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Special thanks to our guest blogger Ryan Woroniecki. If you haven't checked out DonorSearch and their amazing services, you must!
Major gifts are very important to a nonprofit's ongoing success and, as such, deserve careful attention and planning.
In this article, we'll take you step-by-step through everything you need to know about major gift fundraising:
- What are major gifts?
- Who can seek major gifts?
- Why are major gifts important?
- How do you plan major gift fundraising?
- When should you seek major gifts?
After reading through this guide, you'll be armed with all the necessary knowledge and tools to get out there and do some serious major gift fundraising!
1. What are major gifts?
Generally speaking, major gifts (1) are among the biggest contributions a nonprofit receives. A single major gift can completely change your organization's fundraising outlook.
Major gifts is that they have no fixed amount or universal definition. After all, what qualifies as major is going to vary drastically between a small, up-and-coming nonprofit and an established, national organization!
So how do you figure out what counts as a major gift for your nonprofit?
The best way is as follows:
- Find records of the ten or so donors who have made the largest contributions to your organization in your nonprofit's CRM software.
- Analyze their gift amounts and put them in order from highest to lowest.
- Remove any gifts that don't fit within the average range, such as a gift that is substantially larger or smaller than the rest of the group.
- Once you have whittled your list of ten to a smaller group of donations that are fairly similar in size, make an educated guess about the major gift minimum you want to set.
- Take the dollar amount you've selected and compare it to the other gifts you have logged in your database.
- Decide if that gift minimum is the right number by considering your current donor pool and seeing how many gifts you've received of equal or greater value.
Obviously, this isn't an exact science. You'll have to fine-tune your strategy over time, but it should be a good starting point to help determine what should count as a major gift for your organization.
Once you figure out what constitutes a major gift for your nonprofit, you can begin putting a plan in place to solicit more.
The bottom line: Major gifts are a huge source of funds for your organization, and figuring out what counts as a major gift is the first step towards generating a comprehensive major gift fundraising plan.
2. Who can seek major gifts?
The short answer is any fundraising organization!
Studies have shown that, on average, over 88% of all funds raised for an organization come from just 12% of donors. That 12% constitutes the donations from your major gift contributors. In other words, major gifts are simply too valuable to let pass by — so any nonprofit or other fundraising institution, like a university, can and should seek major gifts.
Examples of organizations that should pursue major gift fundraising activities include:
- Institutions of higher education
- Greek organizations
- K-12 private and independent schools
- Healthcare organizations
- Arts and culture organizations
- Social service organizations
- Faith-based organizations
- Community foundations
- Advocacy groups
- Environmental groups
It's not uncommon to hear smaller nonprofits without major giving programs say, "We're too small to seek these kinds of gifts. We don't have the capacity to do so at this time."
While it is true that running a top-tier, incredibly advanced major giving program requires a serious commitment of time and resources, it's also true that not every program has to be as developed.
It's even truer that every program has to start somewhere, and you need to learn to walk before you can run.
Essentially, every organization serves to benefit from setting ambitious fundraising goals(2) and beginning the hunt for major gifts.
Even if your program starts off small and doesn't have an immense operating capacity, that's okay. In fact, if you can expand your program over time, its growth will spur your organization's growth and vice versa.
The bottom line: If you are part of a fundraising organization, you can (and should!) start major gift fundraising activities to help advance your organization.
3. Why are major gifts important?
The "why" of major giving should be pretty obvious.
If you want to see your organization grow to new heights, major gifts need to be part of the equation.
As was stated earlier, major gifts are the top tier of gifts your organization will bring in. As such, once your program is up and running, the major gifts you solicit will account for a large percentage of your fundraising total.
In fact, for most mature nonprofits, major gifts will make up 80-90% of your organization's fundraising totals.
When you look at it like that, it's hard to deny the immense value.
The bottom line: Major gifts are a huge source of funds for any nonprofit and as a result must be included in your fundraising plans.
4. How do you plan major gift fundraising?
There are plenty of ways to go about securing major gifts for your organization, and that process should start with appointing a leader to take charge. Most nonprofits hire a major gift officer or fundraising consultant(3), but don't worry if that option is out of your budget.
Primarily, you just need someone to run point. A major giving program takes a team effort, but every good team needs a leader.
So, appoint one!
Once you have a major gift officer to pave your path to better fundraising, your nonprofit is going to want to think through how it plans to handle the four main stages of the major donor experience.
Let's discuss those one at a time:
A. Identification
You can't ask for major gifts if you can't find any major gift donors! That's where you'll need to take advantage of wealth screening and prospect research tools(4).
Through analysis, your team can uncover such pertinent details about your prospects as:
- Past charitable giving
- Other involvement in nonprofit work
- Political giving
- Real estate ownership
- Stock ownership
- Contact information
This background information is going to help you consider the two main questions that determine whether or not someone is a good major giving candidate:
- Does this person have the philanthropic history to indicate that he would be open to making a large contribution to our organization?
- Does this person have the financial capacity to follow through with such a gift?
Once you've found prospects who meet those qualifications, it's time to move on to cultivation!
B. Cultivation
Major donor cultivation is basically a period of time during which your team members spend time building a relationship with your prospect.
Cultivation is going to vary from donor to donor and organization to organization, but the bottom line is that it is an incredibly valuable time.
During cultivation, your organization should be actively working to increase the likelihood that your prospect will say yes to your donation request(5) when you get to the solicitation stage.
Think of the goals of cultivation like two sides of the same coin.
On one side, you're trying to learn as much as you can about your prospect so that you can design the most well-informed solicitation strategy possible.
On the other side, you're hoping to teach the donor as much as you can about your nonprofit and the work their money will help accomplish so that they're more inclined to donate when the time comes.
Aim to strike a balance between the coin's two sides.
C. Solicitation
Solicitation(6) can be nerve-wracking and stressful, but the more prepared you are, the more relaxed your team can be.
Before you go into any solicitation meeting, you'll want to be prepared with a plan that includes an outline of how you want the conversation to go, a specific ask amount, and next steps.
It's also always a good idea to practice your ask first on peers or coworkers. After all, practice makes perfect. Plus, an outside perspective can help you identify any areas of weakness in order to craft the perfect gift request.
D. Stewardship
Once the donor has actually made the donation, the relationship shouldn't stop there!
Follow up with an acknowledgement, then funnel the donor along a path of other engagement opportunities.
Retained major donors are incredibly valuable(7). You put in a lot of time to secure that first gift — make sure that it's the first of many with proper stewardship.
The bottom line: Plan out your major gift fundraising by first appointing someone to take the lead. Then, put a plan in place for how you are going to identify, cultivate, solicit, and steward your major gift donors.
5. When should you seek major gifts?
Whether you decide to include major giving requests in your year-end fundraising goals(8) or whether you choose to seek them in conjunction with other campaigns, the short answer is that you can seek major gifts at any time of the year.
Major giving is not directly connected to one giving season or day — as long as you've put in the right amount of time and resources into identification and solicitation of donors, you're free to make the ask whenever you'd like.
The "when" that we're going to focus on here is more personalized. Although there is no ideal time universally, there is an ideal time for each individual prospect.
Study up on your prospect's giving history and look for patterns to figure out when you should ask them for a gift.
For instance, if a prospect usually gives once a year in November, design your ask strategy around making the appeal in November.
Your nonprofit's CRM software(9) is indispensable here. You've taken the time to collect a ton of donor information — use it to your advantage and let it inform your solicitation approaches!
Those small details might not seem like much on their own, but in the grand scheme of things, they add up. Taking the time to personalize your ask demonstrates that you care about your donors, and as a result makes it much more likely that they will decide to give.
The bottom line: Examine your prospects' giving histories to determine when the best time to ask for major gifts is for each individual. They'll be much more likely to respond favorably!
There you have it! Hopefully you now have a better understanding of the ins and outs of major gift fundraising. Now get out there and start securing those major gifts!
Ryan Woroniecki is the Vice President of Strategic Partnerships at DonorSearch, a prospect research, screening, and analytics company that focuses on proven philanthropy. He has worked with hundreds of nonprofits and is a member of APRA-MD. When he isn't working, he is an avid kickball player.
(1) http://www.donorsearch.net/major-gifts-guide/
(2) http://www.ravelainsights.com/2017/01/12/fundraising-goals/
(3) http://www.donorsearch.net/top-fundraising-consultants/
(4) http://www.donorsearch.net/wealth-screening-definitive-guide/
(5) https://blog.fundly.com/how-to-ask-for-donations/
(6) https://articles.salsalabs.com/major-gift-solicitation/
(7) http://www.ravelainsights.com/2014/09/15/analyzing-major-gift-program-pivot-table-tutorial-part-2/
(8) http://www.ravelainsights.com/2016/08/31/year-end-fundraising/
(9) https://www.neoncrm.com/nonprofit-crm-software/


