This information is for club leaders and persons wishing to form a club with the R&W Association.

 

Dear Activities Leader,

First, thank you again for giving of your time and leadership to allow employees of the NIH-NOAA to participate in their recreational and support activities. To assist the clubs in their day-to-day activities, the R&W provides an opportunity for your activities to receive funding.

Below you will find the form that must be filled out to obtain funding and sponsorship. This form is for our 1998-1999 fiscal year. Our fiscal year will begin on July 1, 1998, and ends on June 30, 1999.

The allocation of your funds will be made by a Activities-Budget committee, chaired by the R&W Treasurer, Ron Hunt. They will be meeting after we have received your budget to finalize your budget recommendations.

We need your completed forms returned to the R&W office by 8 May, 1998. If you have any additional comments, you would like to make, or if you need assistance, please call either Randy Schools, Karen Ciaschi, or Miledi Tonnello at 6-6061 or 301-496-6061.

 

Sincerely,

Randy Schools - President
NIH, R&W Association

 

Ron Hunt - Treasurer
NIH, R&W Association

 

 

 

 

Recreation & Welfare Association
National Institutes of Health & the National Oceanic & Atmospheric Administration
Activity Sponsorship & Budget
1998-1999
Please type or print all information. Use additional sheets if necessary.


1. Name of Activity: ____________________________________________________

2. How Often Does your Activity Meet? _____________________________________

3. List Current Officers (Chairperson on first line):

Name Title Bldg./Rm. Phone #
__________________________ ___________________ _________ _________
__________________________ ___________________ _________ _________
__________________________ ___________________ _________ _________
__________________________ ___________________ _________ _________

4. All Property on Hand with R&W Funds:

Description of Item Year Purchased Cost at Time of Purchase
________________________________________ _________ $_______________
________________________________________ _________ $_______________
________________________________________ _________ $_______________
________________________________________ _________ $_______________

5. Other Activity Property on Hand:

Description of Item Year Purchased Cost at Time of Purchase
________________________________________ _________ $_______________
________________________________________ _________ $_______________
________________________________________ _________ $_______________
________________________________________ _________ $_______________

6. Use of Funds Last Year: July 1997 - June 1998

Description of Item R&W Funds Activity Funds
________________________________________ $__________ $_____________
________________________________________ $__________ $_____________
________________________________________ $__________ $_____________
________________________________________ $__________ $_____________

Total Expenses:

 $__________ $_____________


Name 1998 Card# Name 1998 Card#
_______________________ _________ _______________________ _________
_______________________ _________ _______________________ _________
_______________________ _________ _______________________ _________
_______________________ _________ _______________________ _________
_______________________ _________ _______________________ _________
_______________________ _________ _______________________ _________
_______________________ _________ _______________________ _________
_______________________ _________ _______________________ _________
_______________________ _________ _______________________ _________
_______________________ _________ _______________________ _________
_______________________ _________ _______________________ _________
Total Activity Membership: _________

8. Projected Expenses for: July 1, 1998 - June 30 1999

Description of Expenses Estimated Cost Do not write in this space - For R&W Budget Committee
________________________________________ _________ $_______________
________________________________________ _________ $_______________
________________________________________ _________ $_______________
________________________________________ _________ $_______________
________________________________________ _________ $_______________
________________________________________ _________ $_______________
________________________________________ _________ $_______________
________________________________________ _________ $_______________
________________________________________ _________ $_______________

Total Expenses:

 $________ $_______________


9. General Information: (7/97-6/98) (7/98-6/99)

a. Total Number of Members:

 _________ _________

b. Dues Paid Per Member:

 $________ $________

c. Total Dues Received From All Members:

 $________ $________

d. Total Money on Hand (included savings and checking accounts - required by IRS)

 $________ $________

e. Total Cost of Activity:

 $________
  (Actual)		 $________
(Projected)

f. Total Funds From R&W:

 $________
  (Actual)		 $________
(Requested)

10. Contact Person for Activity:

Name____________________  Title______________ Bldg. Rm._______ Phone#________

11. I request the NIH Recreation & Welfare Association (R&W) to grant sponsorship for an R&W Activity. Our Activity agrees to observe the R&W Activity Guidelines as a condition of our sponsorship. I certify the information herein is accurate to the best of my knowledge. (Will not be accepted without appropriate signature.)

Chairperson______________________________  Date_____________

Treasurer________________________________  Date_____________

Note: Contact person for the R&W Budget Activities Committee is: Ron Hunt, NIH, Building 10/14SD218, telephone number 301-496-5157. This form is to be submitted to R&W Office (Bldg. 31/B1W30) by:

Do Not Fill In Below This Line

FOR R&W ACTIVITY BUDGET COMMITTEE:

Date Received: ___________ Date Reviewed:____________ Amount Approved___________

Comments: