Chapter Name____________________________________________
Chapter Number________
Chapter City _____________________________________________
1. Please list the names of recipients and the dollar amounts of
each scholarship your Chapter awarded during the year.
Name___________________________________________________ Amount
$_________
Name___________________________________________________ Amount
$_________
2. Please list the total dollar value of your Chapter’s scholarship fund: $___________________
3. Please list the dollar amount of any contributions your Chapter
made to Division or District Scholarships:
Division: $__________
District: $___________
4. Please list the names of any students applying for Division or
General scholarships your Chapter sponsored:
____________________________________________________________________________
____________________________________________________________________________
5. Please list the number of 7th & 8th Grade Essays your Chapter received:_______________
6. Please list any other scholarship activity your Chapter participated
in this year:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
This section for District Chairmen Only:
District # _______ District Chairman: __________________________________
Please send the names of recipients and dollar amounts of District
Scholarships awarded as well as the total amount of
your District’s scholarship funds. $_________________
Name___________________________________________________Amount
$_______________
Name___________________________________________________Amount
$_______________
Submitted by_________________________________________ Date__________________
Please file a report even if there was no activity. Thank you.
Report is Due August 15th.
Mail Completed report to:
Phyllis Mistrot, 2nd Vice President
3003 Windmill
Sugar Land, Texas 77479-1603