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The continuing damage to businesses and farmers from the trade stand off between China and the U.S. is a sign that Congress needs to reinsert itself into the trade policy-making process again, argues Clark Packard, a trade policy counsel at the R Street Institute, a center-right think tank. He warns that boosting tariffs on Chinese imports "has the potential to spiral out of control.'' And CQ Roll Call's Ellyn Ferguson explains where legislation currently pending in Congress stands.
Show Notes:
- Trump says China would best Buttigieg even as his own trade talks slow
- Chill in China trade talks is all Biden's fault, Trump says
- Trump would veto tariffs-limiting legislation, Kudlow says
Get breaking news alerts and more from Roll Call on your iPhone or your Android.

subset: commoncrawl


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June 11, 2015
London's Troxy
The Kerrang! Awards are one of Britain's most recognized awards show in the United Kingdom. These awards were founded in 1993 to award the music achievement by the music magazine, Kerrang! And the show is telecasted on Kerrang! TV. To bestow praise and reward on music Kerrang! Awards are awarded every year.
The sponsors of the event for various award categories include many well known international companies like Island Records, Orange Music Electronic Company and Marshall Amplification.
Venue of the event:
The 20th annual awards will take place in Troxy in East London venue on Thursday 13 June. The event features performances by prominent artists and the show will be hosted by the blink-182 legend Mark Hoppus and Anthrax guitarist Scott Ian. The both hosts are excited to debut their hosting skills at this year's event.
Each category has five nominees and different expectations of the award winners. As the voting has closed on May 3rd let us wait till the event and see who wins the different categories of the award.
Best Event: Fall Out Boy – Save Rock and Roll Tour
Best British Newcomer: Neck Deep
Best International Newcomer: 5 Seconds of Summer
Kerrang! Inspiration: The Dillinger Escape Plan
Kerrang! Icon: Ramones
Best Single: You Me at Six – "Fresh Start Fever"
Best Video: Deaf Havana – "Boston Square"
Best Live Band: Bring Me the Horizon
Relentless Award: Watain
Kerrang! Service to Rock: Status Quo
Best Album: Architects – Lost Forever // Lost Together
Best International Band: Fall Out Boy
Best British Band: You Me at Six
Kerrang! Hall of Fame: Deep Purple
Kerrang! Hero: Gerard Way
Best TV Show: Game of Thrones
Best Video Game: The Last of Us
Best Film: The Lego Movie
Best Comedian: Jarrod Alonge
Tweeter of the Year: Gerard Way
Hottest Female: Taylor Momsen, The Pretty Reckless
Hottest Male: Andy Biersack, Black Veil Brides
Best Festival: Slam Dunk


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The definition of "adverse event" for both nonprescription drugs and dietary supplements is "any health-related event associated with the use of a [nonprescription or dietary supplement] that is adverse" (see source). This could include any unfavorable and unintended sign including an abnormal laboratory finding, symptom or disease, and, more seriously, death.
The chart below shows AER data from the FDA for the period 1998 through 2008, as updated on April 6, 2009.
"These data," says FDA, "describe information about the reporter – the person who submitted the report to FDA, or the person who submitted the report to the manufacturer (who then sent the report to FDA). Physicians and pharmacists are the healthcare providers (HCP) who submit reports to FDA most frequently. Other Healthcare Providers include nurses, dentists and others. Consumer refers to any reporter who is not documented in the report as a healthcare provider. This figure includes only data where reporter information is known, and some adverse event reports may contain more than one reporter."
Why did the number of AERs increase so dramatically in 2008?
"Other Healthcare Professionals" may be partly responsible for the increase. AERs submitted by this group increased by 47% in 2008 v. 2007 (data not shown but available here). This compares to a 27% to 33% increase in AERs received from other reporters.
The FDA's use of technology to reach out to the public (see "FDA's Use of Social Media"; PMN Reprint#83-03) may also have made it easier to submit adverse event reports.
Whatever the cause, the drug industry is concerned and often cites AERs as a major reason why it has not engaged in social media as aggressively as it could.
But adverse event reporting requirements are just the tip of the iceberg that is the barrier to pharmaceutical use of social media for healthcare marketing and communications. For more on that and some ideas for overcoming this barrier, listen to this ePharma Pioneer Club roundtable discussion (podcast).


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Argos in UK is a very well known name. The brand has its stores all over the country where it retails its products across various categories.
Argos also has its own online store where all of its products are sold for added convenience.
Argos products are available through a wide range of categories like home and furniture, kitchen and laundry, sports and leisure and plenty of other categories.
Argos products are very widely sought after by homeowners in the UK and the best thing about these products is that there are plenty of great payment options available to purchasers.
Payment options available
A great way to shop Argos product is through Argos on credit. There are a few good payment options available for purchasers of the products as given below:
Interest free plan
The interest free plan for Argos on credit is where you would not have to pay any interest through the entire term of the plan. The monthly amount payable is calculated by dividing the credit amount by the term of the plan. There are no annual fees payable on the card but late payment fee would be applicable.
Buy now and pay later
Another plan for Argos on credit is buy now and pay later but a typical APR of 27.9% would be applicable on it. However, there are specified periods during which purchasers can opt out of the interest. There are no annual charges applicable on the card for this payment option.
Normal plan
In the normal plan too an APR of 27.9% is applicable. Interest free period is of 59 days during which, if the balance is paid off in full then no interest charges would be applicable. The minimum payment every month is 4% of the outstanding balance. No annual charges are applicable but late payment charges would be applicable on payments which are made after the due date.
Other than this, those who have an Argos card would also be eligible for several special offers and schemes which are launched by the company often.
The application process for the card is quite simple and can also be done online through the company's website. Those who are interested in availing the card will simply have to fill up a form with their basic information and submit it. The application would then be reviewed and upon acceptance, the card would be dispatched.
However, like all cards, it is necessary that you understand each plan perfectly and ensure that it would be able to meet your requirements. The no interest charge plan is the best for those who want to avoid any interest charges on their purchases.
Depending on your personal requirements, Argos on credit can be used to manage your shopping and pay for the amount later on through monthly installments or as a lump sum amount if you are expecting funds later.


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Intense Regenerating Balm with Rare Prickly Pear Oil
Christophe Robin
This variant is currently sold out
Multipurpose concentrated hair and body care. Hydration, nourishment, protection, repair, soothing and styling.
This universal product, with rare prickly pear seed oil and a powdery fragrance, is a great alternative to silicone-based oils and serums. Ideal as a daily nourishing, repairing and protective treatment for body & hair. Take it with you wherever you go.
Conservatives, paraben, silicone, colorant free.


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Engineering is the use of experimental principles to create and develop machines, construc
Engineers don't sit back and watch – they make things happen. Using innovation, creativity
There is an enormous amount of ways that eyes can become impaired and consequently be in n
Blackjack is one of the most popular casino games. With a rich heritage dating back to 170
In the current focused job Scenario, picking a promising degree program is fundamental to
Television is a source of entertainment for both young and old. It is a means of communica
Upinder Zutshi of Infinite, Mehul C. Choksi of Gitanjali Group, Sameer Gehlaut of Ind
Thailand is that kind of a country you had only dreamt of or read in those fantasy tales.
Lok Satta Founder President Dr.Jayaprakash Narayan to
address at 5th Annual India Leaders
E-commerce or electronic commerce is a part of e-business. It
entails purchasing, selling
We've all been through situations where in seemingly random conversations with friends suddenly lead to road trip plans being made. The biggest preparation for the journey thereafter lies not in pack
May 05' 2015, Panchkula Haryana: Four degree colleges are there in Panchkula Haryana and comprising these colleges, all colleges of Haryana started online admissions regardless of all the issues they
By: Dr. Pratap Chauhan, Ayurvedacharya & Director Jiva AyurvedaModern science is yet to discover effective remedies for deadly diseases such as cancer, AIDS, or other hematological and auto-
An ISO 9001:2008 Certified Company, Dynamic Technologies is considered as the most reliable Manufacturers and Suppliers of an extensive range of Electrical Control Panels. Our assortment of Electrica


