Zonta Club Quarterly Report

Period: Year:

Zonta Club of: Completed By:

Inducted Members This Period:

Name: / Induction Date / Classification / Age / How did they learn about Zonta?*
20-2930-3940-4950-5960+
20-2930-3940-4950-5960+
20-2930-3940-4950-5960+
20-2930-3940-4950-5960+

*Learn about Zonta – friends, media (specify if possible), websites, etc.

Member Resignations This Period:

Name: / Resign Date / Classification / Age / Why did they resign from Zonta?*
20-2930-3940-4950-5960+
20-2930-3940-4950-5960+
20-2930-3940-4950-5960+
20-2930-3940-4950-5960+

*Why resign? – moved, family, work, health, needs not being met, etc.

Total Paid Members: / Number:
Members at end of last period
Plus: Number of inducted members
Less: Number resigned members
Total Paid (ZI Dues) Members:
Membership Target: / Number:
Target for quarter/period:
Target for Zonta Year

Other comments about membership:

Please indicate all activities undertaken to advance the status of women and/or enhance member value:

Legislative Awareness or Advocacy (1) International Programs/Projects (2) Awards (3) Fellowship (4)

Leadership Training (5) Local Service (6) UN (7) Other (8)

If “Other” please describe:

On the following tables please list the information relating to each activity:

Name of Activity: / Corresponding
Number
How many service hours performed? / 12345678
What type of service? / 12345678
Advocacy Actions (number of) / 12345678
Leadership Training Hours / 12345678
Fellowship Hours / 12345678
Fundraising Hours / 12345678
Net Funds Raised – US$ / 12345678
Funds Allocated to: / 12345678 / Local ServiceProjects / AwardsZIF International ServiceZISVAWGeneral Fund For Future Allocation
Number of individuals affected by activity / 12345678
Type of media coverage / 12345678
Would you do this activity again? / 12345678 / YesNo

Additional Comments:

Name of Activity: / Corresponding
Number
How many service hours performed? / 12345678
What type of service? / 12345678 / Womens HealthWomens EducationWomens Economic StatusPreventing Violence Against WomenWomens Self EsteemOtherNot A Service Project
Advocacy Activities (number of) / 12345678
Leadership Training Hours / 12345678
Fellowship Hours / 12345678
Fundraising Hours / 12345678
Net Funds Raised – US$ / 12345678
Funds Allocated to: / 12345678 / Local ServiceProjects / AwardsZIF International ServiceZISVAWGeneral Fund For Future Allocation
Number of individuals affected by activity / 12345678
Type of media coverage / 12345678
Would you do this activity again? / 12345678 / YesNo

Additional Comments:

Name of Activity: / Corresponding
Number
How many service hours performed? / 12345678
What type of service? / 12345678 / Womens HealthWomens EducationWomens Economic StatusPreventing Violence Against WomenWomens Self EsteemOtherNot A Service Project
Advocacy Activities (number of) / 12345678
Leadership Training Hours / 12345678
Fellowship Hours / 12345678
Fundraising Hours / 12345678
Net Funds Raised – US$ / 12345678
Funds Allocated to: / 12345678 / Local ServiceProjects / AwardsZIF International ServiceZISVAWGeneral Fund For Future Allocation
Number of individuals affected by activity / 12345678
Type of media coverage / 12345678
Would you do this activity again? / 12345678 / YesNo

Additional Comments:

Name of Activity: / Corresponding
Number
How many service hours performed? / 12345678
What type of service? / 12345678 / Womens HealthWomens EducationWomens Economic StatusPreventing Violence Against WomenWomens Self EsteemOtherNot A Service Project
Advocacy Activities (number of) / 12345678
Leadership Training Hours / 12345678
Fellowship Hours / 12345678
Fundraising Hours / 12345678
Net Funds Raised – US$ / 12345678
Funds Allocated to: / 12345678 / Local ServiceProjects / AwardsZIF International ServiceZISVAWGeneral Fund For Future Allocation
Number of individuals affected by activity / 12345678
Type of media coverage / 12345678
Would you do this activity again? / 12345678 / YesNo

Additional Comments:

Other pertinent information about this period you wish to share:

1