BOARD Member In-kind Contribution Form

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Wyoming Humanities Council

1315 East Lewis Street

Laramie, WY 82072-3459

(307) 721-9243

(307) 742-4914 (fax)

BOARD MEMBER IN-KIND CONTRIBUTION FORM

Like our grantees, the WHC is required to match every federal dollar with in-kind or cash contributions.

As council board members, your time and non-reimbursed expenditures are a valuable part of this match. Use this form to record the donation of your time. Use the Board Member Expense Form to record the donation of any expenses you incur that you wish to donate to the council.

Name: ______________________________________

Reported quarter:

_____ Winter (January) _____ Spring (April) _____ Summer (July)

I have donated the following to the Wyoming Humanities Council:

_____ Fall (October)

Record

hours

for each activity

(NOTE: be sure to include travel time to/from any meeting/event)

HOURS TASK

_____ Attendance at board/committee meetings

_____ Attending/evaluating council-sponsored events

_____ Preparation time for participation in council-sponsored events/board meetings

_____ Reading and evaluating grant proposals

_____ Doing committee work (phone calls, email responses, etc.)

_____

_____

_____

_____

_____

_____

Introducing WHC to potential grant applicants

Networking with potential sponsors/partners/grantees/others on behalf of the council

Building relationships with collaborating/collegial organizations

Informing elected representatives about the WHC and its programs

Annual campaign work – signing letters, choosing names for solicitation, researching

Other _____________________________________________

_____ Total Hours

__________________________________________________

Signature

___________________

Date

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