MAKE A DIFFERENCE DAY REPORT FOR CREDIT PROFESSIONALS INTERNATIONAL
                                               Please send by November 3, 2007


This report is for:    [  ]  an individual project        [  ] an association project

For Make A Difference Day, we:
[   ] created a new project for Saturday, Oct. 27.
[   ] gave an existing effort an extra emphasis on Saturday, Oct. 27.
[   ] carried out our project on Sunday, Oct. 28, for religious reasons.

Your name __________________________________________________________________

Your association (if applicable)___________________________________________________

Mailing address_______________________________________________________________

City/State/ZIP_________________________________________________________________

Daytime phone ____________________ Evening phone ______________________________

E-mail address ______________________________________________________________

Name of local newspaper carrying USA WEEKEND Magazine___________________________

Location where your Make A Difference Day project occurred___________________________

On Make A Difference Day, Saturday, Oct. 27, this is what we did:  ______________________

____________________________________________________________________________

We decided to do this project because_____________________________________________

____________________________________________________________________________


What we did will have long-term impact because_____________________________________

____________________________________________________________________________

You may elaborate on the above summaries, and add information about related activities that occurred before
or after your Oct. 27 event, on a separate sheet of paper. Please consider including photos and other materials
that will help USA Weekend understand your project and its impact. (Sorry, extra materials can’t be returned.)

How many people:  volunteered? ___________________     were helped? ___________________
(Use numerals. Estimate if necessary.)

Check here if:
[ ] you worked with a local Volunteer Center on this project.
[ ] your work was covered by media (TV, radio, newspaper). Please describe coverage and consider including
news clippings or tapes with your entry_____________________________________________

____________________________________________________________________________________

Mail this form by November 3 to: Carol Neal, 3120 Serenade Court, Alpharetta, GA 30004,
or send information by email to
NCDNeal@aol.com.  

Thank you for helping us Make A Difference!


                                                      
back to Make A Difference Day Rules