ACCOMPLISHMENTS_______________________________________________
______________________________________________________________________
______________________________________________________________________
NALC ACTIVITIES
A> MEMBERS SERVING AS NALC OFFICERS OR COMMITTEE CHAIRS_________
______________________________________________________________________
B. ATTENDANCE TO CONVENTIONS______________________________________________
OFFICIAL PUBLICATION
A. ATTACH ONE COPY
B. ARE COSTS DONATED?_________________________________
Please send any additional information with application.
Signature______________________________________________________________
Date:______________________________________________________________________
Complete form and all information by MAY 15 and send to:
JR Westland
c/o NALC Awards
15421 Old Columbia
Pike
Burtonsville, MD 20866
(301) 384-7700 - FAX (301) 384-2616