Western Catholic Union, WCU :: A Fraternal Life Insurance Group

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William H. Lakebrink Award Application

Date		Submitted By
		Br. Office Title
Branch Name / #		Phone:
Email
Total Treasury Amount		# of matching gift projects
Savings
Checking		Total Amount Raised
Other
# of Activities held		# of new members last year
# of Meetings held		Names
Last pin Celebration?
Percentage of members who attend:
General Meetings
Christmas Party
Pin Celebration
Fund Raiser		Events which attracted public
Fund Raiser
Other
Does Branch do youth projects? Yes No
List youth projects held last year
1.
2.
3.
4.
5.
Total # of youth who participated

Narrative: In your own words describe why your branch is deserving of the William H. Lakebrink Award. Be sure to include specific reference to activities, membership participation, community involvement, and youth programs in your area.