EmailMe Form - USWT Outstanding Achievement in Programming

USWT Outstanding Achievement in Programming

Any member of the United States Women of Today may certify. Indicate completion date and/or describe activity. the USWT Programming Vice President will view your certification submitted online. This form is due by September 1 for recognition at Mid-Year Convention, or by May 1 for recognition at Annual Convention.

Responses to the online form will be viewed by the national programming vice president. Fill in as much information as you know. Upon completion of the form, click Submit; you will receive a confirmation screen if your form has been successfully submitted. (rev 2017)

Your Email *
Date *
MM / DD / YYYY
State *
Other State
If you are a member of a state organization not listed, please enter your state.
Chapter *
Submitter Name *
First Last
Phone *
### - ### - ####
Address

Street Address City State / Province / Region Postal / Zip Code
Certify in Wellness & Personal Development *
MM / DD / YYYY
Enter the date completed.
Chair or co-chair a project at your local or state level. *
MM / DD / YYYY
Enter the date completed
Name of Local or State Event *
Participate in a program involving Domestic Violence Awareness *
MM / DD / YYYY
Enter the date completed
Type of DVA Project *
Name of DVA Event *
Participate in a program offered in your chapter or state (i.e. Ronald McDonald House, Flood for Crisis, March of Dimes, Relay for Life, Food Shelf, etc.) *
MM / DD / YYYY
Enter the date completed
Type of Chapter/State Project *
Name of Chapter/State Event *
Participate in one competition on the State or National Level. This includes Speaking, Writing or a Mid or Year-end Evaluation. *
MM / DD / YYYY
Enter the date completed.