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KEY CLUB DISTRICT OF JAMAICA COLERAINE STREET, ORACABESSA P.O. , ST. MARY TEL:(876) 995– 3635 FAX : (876) 726-2104 EMAIL:iriesnuff@hotmail.com

CLUB MONTHLY ACHIEVEMENT REPORT MONTH COVERED BY REPORT ____________ 20________ Key Club________________________________________________ Date Report Mailed _______/________/______ School Mailing Address____________________________________________________________________________ Street City Parish Club Meeting Place____________________________ Day:_______________________Time____________ p.m./a.m Division:__________________ Sponsored by:______________________________________________ Kiwanis Club I. CLUB ADMINISTRATION Number of Members in Club: ________/________ CLUB MEETINGS DURING MONTH Date

Attendance Percentage

Number of Kiwanians Present

Number of Guests Present

Program (Describe briefly)

During this month: Number of Board of Director’s Meeting Held………………………………………………._______________ Number of Key Clubbers present at Kiwanis Meetings…………………………………….._______________ Number of times Club Faculty Advisor attended Key Club Meeting………………………._______________ Balance in Club Treasury…………………………………………………………………….________/______ Begin End II.

CLUB RELATIONSHIP WITH DIVISION, DISTRICT AND INTERNATIONAL Date(s) Function

Number of Members present

Has Lt. Governor contacted the Club this month Yes/No

President’s Council Meeting Interclub Meeting Divisional Projects Divisional Training Conference District Convention International Convention

Do you consider this contact sufficient to your clubs needs? Yes/No If answered no, what is needed by your club from the Lt. Governor (Describe briefly on a separate sheet). Date District Dues Paid____/_____/____

Divisional Rally Other( Specify)…………...

Date International Dues Paid _____/____/____


III. CHECK LIST OF RECOMMENDED ACTIVITIES & COMMITTEE ACTIVITIES Date

Activity

Yes/No

Committee

Leadership Banquet Model School Assembly Model Kiwanis Meeting Church Service School Devotions Major Emphasis Program Model Builders Club Meetings Membership Recruitment Drive New Member Induction Other

Number of meetings No of Activities Held this month Proposed to club

Activities undertaken by club

MEP Inter Club Program Project Social Vocational Fundraising Other 2) 3)

IV. ACTIVITIES THIS MONTH Activities (describe briefly)

Members Involved

Total Man-hours

Money

Raised

Spent

School Service Projects

Community Service Projects

Find Raising Projects

You may include an attachment for this section if you need more spaces. V. MISCELLANEOUS What is the percentage increase in you membership of dues paid members over the previous month? ________% Since the beginning of the year has the Key Club had: A candidate for District or International Office? Yes/No A District Officer or Committee Member? Yes/No An International Officer or Committee Member? Yes/No Has the Key Club participated in joint projects with the sponsoring Kiwanis Club? Yes/No Has the Key Club jointly sponsored a Builders Club or K-Kids with its sponsoring Kiwanis Club? Yes/No Has the Key Club participated in a joint project with other Kiwanis-family organizations? Yes/No Has the Club made a contribution to the District Bulletin (Xaymaca Key) Yes/No


VI. VERIFICATION I certify that the information contained in this report is true and correct to the best of my knowledge? Instructions:

___________________ President (Signature)

__________________ Secretary (Signature)

___________________________ (Address)

___________________________ (Address)

____________________________ (City, Parish)

____________________________ (City, Parish)

_____________________ Faculty Advisor (Signature)

___________________ Kiwanis Advisor (Signature)

Fill out this report completely and: Mail one copy along with the club’s monthly bulletin to the DST by the 7th of each month Mail one copy to the District Office Coleraine Street, Oracabessa P.O St Mary Mail one copy to your sponsoring Kiwanis Club and retain one for you


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