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Before editing, be sure to read the wiki's policies. Please sign your name on Talk and vote pages using four tildes (~~~~) to automatically produce your name and the current date. Be sure to verify your e-mail address in your preferences. Before attempting any major article rewrites please read the layout guide. If you have any questions, check out the policy and help pages (see here for editing help), add a question to the Community portal, view the forum or ask me on my talk page. Again, welcome!
—-- Freakatone Talk 20:55, 1 October 2008 (UTC)
Thanks for clearing up the vandalism on Tom Riddle! -- Freakatone Talk 20:58, 1 October 2008 (UTC)


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Haley Walter
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Thursday, 11 June 2015
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President nominates new general commander of Polish Armed Forces
Monday, 8 June 2015
Polish president and UAE PM discussed bilateral relations
Thursday, 21 May 2015
President ratifies EU-Georgia association agreementPresident on Thursday ratified an association agreement between the European Union and Georgia. The Sejm passed the law authorising President Bronislaw Komorowski to ratify the association agreement between the EU and Georgia in February.
Friday, 15 May 2015
President presents First Job programme
Friday, 15 May 2015
President Komorowski signs landscape bill into law
Wednesday, 13 May 2015
President sends draft call for referendum to Senate
Tuesday, 12 May 2015


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Legalizing euthanasia or assisted suicide: the illusion of safeguards and controls
J. Pereira , MBChB MSc
*Division of Palliative Care, University of Ottawa; Department of Palliative Medicine, Bruyère Continuing Care; and Palliative Care Service, The Ottawa Hospital, Ottawa, ON.
Euthanasia or assisted suicide—and sometimes both—have been legalized in a small number of countries and states. In all jurisdictions, laws and safeguards were put in place to prevent abuse and misuse of these practices. Prevention measures have included, among others, explicit consent by the person requesting euthanasia, mandatory reporting of all cases, administration only by physicians (with the exception of Switzerland), and consultation by a second physician.
The present paper provides evidence that these laws and safeguards are regularly ignored and transgressed in all the jurisdictions and that transgressions are not prosecuted. For example, about 900 people annually are administered lethal substances without having given explicit consent, and in one jurisdiction, almost 50% of cases of euthanasia are not reported. Increased tolerance of transgressions in societies with such laws represents a social "slippery slope," as do changes to the laws and criteria that followed legalization. Although the initial intent was to limit euthanasia and assisted suicide to a last-resort option for a very small number of terminally ill people, some jurisdictions now extend the practice to newborns, children, and people with dementia. A terminal illness is no longer a prerequisite. In the Netherlands, euthanasia for anyone over the age of 70 who is "tired of living" is now being considered. Legalizing euthanasia and assisted suicide therefore places many people at risk, affects the values of society over time, and does not provide controls and safeguards.
Euthanasia , physician-assisted suicide
Euthanasia is generally defined as the act, undertaken only by a physician, that intentionally ends the life of a person at his or her request 1,2. The physician therefore administers the lethal substance. In physician-assisted suicide ( pas ) on the other hand, a person self-administers a lethal substance prescribed by a physician.
To date, the Netherlands, Belgium, and Luxembourg have legalized euthanasia 1,2. The laws in the Netherlands and Luxembourg also allow pas . In the United States, the states of Oregon and Washington legalized pas in 1997 and 1999 respectively, but euthanasia remains illegal 3. The situation in the state of Montana is currently unclear; a bill legalizing pas was passed by the state legislature in 2010, but was recently defeated by the state's Senate Judiciary Committee.
In the Netherlands, euthanasia and pas were formally legalized in 2001 after about 30 years of public debate 1. Since the 1980s, guidelines and procedures for performing and controlling euthanasia have been developed and adapted several times by the Royal Dutch Medical Association in collaboration with that country's judicial system. Despite opposition, including that from the Belgian Medical Association, Belgium legalized euthanasia in 2002 after about 3 years of public discourse that included government commissions. The law was guided by the Netherlands and Oregon experiences, and the public was assured that any defects in the Dutch law would be addressed in the Belgian law. Luxembourg legalized euthanasia and pas in 2009. Switzerland is an exception, in that assisted suicide, although not formally legalized, is tolerated as a result of a loophole in a law dating back to the early 1900s that decriminalizes suicide. Euthanasia, however, is illegal 4. A person committing suicide may do so with assistance as long as the assistant has no selfish motives and does not stand to gain personally from the death. Unlike other jurisdictions that require euthanasia or assisted suicide to be performed only by physicians, Switzerland allows non-physicians to assist suicide.
In all these jurisdictions, safeguards, criteria, and procedures were put in place to control the practices, to ensure societal oversight, and to prevent euthanasia and pas from being abused or misused 5. Some criteria and procedures are common across the jurisdictions; others vary from country to country 5,6. The extent to which these controls and safeguards have been able to control the practices and to avoid abuse merits closer inspection, particularly by jurisdictions contemplating the legalization of euthanasia and pas . The present paper explores the effectiveness of the safeguards and the "slippery slope" phenomenon.
2.1 Voluntary, Written Consent
In all jurisdictions, the request for euthanasia or pas has to be voluntary, well-considered, informed, and persistent over time. The requesting person must provide explicit written consent and must be competent at the time the request is made. Despite those safeguards, more than 500 people in the Netherlands are euthanized involuntarily every year. In 2005, a total of 2410 deaths by euthanasia or pas were reported, representing 1.7% of all deaths in the Netherlands. More than 560 people (0.4% of all deaths) were administered lethal substances without having given explicit consent 7. For every 5 people euthanized, 1 is euthanized without having given explicit consent. Attempts at bringing those cases to trial have failed, providing evidence that the judicial system has become more tolerant over time of such transgressions 5.
In Belgium, the rate of involuntary and non-voluntary euthanasia deaths (that is, without explicit consent) is 3 times higher than it is in the Netherlands 8,9. ("Involuntary euthanasia" refers to a situation in which a person possesses the capacity but has not provided consent, and "non-voluntary euthanasia," to a situation in which a person is unable to provide consent for reasons such as severe dementia or coma). A recent study found that in the Flemish part of Belgium, 66 of 208 cases of "euthanasia" (32%) occurred in the absence of request or consent 10. The reasons for not discussing the decision to end the person's life and not obtaining consent were that patients were comatose (70% of cases) or had dementia (21% of cases). In 17% of cases, the physicians proceeded without consent because they felt that euthanasia was "clearly in the patient's best interest" and, in 8% of cases, that discussing it with the patient would have been harmful to that patient. Those findings accord with the results of a previous study in which 25 of 1644 non-sudden deaths had been the result of euthanasia without explicit consent 8.
Some proponents of euthanasia contend that the foregoing figures are misrepresentative, because many people may have at some time in their lives expressed a wish for or support of euthanasia, albeit not formally. The counterargument is that the legal requirement of explicit written consent is important if abuse and misuse are to be avoided. After all, written consent has become essential in medical research when participants are to be subjected to an intervention, many of which pose far lesser mortality risks. Recent history is replete with examples of abuse of medical research in the absence of explicit informed consent.
2.2 Mandatory Reporting
Reporting is mandatory in all the jurisdictions, but this requirement is often ignored 11,12. In Belgium, nearly half of all cases of euthanasia are not reported to the Federal Control and Evaluation Committee 13. Legal requirements were more frequently not met in unreported cases than in reported cases: a written request for euthanasia was more often absent (88% vs. 18%), physicians specialized in palliative care were consulted less often (55% vs. 98%), and the drugs were more often administered by a nurse (41% vs. 0%). Most of the unreported cases (92%) involved acts of euthanasia, but were not perceived to be "euthanasia" by the physician. In the Netherlands, at least 20% of cases of euthanasia go unreported 7. That number is probably conservative because it represents only cases that can be traced; the actual number may be as high as 40% 14. Although reporting rates have increased from pre-legalization in 2001, 20% represents several hundred people annually.
2.3 Only by Physicians
The involvement of nurses gives cause for concern because all the jurisdictions, with the exception of Switzerland, require that the acts be performed only by physicians. In a recent study in Flanders, 120 nurses reported having cared for a patient who received life-ending drugs without explicit request 15. Nurses performed the euthanasia in 12% of the cases and in 45% of the cases without explicit consent. In many instances, the physicians were absent. Factors significantly associated with a nurse administering the life-ending drugs included the nurse being a male working in a hospital and the patient being over 80 years of age.
2.4 Second Opinion and Consultation
All jurisdictions except for Switzerland require a consultation by a second physician to ensure that all criteria have been met before proceeding with euthanasia or pas . In Belgium, a third physician has to review the case if the person's condition is deemed to be non-terminal. The consultant must be independent (not connected with the care of the patient or with the care provider) and must provide an objective assessment. However, there is evidence from Belgium, the Netherlands, and Oregon that this process is not universally applied 10,13. In the Netherlands, for example, a consultation was not sought in 35% of cases of involuntary euthanasia 7. In 1998 in the Netherlands, 25% of patients requesting euthanasia received psychiatric consultation; in 2010 none did 16. Moreover, non-reporting seems to be associated with a lack of consultation by a second doctor 14.
In Oregon, a physician member of a pro-assisted-suicide lobby group provided the consultation in 58 of 61 consecutive cases of patients receiving pas in Oregon 17. This raises concerns about the objectivity of the process and the safety of the patients, and raises questions about the influence of bias on the part of these physicians on the process.
Networks of physicians trained to provide the consultation role when euthanasia is sought have been established in the Netherlands (Support and Consultation on Euthanasia in the Netherlands) and Belgium [Life End Information Forum ( leif )] 18. Their role includes ensuring that the person is informed of all options, including palliative care. However, most leif physicians have simply followed a 24-hour theoretical course, of which only 3 hours are related to palliative care, hardly sufficient to enable a leif member to provide adequate advice on complex palliative care needs 19. The development of expertise in palliative care, as in any other specialty, requires a considerable amount of time. In the United Kingdom, it involves a 4-year residency program, and in Australia and the United States, 3 years.
