GUIDELINES FOR CHAPTER OF THE YEAR
Chapter of the Year form must be handed in to
your ASD by October 15th.
The ASD must give the Chapter of the Year form to the state director by
November 1st.
The Chapter of the Year form must be neat and legible.
Pictures may be used, but you won’t get them back.
Your chapter of the year form may include things your chapter has done
from the last quarter of the prior year
and the first three quarters of the current year.
You may attach as many sheets to the form as is necessary
to explain what your chapter has done for the year.
International Good Sams likes to see what you have done
in the community.
For example: Ronald McDonald House, the needy, Special Olympics, etc.
When you work on a project, International Good Sam wants to know how
many people worked on this project, how much time did it take/how many
man hours, what was the outcome?
If you raise money for a project, put that down also.
International Good Sams expects you to do
the Good Sam Clean Up Day
and they expect you to do the Dogs for the Deaf.
Does your chapter attend, support, and volunteer
at the State Samborees? If so, how many do you attend?
How many members of your chapter attend the Samborees?
This is important on the state level.
SEE BELOW FOR NOMINATION FORMS
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GOOD SAM INTERNATIONAL CHAPTER OF THE YEAR NOMINATION
Name of Chapter__________________________________________________________
Location of Chapter________________________________________________________
Number of rigs__________________________ Year chartered______________________
Name of person nominating chapter_____________________________________________
Name of Chapter President __________________________________________________
Below are some of the Good Sam International projects in which your chapter might have
participated this past year. Please check off all of the applicable projects for the chapter. For each
one checked, kindly include specific information on how many chapter members participated, where
the activity was held, how often throughout year and how much money was raised (Dogs for the
Deaf). If you have received any media publicity, please include that info or attach a copy of the
article. The back side of this page may be used if more space is needed.
Adopt-A-Highway:
Adopt-A-Park:
National Cleanup:
Dogs for the Deaf:
What has this chapter done this past year to increase its membership?.
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
What has this chapter done this year to help support your State/Provincial Samboree(s)?
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
The chapter being nominated has most likely participated in many other activities, such as in local
community services, at health or hospice facilities, senior centers, homeless/battered victim shelters,
orphanages, camps, schools, or with fraternal organizations, animal shelters, youth groups, charities,
just to name a few. Please use the following pages to tell us what else the chapter has done this past
year. Include information on what the project was about, how many members participated, is it an
on-going project or just a one time event, what was the project's goal, how many man-hours were
spent on the project this year, did the chapter receive public recognition and if so, in what way. If the
event was a fundraiser, please tell us how much the chapter raised or what the financial impact of
their efforts was. Although photos or newspaper articles are not mandatory, if some are available,
please include copies with this form.
Also, please include any other reasons why this chapter should be the Good Sam International
Chapter of the Year.
Your signature___________________________________________date________________