Month and Year of Report
Club for which report is being submitted?
Young Ladies Ministries
Has there been a change of Mentor/Leader since the last report?
Has the Mentor/Leader's address changed since the last report?
Mentor/Leader Zip Code
Church File Number
Number of Prayer Mothers
Number Working on Curriculum
Number Working on Merit Studies
Number of INSIGHT Webizine Subscriptions
Number of Socials or Service Projects
List and Describe your social activities and service projects for this month
Complete giving amounts below (only list monies that you are ready to mail). Check should be forwarded to the State Office, Girls Ministries Coordinator, with the month of report earmarked on check.
Girls on a Mission (GOAM)
Translation of Literature
COG Childrens Home of NC
Total Amount Given