Oregon requires that a patient be referred to a psychiatrist or psychologist for treatment if the prescribing or consulting physician is concerned that the patient's judgment is impaired by a mental disorder such as depression. In 2007, none of the people who died by lethal ingestion in Oregon had been evaluated by a psychiatrist or a psychologist 20, despite considerable evidence that, compared with non-depressed patients, patients who are depressed are more likely to request euthanasia and that treatment for depression will often result in the patient rescinding the request 21–23. In a study of 200 terminally ill cancer patients, for example, the prevalence of depressive syndromes was 59% among patients with a pervasive desire to die, but only 8% among patients without such a desire 21. Despite that finding, many health professionals and family members of patients in Oregon who pursue pas generally do not believe that depression influences the choice for hastened death 24.
A recent Oregon-based study demonstrated that some depressed patients are slipping through the cracks 25. Among terminally ill patients who received a prescription for a lethal drug, 1 in 6 had clinical depression. Of the 18 patients in the study who received a prescription for the lethal drug, 3 had major depression, and all of them went on to die by lethal ingestion, but had been assessed by a mental health specialist.
There is evidence, therefore, that safeguards are ineffective and that many people who should not be euthanized or receive pas are dying by those means. Of concern, too, is the fact that transgressions of the laws are not prosecuted and that the tolerance level for transgressions of the laws has increased. Moreover, as the next section will explore, the boundaries of what constitutes "good" practices with respect to euthanasia and pas continue to change, and some of the current practices would just a few decades ago have been considered unacceptable in those jurisdictions that have legalized the practices.
The "slippery slope" argument, a complex legal and philosophical concept, generally asserts that one exception to a law is followed by more exceptions until a point is reached that would initially have been unacceptable. The "slippery slope" argument has, however, several interpretations 26, some of which are not germane to the euthanasia discussion. The interpretations proposed by Keown in 2002 27 appear very relevant, however. He refers to these collectively as a "practical slippery slope," although the term "social slippery slope" may be more applicable. The first interpretation postulates that acceptance of one sort of euthanasia will lead to other, even less acceptable, forms of euthanasia. The second contends that euthanasia and pas , which originally would be regulated as a last-resort option in only very select situations, could, over time, become less of a last resort and be sought more quickly, even becoming a first choice in some cases.
The circumvention of safeguards and laws, with little if any prosecution, provides some evidence of the social slippery slope phenomenon described by Keown 5,28. Till now, no cases of euthanasia have been sent to the judicial authorities for further investigation in Belgium. In the Netherlands, 16 cases (0.21% of all notified cases) were sent to the judicial authorities in the first 4 years after the euthanasia law came into effect; few were investigated, and none were prosecuted 5. In one case, a counsellor who provided advice to a non-terminally ill person on how to commit suicide was acquitted 29. There has therefore been an increasing tolerance toward transgressions of the law, indicating a change in societal values after legalization of euthanasia and assisted suicide.
In the 1987 preamble to its guidelines for euthanasia, the Royal Dutch Medical Association had written "If there is no request from the patient, then proceeding with the termination of his life is [juristically] a matter of murder or killing, and not of euthanasia." By 2001, the association was supportive of the new law in which a written wish in an advance directive for euthanasia would be acceptable, and it is tolerant of non-voluntary and involuntary euthanasia 7,30,31. However, basing a request on an advance directive or living will may be ethically problematic because the request is not contemporaneous with the act and may not be evidence of the will of the patient at the time euthanasia is carried out.
Initially, in the 1970s and 1980s, euthanasia and pas advocates in the Netherlands made the case that these acts would be limited to a small number of terminally ill patients experiencing intolerable suffering and that the practices would be considered last-resort options only. By 2002, euthanasia laws in neither Belgium nor the Netherlands limited euthanasia to persons with a terminal disease (recognizing that the concept of "terminal" is in itself open to interpretation and errors). The Dutch law requires only that a person be "suffering hopelessly and unbearably." "Suffering" is defined as both physical and psychological, which includes people with depression. In Belgium, the law ambiguously states that the person "must be in a hopeless medical situation and be constantly suffering physically or psychologically." By 2006, the Royal Dutch Medical Association had declared that "being over the age of 70 and tired of living" should be an acceptable reason for requesting euthanasia 32. That change is most concerning in light of evidence of elder abuse in many societies, including Canada 33, and evidence that a large number of frail elderly people and terminally ill patients already feel a sense of being burden on their families and society, and a sense of isolation. The concern that these people may feel obliged to access euthanasia or pas if it were to become available is therefore not unreasonable, although evidence to verify that concern is not currently available.
In Oregon, although a terminal illness with a prognosis of less than 6 months to live has to be present, intolerable suffering that cannot be relieved is not a basic requirement (again recognizing that the concept of "intolerable suffering" is in itself ambiguous). This definition enables physicians to assist in suicide without inquiring into the source of the medical, psychological, social, and existential concerns that usually underlie requests for assisted suicide. Physicians are required to indicate that palliative care is a feasible alternative, but are not required to be knowledgeable about how to relieve physical or emotional suffering.
Until 2001, the Netherlands allowed only adults access to euthanasia or pas . However, the 2001 law allowed for children aged 12–16 years to be euthanized if consent is provided by their parents, even though this age group is generally not considered capable of making such decisions 5. The law even allows physicians to proceed with euthanasia if there is disagreement between the parents. By 2005, the Groningen Protocol, which allows euthanasia of newborns and younger children who are expected to have "no hope of a good quality of life," was implemented 34,35. In 2006, legislators in Belgium announced their intention to change the euthanasia law to include infants, teenagers, and people with dementia or Alzheimer disease 36.
In Belgium, some critical care specialists have opted to ignore the requirement that, in the case of non-terminally-ill patients, an interval of 1 month is required from the time of a first request until the time that euthanasia is performed. One specialist reported that, in his unit, the average time from admission until euthanasia was performed for patients that seemed to be in a "hopeless" situation was about 3.5 days 37. Beneficence, this specialist argued, was the overriding principle.
Initially, euthanasia in the Netherlands was to be a last-resort option in the absence of other treatment options. Surprisingly, however, palliative care consultations are not mandatory in the jurisdictions that allow euthanasia or assisted suicide, even though uncontrolled pain and symptoms remain among the reasons for requesting euthanasia or pas 38. Requests by the Belgian palliative care community to include an obligatory palliative care consultation ("palliative filter") were denied 19. From 2002 to 2007 in Belgium, a palliative care physician was consulted (second opinion) in only 12% of all cases of euthanasia 31. Palliative care physicians and teams were not involved in the care of more than 65% of cases receiving euthanasia. Moreover, the rates of palliative care involvement have been decreasing. In 2002, palliative care teams were consulted in 19% of euthanasia cases, but by 2007 such involvement had declined to 9% of cases. That finding contradicts claims that in Belgium, legalization has been accompanied by significant improvements in palliative care in the country 39. Other studies have reported even lower palliative care involvement 8,13. It must be noted that legalization of euthanasia or pas has not been required in other countries such as the United Kingdom, Australia, Ireland, France, and Spain, in which palliative care has developed more than it has in Belgium and the Netherlands.
The usefulness of a single palliative care assessment has been challenged—even when it is an obligatory requirement, as is the case at the University Hospital of the Canton of Vaud, Lausanne, Switzerland (the first hospital to allow, in 2005, assisted suicide in Switzerland 40) 41. Among U.K. palliative care physicians, 63% feel that a single assessment is insufficient to fully evaluate and address the needs of a person requesting euthanasia or pas 42. A similar number of U.K. psychiatrists have expressed similar concerns 43,44, and only 6% of Oregon psychiatrists are comfortable providing consultations for patients requesting pas 45.
Originally, it was the view of the Supreme Court of the Netherlands, the Royal Dutch Medical Association, and the ministers of Justice and Health that euthanasia would not be an option in situations in which alternative treatments were available but the patient had refused them. When this view conflicted with the accepted ethical principle that patients are allowed to refuse a treatment option, the law was altered to allow access to euthanasia even if the person refused another available option such as palliative or psychiatric care. One consequence of the change is that, the appropriateness of suicide prevention programs may begin to be questioned, because people wanting to commit suicide should, on the basis of autonomy and choice, have the same rights as those requesting euthanasia.
There are other examples that a "social slippery slope" phenomenon does indeed exist. In Switzerland in 2006, the university hospital in Geneva reduced its already limited palliative care staff (to 1.5 from 2 full-time physicians) after a hospital decision to allow assisted suicide; the community-based palliative care service was also closed (JP. Unpublished data). Of physicians in the Netherlands, 15% have expressed concern that economic pressures may prompt them to consider euthanasia for some of their patients; a case has already been cited of a dying patient who was euthanized to free a hospital bed 46. There is evidence that attracting doctors to train in and provide palliative care was made more difficult because of access to euthanasia and pas , perceived by some to present easier solutions, because providing palliative care requires competencies and emotional and time commitments on the part of the clinician 47,48. At the United Kingdom's parliamentary hearings on euthanasia a few years ago, one Dutch physician asserted that "We don't need palliative medicine, we practice euthanasia" 49. Compared with euthanasia cases, cases without an explicit request were more likely to have a shorter length of treatment of the terminal illness 10.
Advocates of euthanasia have largely ignored these concerns about the "social slippery slope" and have opted to refute the "slippery slope" argument on the basis that legalizing euthanasia and pas has not led to exponential increases in cases of euthanasia or pas or in a disproportionate number of vulnerable persons being euthanized 7,26,30. However, there is evidence that challenges those assertion.
The number of deaths by euthanasia in Flanders has doubled since 1998 30. Of the total deaths in this Flemish-speaking part of Belgium (population 6 million), 1.1%, 0.3%, and 1.9% occurred by euthanasia in 1998, 2001, and 2007 respectively 30 (about 620, 500, and 1040 people respectively in those years). The requirement of the law to report euthanasia cases (aided by laxity in prosecuting cases that fall outside the requirement) may explain some, but not all, of the increase 31. Chambaere et al. 10 reported in the Canadian Medical Association Journal that in Belgium, euthanasia without consent had decreased from 3.2% in 1998 to 1.8% in 2007. But a closer review of the original study shows that the rate had declined to 1.5% in 2001 and then increased again to 1.8% in 2007 30.
