Alabama District of Circle K International
Club Achievement Award

CLUB:_________________________________

____________________________                            ____________________________
Circle K Club President				  Circle K Club Faculty Advisor

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Circle K Club Secretary				  Circle K Club Kiwanis Advisor

The purpose of this award is to recognize clubs which excel in all aspects.  Include events that occurred between the period of the 2004 District Convention and the 2005 District Convention.  List activities performed by your club, but not those performed by individual members on their own initiative or as members of other school or community groups.  Use specific statements showing definite accomplishments and the month and year in which the activities were carried out.  If an area or question does not apply to your individual club, please write N/A in the space provided. 

Each Circle K club must be in good standing with Circle K International and the Alabama District.  Each club shall use this standard form for its entry and follow all instructions on the form.  Report must be typed. Repetitious reporting of activities, binding, pictures, etc. will not be taken into consideration.  Total service hours for each activity shall be reported by area:  planning, travel, actual project time, and follow-up.

Strive to complete all sections in the space provided.  If it is necessary to continue the report, do so on letter size white paper, typed and double-spaced.  Please include section number with each answer placed on an additional sheet.  

The report is to be endorsed by the Circle K club president, secretary, faculty advisor, and Kiwanis advisor.  Reports without these signatures will not be judged.  The name of your Circle K club should appear at the top of the report.  Club Achievement entries will be judged by a committee appointed by the District Board.  First, second, and third place winners in each division will be awarded trophies.  Decisions of the judges are final.  

Entries must be turned in to the District Convention Office by Saturday of District Convention, at 8:00 am.

DIVISION DETERMINATION:

Number of Circle K members on February 15, 2004  ________

GOLD (26 or more)	________
SILVER (up to 25)	________

DO NOT TALLY POINT TOTALS.  
TO DO SO WILL CAUSE REPORT TO BE DISQUALIFIED.

A.  Circle K club Administration – 70 Points Possible			Scoring	Point Totals
	
Club Meetings			Club Meetings		
1.  How many club meetings were held, described as the following:					
     a.  During the school year that were attended by an advisor			1 point for every four mtgs., max 6 pts.		
     b.  During the school year that had a guest speaker			1 point for every mtg., max 7 pts.		
     c.  During the holidays or other break periods 			1 point for every 2 mtgs., max 5 pts.		
     d.  Special meetings (banquets, ceremonies, etc.)			1 point for each, max 5 pts.		
     e.  Board meetings			13 or more is 6 pts.
 9-12 in 5 pts.
 5-8 is 3 pts.
 1-4 is 1 pt.		
f.	Average club meeting attendance as a percentage of dues paid membership:
(Include all regular club meetings, round to nearest whole number)
			80% or more is 5 pts.
60-79% is 3 pts.
40-59% is 1 pt.		
Club Reports and Public Relations			Club Reports & PR	
	
2. a.    How many monthly reports were submitted to the district			80%, 6 pts.
60-80%, 3 pts.	

    b.    Were articles submitted to the district bulletin editor?			If yes 1 point		
           Was article printed in district bulletin?			If yes 1 point		
    c.    Were articles submitted to the CKI magazine?			If yes 1 point		
           Was article printed in CKI magazine?			If yes 1 point		
    d.    Were articles sent to the campus newspaper?			If yes 1 point		
           Was an article printed in the campus newspaper?			If yes 1 point		
    e.    Were articles sent to the community newspaper?			If yes 1 point		
           Was an article printed in the community newspaper?			If yes 1 point		
    f.     Did the club have any publicity through radio or television? 			If yes, 2 points		
Dues Payment			Dues Payment
If postmarked by Oct 15, 3 points
If postmarked by Nov 30, 2 points		
District/Division Involvement			District /Division Involvement		
4.  Activities in which the club participated:	Yes	No			
     a.    Presidents’ Council Meeting(s)			If yes, 2 points		
     b.    Division/district-wide rally			If yes, 3 points		
     c.    Division/district-wide service project			If yes, 3 points		
Club Communications			Club Communications
		
5.  Did the club utilize either of these forms of communications for members?	Yes	No			
     a.    Club newsletter with a minimum of four (4) issues.			If yes, 3 points		
     b.    Club Web site			If yes, 2 points		
     c.     Did the club maintain a club directory?			If yes, 2 points		
     d.    Club e-mail reflector			If yes, 2 points 		

Total your score for section A of this report.			
Total for A section.		

