Forms...
Personnel
Indiana State Executive Secretary (2020-2024)
The Nominating/ Personnel Committee is looking for applicants to fill the position of Executive Secretary. We need someone who can type, help plan events, gather and organize information for the state. Carol Herzog will train you! Everyone will support and love you! You even get paid $4,000 for this job! Come one, come all! Apply for this wonderful opportunity! The Application is enclosed. The deadline is March 31. Apply today! The position will begin July 1, 2020. Committee members are Sheila Baker, Barb Shirden, Barb Buroker, Marjorie Miller, and Sue Weber
Download application: .pdf or interactive .pdf
State Conference/Convention
Vendor and Exhibitor Application form for State Conference and Convention (Word)
Poster Application Form (April 2020 Conference) (Interactive .pdf) (deadline Feb. 1, 2020)
Presenter Application Form (April 2020 Conference) (Interactive .pdf) (deadline Oct. 31, 2019)
Conference Registration Form (.pdf)(interactive .pdf) (April 2020 Conference)
Press Release - 2019 State Convention (Word)
Press Release - 2019 State Convention (.pdf)
Women of Distinction Award - 2019 (to be awarded at 2020 conference)
Other Events
Janet O'Neal Seminar for Personal Growth
Janet O'Neal Seminar for Personal Growth
CCOT - June, 2020
Janet O'Neal Seminar for Personal Growth
Janet O'Neal Seminar for Personal Growth
CCOT - June, 2020
Annual/Biannual Reporting - Chapters
Form 110: Form for Reporting 2018-2020 Chapter Officers - due 5.15.2018
Chapter Committee Chairmen Report (PDF) (due 2018)
Chapter Committee Chairmen Report (.docx)
SAP Chapter Assessment Form -- (undated)
SAP Areas of Focus Form -- (undated)
Explanation of Newsletter Evaluation Sheet (for 5 star award)(2019)
Newsletter Evaluation Sheet (2019)
Form 110: Form for Reporting 2018-2020 Chapter Officers - due 5.15.2018
Chapter Committee Chairmen Report (PDF) (due 2018)
Chapter Committee Chairmen Report (.docx)
SAP Chapter Assessment Form -- (undated)
SAP Areas of Focus Form -- (undated)
Explanation of Newsletter Evaluation Sheet (for 5 star award)(2019)
Newsletter Evaluation Sheet (2019)
Annual/Biannual Reporting - State Officers, Committee Chairmen
Inventory - (.docx)
Inventory - (interactive .pdf)
Biennual Report - (.docx)
Biennual Report - .pdf
Goal-setting planner (interactive pdf)
Blank voucher
Membership (available at www.dkg.org) (Please go to the website to ensure you are using the most current forms.)
Recruitment/Membership Plan (look under "forms", then "membership")
Form 6 (Death of Member Report) (undated - OK to enable macros)(look under "forms", then "membership")
Form 2 (Necrology Report) - due each February 1 (Look under "Forms", then "Reports")
Chapter Biographical Data Information (look under "forms", then "membership")
Change of Address (look under "forms", then "membership")
Request to Transfer (look under "forms", then "membership")
Reinstated Member Form (look under "forms", then "membership")
The form for recommending a prospect for membership (formerly Form 11) is now the Chapter Member Application. It is part of the new recruitment plan and is found in "Tools" under "Recruitment Plan."
Recruitment/Membership Plan (look under "forms", then "membership")
Form 6 (Death of Member Report) (undated - OK to enable macros)(look under "forms", then "membership")
Form 2 (Necrology Report) - due each February 1 (Look under "Forms", then "Reports")
Chapter Biographical Data Information (look under "forms", then "membership")
Change of Address (look under "forms", then "membership")
Request to Transfer (look under "forms", then "membership")
Reinstated Member Form (look under "forms", then "membership")
The form for recommending a prospect for membership (formerly Form 11) is now the Chapter Member Application. It is part of the new recruitment plan and is found in "Tools" under "Recruitment Plan."
Professional Growth
Chapter Professional Growth Points Certificate Form (Word) (PDF) (updated 2017)
State Professional Growth Points Certificate Form (Word) (PDF) (updated 2017)
Chapter Professional Growth Points Certificate Form (Word) (PDF) (updated 2017)
State Professional Growth Points Certificate Form (Word) (PDF) (updated 2017)
For State Officers/Committee Chairmen
Goal Setting Planner (Word)
Liaison Report Form (Word)
Liaison Report Form (pdf)
State Officer Application and Endorsement Forms
State Committee Recommendation Form
Registration - Sept. 14, 2019 Executive Board Meeting (due Aug. 30, 2019)
(pdf) (Interactive pdf)
Goal Setting Planner (Word)
Liaison Report Form (Word)
Liaison Report Form (pdf)
State Officer Application and Endorsement Forms
State Committee Recommendation Form
Registration - Sept. 14, 2019 Executive Board Meeting (due Aug. 30, 2019)
(pdf) (Interactive pdf)
Applications
Emergency Fund Request Form
Golden Key Application (.docx) (for 2018-2020 biennium) Revised 10.3.19
Golden Key Application (.pdf) (for 2018-2020 biennium)Revised 10.3.19
Golden Key Application (interactive .pdf) (for 2018-2020 biennium Revised 10.3.19
Golden Key Requirements (docx) (for 2018-2020 biennium)
Golden Key Requirements (.pdf) (for 2018-2020 biennium)
Mini-Grant Application for 2019-2021 biennium (.pdf) (interactive .pdf)
Scholarship Application for 2019-2021 biennium (.pdf) (interactive .pdf)
Travel Grant Application for 2019-2021 biennium (.pdf) (interactive .pdf)
Emergency Fund Request Form
Golden Key Application (.docx) (for 2018-2020 biennium) Revised 10.3.19
Golden Key Application (.pdf) (for 2018-2020 biennium)Revised 10.3.19
Golden Key Application (interactive .pdf) (for 2018-2020 biennium Revised 10.3.19
Golden Key Requirements (docx) (for 2018-2020 biennium)
Golden Key Requirements (.pdf) (for 2018-2020 biennium)
Mini-Grant Application for 2019-2021 biennium (.pdf) (interactive .pdf)
Scholarship Application for 2019-2021 biennium (.pdf) (interactive .pdf)
Travel Grant Application for 2019-2021 biennium (.pdf) (interactive .pdf)
Last Update: January 2, 2020
Webmaster: Marti Daily, indianadkg@gmail.com
Webmaster: Marti Daily, indianadkg@gmail.com