In Holland, the overall rate of euthanasia was 1.7% of all deaths in 2005, down from 2.4% and 2.6% in 2001 and 1995 respectively, but no different from 1990 when the rate was 1.7% 7. However, the Dutch government's official statistics indicate a rise of 13% in 2009 compared with 2008; euthanasia now accounts for 2% of all deaths. Given the increasing numbers, interest in developing facilities that provide euthanasia (similar to those of the Swiss pro–assisted suicide group Dignitas) has recently been increasing. In Oregon, although the number of cases of pas remain very small relative to the population, the rate has been increasing: 24 prescriptions were written in 1998 (16 of which led to deaths by pas ), 67 prescriptions in 2003 (43 of which led to deaths by pas ), and 89 in 2007 50.
In Belgium, the rates of involuntary and non-voluntary euthanasia have decreased; together they accounted for 3.2%, 1.5%, and 1.8% of all deaths in 1998, 2001, and 2007 respectively (1800, 840, and, 990 people respectively in those years) 30. In the Netherlands, the rate decreased from 0.7% in 2001 to 0.4% in 2005 7. The actual rate is probably higher, given the large number of unreported cases. Notwithstanding the decrease, the rates are perturbing.
Battin et al. 51 examined data from Oregon and the Netherlands and concluded, as have others 30, that there was no evidence that vulnerable people, except for people with aids , are euthanized disproportionately more. "Vulnerable" was defined in that study as individuals who are elderly, female, uninsured, of low educational status, poor, physically disabled or chronically ill, younger than the age of majority, affected with psychiatric illnesses including depression, or of a racial or ethnic minority. Finlay and George challenged the study on the basis that vulnerability to pas or euthanasia cannot be categorized simply by reference to race, sex, or other socioeconomic status. Other characteristics, such as emotional state, reaction to loss, personality type, and the sense of being a burden are also important 52. Patients are also vulnerable to the level of training and experience that their physicians have in palliative care and to the personal views of their physicians about the topic. For example, one study showed that the more physicians know about palliative care, the less they favour euthanasia and pas 53.
Two recent studies further contradict the findings by Battin and colleagues. Chambaere et al. found that voluntary and involuntary euthanasia occurred predominantly among patients 80 years of age or older who were in a coma or who had dementia 10. According to them, these patients "fit the description of vulnerable patient groups at risk of life-ending without request." They concluded that "attention should therefore be paid to protecting these patient groups from such practices." In another study, two of the factors significantly associated with a nurse administering life-ending drugs were the absence of an explicit request from the patient and the patient being 80 years of age or older 15.
What can be done, then, when the best of palliative care is unable to address suffering?
Zylicz, a palliative care specialist who has worked extensively in the Netherlands with people requesting euthanasia and pas , provides a taxonomy to understand the reasons underlying the requests and provides stepping stones for addressing the requests. The requests can be classified into five categories (summarized by the abbreviation abcde ) 54:
Being afraid of what the future may hold
Experiencing burnout from unrelenting disease
Having the wish and need for control
Experiencing depression
Experiencing extremes of suffering, including refractory pain and other symptoms
Strategies are available to begin to address severe refractory symptoms, to treat depression, and to deal with the fear that some people have of what the future with a terminal disease may hold. Approximately 10%–15% of pain and other physical symptoms (such as dyspnea and agitated delirium) cannot be controlled with first- and second-line approaches and become refractory. For these symptoms, there is the option of palliative sedation. Palliative sedation is defined as "the monitored use of medications intended to induce a state of decreased or absent awareness (unconsciousness) in order to relieve the burden of otherwise intractable suffering in a manner that is ethically acceptable to the patient, family and health-care providers in patients that are imminently dying" 55. Its intent is not to hasten death, which differentiates it from euthanasia. The goal is to achieve comfort at the lowest dose of sedative possible (usually with midazolam infusion, not with opioids) and at the lightest level of sedation. Some patients therefore achieve comfort at light levels of sedation, allowing them to continue interacting with family; in others, comfort is achieved only at deep levels of sedation.
Studies have shown that losing a sense of dignity and hope and taking on a sense of burden prompt some people to seek euthanasia and pas 21–23,56. Strategies to improve the sense of dignity, based on empirical studies that have explored the concept of dignity within palliative care, have been shown to work 57. Similar strategies need to be developed in the areas of hope and burden.
Given effective palliation, including palliative sedation for patients with refractory symptoms, the only remaining issue is that of legalizing "on-demand" euthanasia and pas when there is no terminal disease or when the person is tired of living or has a mental illness. Legalizing euthanasia and assisted suicide in these circumstances is most concerning and would have major implications over time, including changing a society's values and making suicide prevention programs redundant because people wishing to commit suicide would then be entitled to do so.
In 30 years, the Netherlands has moved from euthanasia of people who are terminally ill, to euthanasia of those who are chronically ill; from euthanasia for physical illness, to euthanasia for mental illness; from euthanasia for mental illness, to euthanasia for psychological distress or mental suffering—and now to euthanasia simply if a person is over the age of 70 and "tired of living." Dutch euthanasia protocols have also moved from conscious patients providing explicit consent, to unconscious patients unable to provide consent. Denying euthanasia or pas in the Netherlands is now considered a form of discrimination against people with chronic illness, whether the illness be physical or psychological, because those people will be forced to "suffer" longer than those who are terminally ill. Non-voluntary euthanasia is now being justified by appealing to the social duty of citizens and the ethical pillar of beneficence. In the Netherlands, euthanasia has moved from being a measure of last resort to being one of early intervention. Belgium has followed suit 37, and troubling evidence is emerging from Oregon specifically with respect to the protection of people with depression and the objectivity of the process.
The United Nations has found that the euthanasia law in the Netherlands is in violation of its Universal Declaration of Human Rights because of the risk it poses to the rights of safety and integrity for every person's life. The UN has also expressed concern that the system may fail to detect and to prevent situations in which people could be subjected to undue pressure to access or to provide euthanasia and could circumvent the safeguards that are in place.
Autonomy and choice are important values in any society, but they are not without limits. Our democratic societies have many laws that limit individual autonomy and choice so as to protect the larger community. These include, among many others, limits on excessive driving speeds and the obligation to contribute by way of personal and corporate income taxes. Why then should different standards on autonomy and choice apply in the case of euthanasia and pas ?
Legislators in several countries and jurisdictions have, in just the last year, voted against legalizing euthanasia and pas in part because of the concerns and evidence described in this paper. Those jurisdictions include France, Scotland, England, South Australia, and New Hampshire. They have opted to improve palliative care services and to educate health professionals and the public.
The author has no financial conflict of interest to declare.
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Correspondence to: José Pereira, 43 Bruyère Street, Ottawa, Ontario K1N 5C8.
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Current Oncology , VOLUME 18 , NUMBER 2
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Version 2.9.3 from 2011-04-12
Enhance Software Update process
Version 2.9.2 from 2011-03-15
Show filename under thumbnail; Fixed the paper size issue after program startup
Version 2.9.1 from 2011-02-14
Provide backup and restore function. The software settings can be backup in a zip file.
Version 2.9.0 from 2011-01-18
New User Interface with stylish button and lighter background color, which provides a better and clear environment to operate the software.
Version 2.8.2 from 2010-12-20
Enhance the version upgrade process to accommodate the server-side operation and reduce the size of upgrade pack; Update user guide and related documentation
Version 2.8.1 from 2010-11-22
Provides Watermark Wordings list, text for watermark can be loaded directly without typing
Version 2.8.0 from 2010-10-27
Support Drag and Drop in photo processing list; Minor tweak in registration dialog
Version 2.7.1 from 2010-09-28
Revise Help File; Revise registration process to facilitate the upgrade of license validation in server side
Version 2.7.0 from 2010-08-30
Support photo in TIF format
Version 2.6.1 from 2010-08-02
Show information of new version after update; Revise registration process
Version 2.6.0 from 2010-07-05
Provide automatic version update feature for registered copy; Enhance startup performance by dynamic loading; Enhance license security
Version 2.5.3 from 2010-06-07
Optimize the diagonal alignment of watermark; Allow to set alternate PDF viewer
Version 2.5.2 from 2010-05-11
Option to save the conversion settings for later recall
Version 2.4.4 from 2010-01-18
Enhance the startup screen and loading process; Enhance the installation wizard to support Windows 7
Version 2.4.3 from 2009-12-22
Provide options to open the generated PDF file or load the output folder after PDF generation; Build pre-defined folder when program startup
Version 2.4.2 from 2009-11-25
Version increment for license validation enhancement
Version 2.4.1 from 2009-10-27
Minor Enhancement on User Interface: Provides Tab Icons; Revise User Documentation and Help File
Version 2.4.0 from 2009-09-28
Finalize database kernel tuning for performance enhancemnt and stability; Resolve database locking issue
Version 2.3.8 from 2009-08-31
Version increment for optimizing kernal
Version 2.3.7 from 2009-08-03
New database kernel for stability and better performance.
Version 2.3.6 from 2009-07-06
Enhance friendliness of User Interface: New Conversion Button
Version 2.3.5 from 2009-06-08
Show width and height in the Paper List; Revise Documentation
Version 2.3.4 from 2009-05-11
Version increment for license security
Version 2.3.3 from 2009-04-13
Enhance user interface for better and easier control
Version 2.3.2 from 2009-03-16
Simplify startup process in trial version; Standardize the date format with leading zero; Error/Exeption logging feature
Version 2.3.1 from 2009-02-16
Performance Tuning on Program Startup; User Interface Text Revised
Version 2.3.0 from 2009-01-26
Refine user interface on main windows and file open dialog; Support different screen resolution
Version 2.2.4 from 2008-12-15
Release the restriction on prefined watermark File Date and File Time to be added to photo; Widen the margin for watermark; Provides tooltips for compression and resolution; Refine the registration process
Version 2.2.3 from 2008-11-03
Performance enhancement on system loading and conversion processs; Minor interface enhancement on registration windows and about box
Version 2.2.2 from 2008-09-22
Revise Online Documentation; Minor Interface Enhancemnt
Version 2.2.1 from 2008-08-11
Interface Enhancemnt: Provide explanation in dialog; Use clear font in interface
Version 2.2.0 from 2008-06-30
Revise HELP document; Interface Enhancemnt: Revise "Browse" button; Packed with upgrade run-time kernel.
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Anka, Sandra and Sean have been out checking on the wild animals.
All seems right
They are sheltering from the worst of the rain and have supplies safely stored away.
On the snow slope later in the day Sandra and Sean, with Anka tagging along have taken their adopted son, Oakleigh out to ride on the sleigh.
Inside in the warm...
Peggy Sue is day dreaming.


