Monthly Club Reports Form

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PACIFIC NORTHWEST DISTRICT • DIVISION 60/62

Secretary Club Monthly Report Key Club of ____________________________High School

# of Members__________

For the month of ______________________, 20___ During this month Number of Board of Director’s Meetings held Number of meetings attended by Faculty Advisor Number of your club’s members at Divisional Council Meetings or Interclubs Number of Kiwanis meetings attended by Key Clubbers

______________ ______________ ______________ ______________

Dues Number of new members this month Have you turned in your new members add form? If yes, when?

______________ YES or No ______________

Newsletters Have you completed your monthly club newsletter? If yes, did you send a copy to the Lieutenant Governor? If yes, when?

YES or No YES or No ______________

Club Meetings: Date

1

Number Of Members

Number Of Advisors

Number Of Guests

Number Of Kiwanians

Meeting Content


Projects/Community Service: 1. ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ 2. ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ 3. ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ 4. ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________

#

Date(s) of Project

Name of Project

# of members

Hours spent

Total Service Hours (# of members X hours spent)

1 2 3 4

Total Amount of Service Hours: Fundraising: 1. ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ 2. ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________

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#

Date(s) of Fundraising

Name of Fundraising

# of members

Hours spent

Total Service Hours (# of members X hours spent)

1 2

Total Amount of Service Hours: Committee Notes: Name of Committee

Activities planned for this month

Verification I certify that the information contained in this report is true and correct to the best of my knowledge.

X

X

Club President

Club Secretary

X

X

Faculty Advisor

Kiwanis Advisor

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IMPORTANT DUE: 1st of every month Please send a hard-copy (printed copy) of this Monthly Club Report to: 1. 2. 3. 4. 5.

The Lieutenant Governor (send the original copy) Your school Principal. Your school Clubs & Activities Director/Vice Principal for Clubs & Activities. Your sponsoring Kiwanis Club’s President. Your sponsoring Kiwanis Club’s Committee Chair for Service Leadership Programs.

Please use this MS-WORD file to send a soft-copy (digital copy) to your Lt Governor via email.

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