| GCKY Award # SAR Award # NGC Award #
NGC Awards Application 2015-2017
Award #: Award Name: Date submitted:
Submitted by: Number of members in club:
[Enter name exactly as it should appear on any award received. If club/district/state/region submitting entry, do not include an individual’s name]
Name of State Garden Club: The Garden Club of Kentucky Number in state garden club: 1400
State Awards Chairman: Donna Smith Phone: 606-269.2940 E-mail: firstname.lastname@example.org
• Application form is limited to three printed pages - front of pages only. (No report cover or binders allowed.
No plastic sheets allowed).
• Application form will not be returned. (Exceptions: publication (books), CD/DVD). Copy entry for your files.
• State Awards Chairman must send entries (mail or electronically) to NGC Awards Chairman to arrive no later than January 15.
Mary Ann Ferguson-Rich ~ 1166 Broadview Road ~ Tallmadge, OH 44278-3310 ~ email@example.com ~ 330-630-9625
Please complete each topic, if applicable. Use numbering as below when completing form.
1. New project: Yes No Beginning date: Completion date:
2. Brief summary and objectives of project:
3. Involvement of club members, other organizations, etc:
4. Project expenses and means of funding:
5. Continuing involvement, follow-up, maintenance:
6. Attach or insert photos, digital photos, and/or landscape plan (does not need to be professionally drawn).