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If you own a retail shop, fitness center, yoga studio, spa or salon, grocery store, gas station, church, restaurant or any other membership-driven business key tag cards are a must!
Available with barcode or QR code to track your members or provide secure access into your gym, fitness center or private club.
Key tags can work with an IPAD, computer or mobile device to track attendance at events, meetings, conventions and many other important corporate events . Use our Smart Connect tracking system to get extra reporting.
Give your loyal customers VIP treatment by allowing them to earn points or rewards by using their key tag with every purchase/visit to receive special offers, coupons or discounts.
Customizing your plastic key tag is fun and exciting—and should never be overwhelming. It is our goal to make it easy for you. Whether you have an idea for your key tag or need an idea, we are here to help. Check out some other key tag accessories.
Jared dazzles potential clients with his custom shaped key tag. By handing out his promotional key tags, his customers will display his brand wherever they go. Enhancing his brand's visibility!
Milton uses his fitness membership key tags to allow access to his fitness facility. Adding a barcode gave him the ability to track his members while simultaneously showcasing his gym.
Jennifer identifies the different vehicles she is repairing with her plastic key tags. She incorporated a writable surface to label the vehicle's name, make, model and color on the back of her key tags.
Scott uses his key tags to track the attendance to his yoga classes. His membership key tags serve the purpose of checking yogis in and out of their class. So he knows who attends his class and how often they come.
Our team of talented designers can incorporate your logo, images or even make it in the shape of something meaningful like a basketball if you are a basketball club.
If you have any questions feel free to call us at 800-808-7472
At Plastic Printers we are experts at designing and printing eye-catching key tags that elevate your brand and leave a lasting impression. Some of our most popular features include barcode key tags, custom shaped key tags, combo card, and numbered key tags.
Gain valuable data, track attendance or allow access to your facilities by adding a barcode to your plastic key tags. We work with a variety of POS systems to ensure your key tags will be encoded properly.
Stand out from your competitors with custom shaped key tags! Choose from our thousands of shapes or we can create one specifically for you.
If you're looking for an amazing marketing tool on a budget, look no further than combo cards. Membership cards with breakaway options are convenient, affordable and flexible.
No matter what your business needs are, we will work with you to provide the best custom key tag for your business. We can add consecutive numbering, personalized information, pins and so much more.
New Year, new me! This popular phrase is frequently heard around the New Year. As we prepare to welcome 2019, many people are thinking about making changes...
Increasing your marketing presence is a constant effort! It can feel like if you pause your marketing efforts for a second, you risk being left behind...
Most people are loyal to a specific brand. Whether they realize it or not. When customers go shopping for groceries or clothes, most people tend to revisit the same store...


