Canvasser Report All Charities Campaign

430 – 405 Broadway Winnipeg MB R3C 3L6

Canvasser Name

Department

Branch

Address

Phone Number

Instructions on how to complete:

  1. Print a copy of these instructions (two pages)as well as one of the canvasser reports that follow. You can choose the report that best fits the number of employees donating (20, 47 or 74).
  1. Write in your name, department, branch, office address and work phone number (on lines above).
  1. Review the pledge forms received;
  2. for those employees no longer in your work area, put a stroke through the form and put off to the side;
  3. for new employees in your area use a blank pledge form (available for download from All Charities Website) and insert their name and office address at the top of the pledge form (include employee number if known).
  1. Once you have forms for each employee you are to canvass, count them and insert that number in box above (# Employees canvassed).
  1. Canvass your group; face to face is preferable, but if that is not possible and you decide to leave the form on the employee’s desk, be sure to attach a note indicating that you are their canvasser, how they can contact you, when/where they should dropoff their form or when you will return to pick it up.
  1. You can start to fill in your canvasser report as soon as you begin to receive completed pledge forms. Once all pledge forms have been retrieved, you can finalize your canvasser report.
  2. List donors only.
  3. Non-donor forms are kept and returned with your completed report.
  4. If donor has made a payroll pledge online, just note “ONLINE” by their name.
  5. If pledge is in an envelope, do not open, just note “ENVELOPE” by name and attach the envelope to your canvasser report with the other pledge forms. The report will be adjusted by the campaign office staff when online/envelope pledges noted.

Canvasser Report All Charities Campaign

430 – 405 Broadway Winnipeg MB R3C 3L6

  1. Keep pledge forms in same order as listed on the report; any cash/cheque donations must be attached to the appropriate pledge form.
  1. Once report complete, count the forms/envelopes from donors, ensuring that number matches the number of names you have listed on your report and insert the number in box above (# Employees donating). Calculate the participation by dividing the # Employees donating by # Employees canvassed.
  1. Recognition of employee participation is available in a number of ways. Please complete the Participation Awards section below and check the award you wish to receive.

Plaque/Sticker: Must achieve at least 60% participation.Plaque required Sticker only

NOTE:If plaque requested, the Department name and Branch name noted above will be displayed. If you want different information displayed, please write information below.

Certificate of Participation: Less than 60% participation

No award required

  1. Once all steps have been completed, please sign and date the report. Make a copy of both the instruction sheet and the report for your records (do not make copies of the pledge forms).

**Submit completed report along with all pledge forms (non-donors as well), cash and cheques to address above. Deliver in person, by courier or interdepartmental mail (signature service if available). Mark“CONFIDENTIAL.” **

Canvasser Report(up to 20 donors)

Note: Pledges to specific charities are recorded as Allocated; pledges not directed to a charity are recorded as Unallocated.

Donor’s Name / City/Town / Cash / Cheques
Allocated Unallocated / Payroll
Allocated Unallocated
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Sub-Totals
Combined Totals / Total Cash $ / Total Payroll $
Grand Total / Cash and Payroll $

Certified Correct: ______Date: ______

Canvasser’s Signature

Canvasser Report(up to 47 donors) Page 1

Note: Pledges to specific charities are recorded as Allocated; pledges not directed to a charity are recorded as Unallocated.

Donor’s Name / City/Town / Cash / Cheques
Allocated Unallocated / Payroll
Allocated Unallocated
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27

Canvasser Report(up to 47 donors; continued) Page 2

Note: Pledges to specific charities are recorded as Allocated; pledges not directed to a charity are recorded as Unallocated.

Donor’s Name / City/Town / Cash / Cheques
Allocated Unallocated / Payroll
Allocated Unallocated
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
Sub-Totals
Combined Totals / Total Cash $ / Total Payroll $
Grand Total / Cash and Payroll $

Certified Correct: ______Date: ______

Canvasser’s Signature

Canvasser Report(up to 74 donors) Page 1

Note: Pledges to specific charities are recorded as Allocated; pledges not directed to a charity are recorded as Unallocated.

Donor’s Name / City/Town / Cash / Cheques
Allocated Unallocated / Payroll
Allocated Unallocated
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27

Canvasser Report(up to 74 donors; continued) Page 2

Note: Pledges to specific charities are recorded as Allocated; pledges not directed to a charity are recorded as Unallocated.

Donor’s Name / City/Town / Cash / Cheques
Allocated Unallocated / Payroll
Allocated Unallocated
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54

Canvasser Report(up to 74 donors; continued) Page 3

Note: Pledges to specific charities are recorded as Allocated; pledges not directed to a charity are recorded as Unallocated.

Donor’s Name / City/Town / Cash / Cheques
Allocated Unallocated / Payroll
Allocated Unallocated
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
Sub-Totals
Combined Totals / Total Cash $ / Total Payroll $
Grand Total / Cash and Payroll $

Certified Correct: ______Date: ______

Canvasser’s Signature