Forms
Events
2021 Convention Registration Form (.pdf)(interactive .pdf)
Women of Distinction Award - 2020 (to be awarded at 2021 conference)
(also available as .pdf and interactive .pdf)
Current Positions Available
Nominating Committee is looking for you!
It is time to select a new Editor and Webmaster. Marti Daily has done an outstanding job serving as both State Webmaster and Editor of the Newsette. She has accomplished her roles valiantly through COVID and through the everchanging technology. Her contracts are up on June 30, so we need applicants to fill these important positions.
Application: (docx) (pdf)
Responsibilities of The Hoosier Newsette Editor:
Term of the contract is 4 years.
Perks of Being The Hoosier Newsette Editor:
An honorarium in the amount of seven hundred dollars ($700.00) per issue,
Responsibilities of State Webmaster:
Term of the contract is 4 years.
Sue Weber, Chairman; Barb Buroker, Marjorie Miller, Barbara Shirden, and Sheila Baker
It is time to select a new Editor and Webmaster. Marti Daily has done an outstanding job serving as both State Webmaster and Editor of the Newsette. She has accomplished her roles valiantly through COVID and through the everchanging technology. Her contracts are up on June 30, so we need applicants to fill these important positions.
Application: (docx) (pdf)
Responsibilities of The Hoosier Newsette Editor:
Term of the contract is 4 years.
- Consider attending Northeast Regional Conference and International Convention and report Executive Board actions in The Hoosier Newsette.
- Prepare the copy, arrange the editing, printing, and distribution of four (4) issues of The Hoosier Newsette per year.
- File necessary forms as required by United States Postal Service and the International Society.
- Keep a file of Do Not Print forms, signed by each person noted or pictured who wishes not to be included in The Hoosier Newsette or on the state website.
- Serve as an ex officio member of the Communications Committee.
Perks of Being The Hoosier Newsette Editor:
An honorarium in the amount of seven hundred dollars ($700.00) per issue,
- Allowable expenses for attendance of State convention/conferences, Executive Board meetings, called meetings by the State President, and approved committee meetings shall be as follows:
- Transportation: mileage shall be paid at the current rate as determined by the State Executive Board.
- Housing: Hotel room shall be reimbursed at one half the rate of a moderately priced double room at a designated hotel.
- Meals: Official convention/conference and state meeting meals shall be reimbursed at one half the cost.
- Allowable expenses for official chapter visitation shall be as follows:
- Transportation: mileage shall be paid at the current rate as determined by the State Executive Board.
- Other: Other expenses must be approved by the State Executive
- A budgeted amount for the Northeast Regional Conference and International Conventions shall be allowed.
- Other expenses for Indiana State Organization must be submitted to and approved by State Executive Committee.
Responsibilities of State Webmaster:
Term of the contract is 4 years.
- Solicit materials for Indiana State Organization web page from the membership, state officers, and the state committee chairmen.
- Report on the webpage appropriate international, state, and chapter activities.
- Prepare, copy, design, and post updates as needed.
- Fulfill requirements as prescribed by the International Society.
- Serve as an ex officio member of the Communications/Publicity Committee.
- An honorarium in the amount of $1200 per year will be paid in quarterly installments.
- Allowable expenses for attendance of State convention/conferences, Executive Board meetings, called meetings by the State President, and approved committee meetings shall be as follows:
- Transportation: mileage shall be paid at the current rate as determined by the State Executive Board.
- Housing: Hotel rooms shall be reimbursed at one half the rate of a moderately priced double room at a designated hotel.
- Meals: Official convention/ conference and state meeting meals shall be reimbursed at one half the cost.
- Allowable expenses for official chapter visitation shall be as follows:
- Transportation: mileage shall be paid at the current rate as determined by the State Executive Board.
- Other: Other expenses must be approved by the State Executive Committee.
Sue Weber, Chairman; Barb Buroker, Marjorie Miller, Barbara Shirden, and Sheila Baker
Annual/Biannual Reporting - Chapters
Form 110: Form for Reporting 2020-2022 Chapter Officers (interactive)
Chapter Committee Chairmen Report (due 2020)
Chapter Committee Chairmen Report (.docx) (due 2020)
SAP Chapter Assessment Form -- (undated)
SAP Areas of Focus Form -- (undated)
Explanation of Newsletter Evaluation Sheet (for 5 star award)(2021)
Newsletter Evaluation Sheet (2021)
Form 110: Form for Reporting 2020-2022 Chapter Officers (interactive)
Chapter Committee Chairmen Report (due 2020)
Chapter Committee Chairmen Report (.docx) (due 2020)
SAP Chapter Assessment Form -- (undated)
SAP Areas of Focus Form -- (undated)
Explanation of Newsletter Evaluation Sheet (for 5 star award)(2021)
Newsletter Evaluation Sheet (2021)
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 forms (available at www.dkg.org)
(Please go to the International 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."
(Please go to the International 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."
Professional Growth Points
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 for 2021=2023, due Nov. 1 2020
State Committee Recommendation Form
Goal Setting Planner (Word)
Liaison Report Form (Word)
Liaison Report Form (pdf)
State Officer Application for 2021=2023, due Nov. 1 2020
State Committee Recommendation Form
Applications
Emergency Fund Request Form
Golden Key Application (.docx) (for 2018-2020 biennium) Revised 9.22.19
Golden Key Application (.pdf) (for 2018-2020 biennium)Revised 9.22.19
Golden Key Application (interactive .pdf) (for 2018-2020 biennium Revised 9.22.19
Golden Key Requirements (docx) (for 2018-2020 biennium) Revised 9.22.19
Golden Key Requirements (.pdf) (for 2018-2020 biennium)Revised 9.22.19
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 9.22.19
Golden Key Application (.pdf) (for 2018-2020 biennium)Revised 9.22.19
Golden Key Application (interactive .pdf) (for 2018-2020 biennium Revised 9.22.19
Golden Key Requirements (docx) (for 2018-2020 biennium) Revised 9.22.19
Golden Key Requirements (.pdf) (for 2018-2020 biennium)Revised 9.22.19
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: March 9, 2021
Webmaster: Marti Daily, indianadkg@gmail.com
Webmaster: Marti Daily, indianadkg@gmail.com