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Hey! I'm Manolya, a Turkish illustrator from the Netherlands, currently based in London. I enjoy combining illustration, lettering & animation and have made work for Sugoi Books, Yauatcha, At The Table and In Shades Magazine. I currently work as a photographer and designer at Noodoll. Feel free to contact me if you would like to enquire about work, collaborations or workshops.
Contact / Workshops / Shop / Instagram / Twitter / Pinterest


text: search Search keywords City, state, zip code Find a job Please select an auto suggested location. Sort By Relevance Date within 25 miles Category Category Industrial & Manufacturing 7 Call Center & Customer Service 1 Warehouse 1 State Ohio Delaware 1 Maryland 14 North Carolina 4 Ohio 9 Oklahoma 9 City Wilmington Ada 3 Akron 1 Anna 1 Ashland 1 Athens 1 Barberton 1 Batavia 2 Bedford 1 Bedford Heights 1 Bellefontaine 7 Berea 1 Blanchester 2 Blue Ash 1 Brecksville 5 Cambridge 1 Canal Winchester 1 Cardington 12 Cincinnati 29 Cleveland 4 Columbus 4 Dayton 5 Dublin 22 Englewood 1 Etna 2 Fairborn 1 Franklin 1 Grove City 7 Groveport 5 Hiram 2 Kenton 1 Leipsic 1 Lima 10 Marietta 3 Marion 1 Marysville 10 Mason 1 Mentor 4 Miamisburg 2 Middleburg Heights 1 Middletown 1 Milford 1 New Albany 1 New Carlisle 1 New Philadelphia 1 North Canton 5 Pataskala 4 Perrysburg 1 Russells Point 1 Sidney 2 Solon 9 South Charleston 6 Springfield 5 Stow 3 Streetsboro 1 Strongsville 2 Struthers 1 Sunbury 1 Troy 10 Twinsburg 2 Urbana 1 Vandalia 1 Warren 2 West Chester 6 Westlake 3 Wheelersburg 1 Wilmington 9 Youngstown 3 Contract Type Contract Type Contract/Temporary 9 State: ohio City: grand-junction City: Wilmington Reset Searching for Wilmington Ohio jobs? We currently have 9 jobs available. Create a job alert Related Searches For - Tap here to refine jobs Show more Show 10 20 30 Results Per page Operations Manufacturing Associate New Wilmington, Ohio Contract/Temporary $ 12 - $ 13 / Hour Start earning some extra income working for Adecco at Ahresty in Wilmington, OH! Adecco is currently hiring Operations Manufacturing Associate for temp to hire opportunities. Operations Manufacturing Associate are responsible to operate... See job description Entry Level Production Worker Wilmington, Ohio Contract/Temporary $ 12 - $ 13 / Hour Adecco is searching for hard working candidates who can thrive in a fast-paced manufacturing environment for immediate Entry Level Production Worker jobs at Ahresty in Wilmington, OH. Entry Level Production Workerare responsible to operate... See job description Warehouse Worker Wilmington, Ohio Contract/Temporary $12.50/Hour Adecco is assisting Polaris, recruiting for Pick Packer job in Wilmington, Ohio . This Pick Packer job is a temp to hire opportunity! Pick Packer job requirements: Picking orders quickly and accurately and multi task Treating products... See job description Welder Wilmington, Ohio Contract/Temporary $14.00/Hour Adecco is currently assisting a local client in Wilmington, OH in search for a Welder/MIG & TIG. This position is a temporary job opportunity. We have openings on Monday through Friday 7am-4pm. Pay for this position is $14.00/hr... See job description Pallet Builder Repair Wilmington, Ohio Contract/Temporary $12.50/Hour Adecco is currently assisting a local client in Wilmington, OH in search for a Pallet Builder/Repair in Wilmington, OH. The technician will tear down pallets, stand, lift, able to use nail/staple gun, operate a forklift and pallet trailer sorting.... See job description Manufacturing Production Associate Wilmington, Ohio Contract/Temporary $ 12 - $ 13 / Hour If you're looking for a manufacturing job, then look no further! Adecco is looking for candidates who thrive in a fast-moving, manufacturing environment for Manufacturing Production Associate jobs at Ahresty. These temp to hire jobs will allow you... See job description Machine Operator Wilmington, Ohio Contract/Temporary $ 13 - $ 14 / Hour Why take another seasonal job when you could start a long-term position with a great automotive supplier? Adecco is excited to offer these openings with an updated starting payrate of $13.25/hr with set pay raises at 30 days 90 days and 6 months to... See job description Production Manufacturing Wilmington, Ohio Contract/Temporary $ 12 - $ 13 / Hour At Adecco, we are the workforce experts providing work opportunities to individuals across all industries. Every day, we have more than 100,000 associates on assignment, and our 30,000 internal colleagues are working hard to help our candidates... See job description Transborder Wilmington, Ohio Contract/Temporary $13.00/Hour Adecco is currently assisting a local client in Wilmington, OH in search for an experienced Transborder Operator to provide customer service. This position is a temporary job opportunity. The Transborder Operator will be responsible for answering... See job description Clear your search criteria to see more results or browse the job categories we service. Send Us Your Resume and we will closely review your information. If we find an opportunity that matches your skills and career goals, we'll reach out to you to get to know you even better. Want new jobs? We'll email you. Name your job alert First name Last name Email How often would you like to see new jobs? Job Alert Duration Get the career advice you need when you need it. Sign up for our Career Advisor newsletter. Send me job alerts! By signing up. you are agreeing to the Terms of Use. Apply.JobAlertsTermsLabel Apply.TermsAndConditionsCheckBoxError Exit without saving × Awesome! Your job alert is saved. You'll see new jobs in your inbox soon. Good luck with your job search!


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We recently relaunched the site with some exciting new additions such as our bingo lobby with brand new games, daily free spins and daily free bingo tickets, and much more. Plus, there are no longer any wagering requirements!
If you're an existing Dabber Bingo player, you'll need to re-register for a new account - it only takes a matter of minutes.
For more information, visit our Relaunch FAQs page and if you have any other questions, don't hesitate to get in touch with our Support Team.
Sign up today and enjoy Dabber Bingo.


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Aberdeen City and Shire have launched a website which they describe as: "'the online presence of the Aberdeen and North East Scotland Ancestral Resources Partnership, an affiliation of regional archives, registrars, family history societies and other organisations that hold and promote genealogical resources to visitors both at home and abroad".
If you have ancestors from the Aberdeen area, have a look at the website and see what you can find.
As always, happy searching!


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FanX® Salt Lake Comic Convention™
May the Fourth Fundraiser Event
Congratulations to Rocky Mountain Droids for being the Rulers of the Galaxy! Rocky Mountain Droids' unique affiliate link generated the most ticket sales for the May the Fourth Fundraiser!
Thank you to all who participated in the May the Fourth Fundraiser!
Who will rule the galaxy?
Utah's Star Wars costume groups; Alpine Garrison of the 501st Legion, Rogue Base of the Rebel Legion, Krayt Clan of the Mandalorian Mercs, Rocky Mountain Droid Builders and Saber Guild: Ruusaan Temple cosplay groups do so much for our community, working tirelessly year-round to support charities and brighten the lives of those in need. That's why, this Star Wars Day, May the Fourth, we want to give back to them!
Purchase any admission ticket to FanX® Salt Lake Comic Convention™ 2018 on May 4, 2018 by 11:59pm and 50% of ticket sales for this day will be donated to local charities that are supported by these Star Wars groups, as well as enhance the props and backdrops used by these groups at fundraising events around the community including FanX 2018. The charities that the proceeds will be donated to are:
- Make-A-Wish Utah
- NKUT – A Best Friends Animal Society initiative
- The Leukemia & Lymphoma Society's (LLS) Utah Chapter
Support the group you want to see RULE THE GALAXY by purchasing tickets from their unique link below. Click on the image of the group you want to vote for and you will be taken to the affiliate link for that group. Whichever group sells the most tickets through their affiliate link, will be the RULER OF THE GALAXY! Winner will be announced on May 11, 2018.
But the great news is, all these groups work together in real life making the world a better place. They cooperate at numerous charity events, week after week, all year long. Their motto is:


