# FY2005 Junior Duck Stamp State Coordinator Annual Report Submission Form

Please fill out this form in its entirety. Consult the instructions and
explanations for questions available in the Word document
FY2005AnnualReportInstructions. Submit your report to your regional
coordinator **no later than February 10, 2005.**

**Name**      

**State**      

**State Coordinator Position**

Will you serve as the State Coordinator from March 2006 until March
2007?\
Yes, I will serve as the Junior Duck Stamp Coordinator for the next year
for my State

No, I will not serve as the Junior Duck Stamp Coordinator next year for
my State. (Please answer Question 2)

**1. Please confirm your contact information below:**

**Email Address      \
Fax Number      \
Telephone Number      \
**

**1b. Please type your contact information as it should appear in the
2007 Contest Brochure.**

**     **

**2. What is your reason for leaving the Junior Duck Stamp Program?**

     

> 2a. Will your refuge or place of work continue to support and host the
> Junior Duck Stamp Program? (If no, please answer question 2b.)

     

> **2b.** **If not, do you have any suggestions of other offices in your
> State that might assume the responsibility?**

     

**3. Is this your first year as the state coordinator?**

**Yes, it is. I will answer questions 4 and 5.**

**No, I will skip to question 6.**

**4. What was the most helpful component of your transition into the
Junior Duck Stamp Coordinator Position?** (e.g. meeting with the former
coordinator, notebook, conference call)      

**5. Name three things that might have improved the transition
process.**

a\.      

b\.      

c\.      

# 6. Funding

Total funding received in FY05 from the WO      

Total funding received from outside entities      

Total funding received from your office      

**Total funds received in support of JDS**      

Total funds spent in FY05      

**\
\*Did you know: the Washington Office is working to standardize the
funding cycle and will soon release a guidance explaining Junior Duck
Stamp funding and reports you will be able to utilize?**

**7. Please name three items that would significantly improve your
program and the total cost of each item.**

**a.      **

**b.      **

**c.      **

**8. Brochure Preparation**

Each year we work to publish the Junior Duck Stamp Contest brochure on
time and we appreciate your efforts to meet our deadlines. Your
assistance providing images, photo credits, and captions is greatly
appreciated. On a CD or in an email attachment, please submit the
following items:

A scanned Junior Duck Stamp entry from each grade group (four images
total) in your State Contest. Please make sure the scans are high
resolution and at least 300dpi. Include the student's name, age, grade,
and school.

One to four images from Junior Duck Stamp events you have held
throughout the year. (Please include a short caption and the person to
whom photo credits should be attributed).

Memorable quotes from you or a Junior Duck Stamp Program participant
whom you believe would be appropriate for inclusion in the Contest
brochure.

**9. Corporate Sponsorship**

Please list major corporate sponsors who support your State's program.
This list will be combined at the regional level and submitted to the
Washington Office. A complete list of the JDS corporate sponsors to be
released by March 2006.

1\.      

2\.      

3\.      

4\.      

5\.      

# 10. Volunteers

1.  Do you have non-FWS volunteers who contribute to the Junior Duck
    Stamp Program?

>      
>
> 1a. If yes, how many?
>
>      

**11. Are you familiar with the Junior Duck Stamp Coordinators List
Serve?**

Yes, I am familiar with the list serve and how to utilize it.

Yes, but I do not know how to send messages to the list serve.

No, I currently do not receive list serve messages. Please add this
email address       to the list serve.

**12. Are you familiar with the Junior Duck Stamp Coordinators Website?\
** Yes, I visit the coordinators page to review pertinent program
information.**\
** No, I have not viewed the coordinators page before.

**13. Do you have a copy of the Junior Duck Stamp Coordinator's
Handbook?**

Yes, from this year     .

No, I do not have a coordinator's handbook.

**14. Comments or Recommendations for future reports:**

Please provide your comments and/or recommendations for the design of
future reports.