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Which Questions to Ask a Web Design and/or Marketing Firm
Sadly, we've had several clients come to us after having a poor experience with other designers and marketers. It's sad because they've been ripped off and treated poorly.
It's happy, because we get to help them and make things right.
So, whether you're in the middle of a project with a firm you're not too pleased with, or you're considering a firm, here are the questions you need to ask:
Questions for Web Design Projects:
- How long will the project take?
- How much will the project cost?
- When can I expect to see the first draft?
- Will the site be mobile responsive?
- Will you meet with me to kickoff the project?
- Who owns my domain and/or hosting?
- What happens if the site breaks, is hacked or malfunctions?
How long will the project take?
Any design firm you go with needs to provide a project timeline of some sort. You need to know when to expect the project to be finished and reasonable benchmarks along the way.
You need to ask whether any deductions will be made if the project goes longer than planned.
The firm needs to communicate the timeline so you know how long to wait and when to expect parts of the site to be completed. Asking this question opens you and the firm up to communication about completion—this holds everyone responsible!
How much will the project cost?
Of course, this is a huge factor in your decision-making process. You need to know exactly how much the website design is going to cost and you need to sign the quote or contract. This locks you and the firm into a confirmed price without the possibility of the firm tacking on extras at the end.
Ask the firm to pay half (or a smaller portion) up front, but wait to pay the reminder once you're satisfied with the work. This will hold the firm accountable to finishing everything.
When can I expect to see the first draft?
This goes along with the project timeline. The firm does not need to send you the first draft at the set finish date. You need to see the first draft prior to the end date. When you see the draft, you'll probably find adjustments that need to be made and that's part of the process.
Also, if you see the first draft sooner than later, you can determine whether the design is headed in the right direction or not.
Will the website be mobile responsive?
You MUST ask this question. Today, you should never accept a website design that isn't mobile responsive. Just this year, Google made mobile responsiveness a ranking factor for its search engine. Bottom line – must be responsive.
Say no to anything that's not!
Will you meet with me to kickoff the project?
It's a must around here at Genesis that we meet with all incoming clients. Why? First, because we like to get to know our clients. Second, we want to know how to better serve you and your business.
The design firm you choose must have some sort of kickoff meeting. You need time to go over the scope of work and the overall concept. If the firm doesn't have a kickoff meeting, then you can expect they don't care too much about you personally. Instead, they're more about making money.
Who owns my domain and/or hosting?
If you've had a website in the past, then you probably own and maintain ownership of your own domain and hosting, or your previous provider does.
If you're just now developing a website, then we'd recommend getting your domain yourself. Then you can pass along the details to your design firm and they can upload everything correctly.
You can get hosting on your own, but it might be easier for you to go through the firm. Although, you need to sign a contract saying that the website files are yours and not theirs. This is to protect you in the event the firm holds your website hostage (and yes this has happened!).
What happens if the site breaks, is hacked or malfunctions?
This is a crucial question as well. Here at Genesis, we'll repair anything that breaks on a clients' site—current or past client. However, not all firms are as nice. So you need to ask them if they're responsible for breaks, hacks or malfunctions.
Many will fix your site if something breaks, however, many will not fix a hack.
Again, you need to double check this because a break or hack in the future could destroy your business.
Questions for Online Marketing Projects:
Just like the web design questions, you need to ask about cost, project timeline, kickoff meeting, and a few others:
- Is it one-size-fits-all or custom?
- Do you provide regular reporting?
- Which platforms are you promoting me on?
- Can I see the work – ads, content, etc.?
Is it one-size-fits-all or custom?
Some marketing companies only do one-size-fits-all type of work. Typically your large firms because they've gotten so large.
You don't want that sort of work. Your business is unique and will flourish in some areas rather than others. The marketing firm you pick needs to know your business and tailor its strategy to you.
Do you provide regular reporting?
The worst marketing is the marketing you can't view metrics on. The marketing firm needs to provide you with regular reporting (weekly or monthly) in regards to website traffic, leads, conversions, followers, etc. – based on your particular campaign.
Which platforms are you promoting me on?
Again, not all online platforms fit your business the best. For example, a client came to us for help and their previous marketing firm was spending a bunch of money on Facebook. The problem = they are a B2B (business-to-business) company and their audience isn't particularly on Facebook. They needed to be active on LinkedIn.
Make sure you get feedback on where your business is being promoted.
Can I see the work – ads, content, etc.?
You should never, ever be in the dark. We send our work to clients for approval unless they've stated otherwise.
Review the ads the firm is running for you. Take a look at all of the content they're generation. Provide feedback. Help them market you better. And if they're not showing you much, it's because they're not actually producing anything. So ask!


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How to Install System Center Essentials 2010 on a Single Server
Applies To: System Center Essentials 2010
To deploy System Center Essentials 2010 in your environment, you must first install the server components on your designated Essentials management server.
The use of the System Preparation tool (Sysprep.exe) to deploy a disk image that contains Essentials 2010 to a virtual machine is not supported. To install Essentials 2010 on a virtual machine, use the Setup program as described in this section of the Deployment Guide, or use a command prompt as described in How to Use a Command Prompt to Install System Center Essentials 2010.
Essentials 2010 is designed to be easily installed and configured, and to let you start managing objects quickly. After you install Essentials 2010, use the links on the Overview pages to guide you through the deployment of objects and the configuration of software and update management.
To install Essentials 2010
Designate a server as the Essentials management server. The designated server must meet all software and hardware requirements. For detailed information about these requirements, see System Requirements and Supported Platforms for System Center Essentials 2010.
Insert the product CD into the CD drive.
Run SetupSCE.exe from the root of the CD.
For additional information about installing Essentials 2010 from a network share, see Troubleshooting Your Initial Essentials Setup and Configuration.
After the System Center Essentials 2010 Setup Wizard opens, click Release Notes to read important information that might be needed during deployment, and then click Install to begin installing Essentials.
See System Center Essentials 2010 Release Notes (http://go.microsoft.com/fwlink/?LinkID=155032) to access the release notes if you are not on the Setup Wizard page.
Select the Get the latest updates to System Center Essentials 2010 check box if you want to check for product updates.
On the Product Registration page, enter your product key, if needed, and then click Next.
On the License Agreement page, read the license agreement, select the check box to accept the agreement, and then click Next.
If the server on which you are installing Essentials 2010 meets the appropriate hardware and software requirements, Setup makes additional components available for install. Select the Essentials components that you want to install, and then click Next.
Essentials 2010 Setup checks your environment for the hardware and software prerequisites required to install Essentials and selected components and prompts you to review those prerequisites that do not meet minimum requirements. After resolving potential system requirement issues, click Next.
Essentials 2010 uses a database server instance to host the databases that store data used by Essentials. Select the option to use a local database instance, or select the option to find remote database servers in your environment that Essentials 2010 can use for this purpose, and then click Next.
If you select the option to install SQL Server 2008 Express Edition during setup, Essentials 2010 determines the location in which to install SQL Server. If you want to install SQL Server to a different location, you have to install it manually.
If you selected the Reporting feature, you are required to specify a SQL Server 2008 Reporting Services instance for Essentials Reporting. Only local instances of SQL Server 2008 Reporting Services that are supported by Essentials 2010 are available to be selected. Select a Reporting Services instance and specify a specific URL to the reporting server if the instance is configured with more than one URL, and then click Next.
Essentials 2010 requires an instance of SQL Server Reporting Services that is not shared with other applications. If an existing instance of SQL Server Reporting Services is selected during the Essentials 2010 installation, any reports that are already published on that instance will be deleted.
Select where Essentials 2010 should store program files. In the Software Files and Update Files section, either enter a path to store software and update files locally or download updates individually to each managed computer from Microsoft Update. Click Next to continue.
If you selected to install the Virtualization Management feature, enter the file location for storing related files, and then click Next.
Type the user name, password, and domain of a user with administrative credentials on managed computers and on the designated Essentials management server to perform management tasks, such as deploying software or updates, and then click Next.
Select whether to participate in the Customer Experience Improvement Program, Error Reporting, and Operational Data Reporting, and then click Next.
Review the Installation Summary page. Click Previous to go back and make changes, or click Install to begin installing Essentials 2010.
Essentials 2010 displays the progress during installation. Select the check box if you want to start the Essentials console after the Setup Wizard closes.
To connect to the Essentials database instance in SQL Server Management Studio after the Essentials 2010 installation is complete, select the database instance name you chose during installation. If Essentials 2010 installed SQL Server, it is <computer name>\Essentials in the Connect to Server dialog box.
See Also
Firewall Exceptions for System Center Essentials 2010
Troubleshooting Your Initial Essentials Setup and Configuration
System Requirements and Supported Platforms for System Center Essentials 2010
Supported Topologies and Performance Guidance for System Center Essentials 2010