B.  Club Membership – 30 Points Possible			Scoring	Point Totals
	
Education & Development Programs	Yes	No	Education & Development Programs		
1.  Did the club provide a special program for new member induction, including a ceremony and pin presentation?			If yes, 3 points		
2.  Did the club provide a formal program for member orientation and education including the new member handbook, Circle K magazine, etc?			If yes, 3 points		
Convention Attendance			Convention Attendance		
3.  a.  How many voting delegates attended the district convention?			2 points per voting delegate (4 points max)		
     b.  Was the advisor in attendance at the district convention?			An advisor is 2 points
(Maximum)		
     c.   How many members attended the district convention?			If over 50% or over 20 members, 2 points

If between 10-20 members or between 25-50%, 1 point		
4.  How many voting delegates attended the International Convention during this administrative year?      		 	 2 points per voting delegate (4 points max)		
Membership Activities			Membership Activities	
	
5.  How many club social activities were held for all club members?			3 or more, 4 points
1-2, 2 points	
	
6.  How many joint meetings were held with other Circle K clubs?			3 or more, 4 points
1-2, 2 points		
Membership Growth			Membership Growth		
8.  What is the % increase in the number of dues paid members over the previous year?  (If the number is zero or negative write - N/A for not applicable.)			If 10% or more, 4 points
If between 6-9%, 3 points
If between 1-5%, 2 points		

Total your score for section B of this report.			
Total for B section.

C.  Leadership Development – 30 Points Possible	
Yes	
No	
Club Officer Training and Development		
1.  Did your club participate in or conduct a formal officer training?			If yes, 5 points		
2.  Did the faculty and/or Kiwanis advisor participate in the club officer training?			If yes, 2 points		
3.  Has your club conducted a club officer and member leadership retreat?			If yes, 4 points		
4.  The District Fall Rally (MER) (minimum 4 members)			If yes, 3 points		
5.  Were the following committees active during the year?					
     a.  Service Project Committee			If yes, 2 points		
     b.  Program Committee			If yes, 2 points		
     c.  Fundraising Committee			If yes, 2 points		
     d.  Membership Education and Development			If yes, 2 points		
     e.  Kiwanis-Family Committee			If yes, 2 points		
6.  What percentage of members have served in leadership positions including officers, board members, committee and project chairs during the past administrative year?			50% or more, 4 points
40-49%, 3 points
30-39%, 2 points
20-29%, 1 point		
7.  Has the club had one of the following during the past year?	Yes 	No			
     a.  A candidate for District or International office			If yes, 1 point		
     b.  A district officer or district committee chairman 			If yes, 1 point		
     c.  An International officer			If yes, 1 point		
8.  Did the club sponsor a leadership program on campus			If yes, 3 points		

Total your score for the C section of this report.			
Total for C section.		

D.  Kiwanis-Family Involvement – 30 Points Possible			Scoring	Point Totals
	
Kiwanis Family Interaction	Yes	No	Kiwanis Family Interaction		
1.  How many Circle K meetings have the sponsoring Kiwanis club 
     members attended?			10 or more, 4 points
5-9, 3 points
1-4, 2 points		
2.  How many times did Circle K members attend the sponsoring 
     Kiwanis club’s meetings?			10 or more, 4 points
5-9, 3 points
1-4, 2 points		
3.  How many joint service projects have the Circle K and sponsoring 
     Kiwanis club conducted?			5 or more, 5 points
1-4, 3 points		
4.  Has the Circle K jointly sponsored a Builders Club, K-Kids or Aktion Club, with its sponsoring Kiwanis club?			If yes, 3 points		
5.  Has the Circle K club participated in at least one service project with:					
     a.  A Kiwanis club – other than its sponsor?			If yes, 2 points		
     b.  A Key Club?			If yes, 2 points		
     c.  Builders Club, K-Kids, or Aktion Club?			If yes, 2 points		
6.   Has the Circle K club presented a program at a Builders club, 
      K-Kids or Key Club meeting?  			If yes, 2 points		
7.  Has the Circle K club participated in at least one interclub with: 					
     a.  A Kiwanis club – other than its sponsor?			If yes, 2 points		
     b.  A Key Club			If yes, 2 points		
     c.  Builders Club, K-Kids or Aktion Club?			If yes, 2 points		

Total your score for the D section of this report.			
Total for D section.	

E.  Service Projects – 25 Possible Points			
Service Projects
		
List all service projects (25 service projects maximum and involving the greatest number of members and service hours) the Circle K club has completed during the administrative year.  The projects should be organized by month.  For a recurring project (for example, daily raising and lowering of school flags) treat the project as a single project for each month. 

Allow only one line for each project. Provide the month, brief project description, number of members participating and number of service hours produced by Circle K members during the month.  

The list must be a) typed or b) completed as a computer printed document.  Total the number of projects and enter the number in the scoring box below.  Attach the list to this report.					
Project Description              	
Month	
Members	
Service Hours	

 			Each project is 1 point, 25 points maximum

		

Total your score for the E section of this report.			
Total for E section.	

F.  Service Hours – 40 Points Possible			1 average service hour is 1 point 
40 points maximum		

    Total service hours for the year					
     Total number of members in the club
     (Use the number calculated on the first page of this report.)					
      Divide the total service hours by the number of members					

Total your score for the F section of this report.			
Total for F section.	

G.  Service Fundraising – 20 Points Possible	US$	Dues Paid Members	Scoring	Point Totals
	
Instructions:
1. Total the money raised (surplus) by the Circle K club for non-profit, education and other charitable purposes.  Enter this figure in box one to the right.	1.	2.	3.	4.	
2. Divide the $US figure by the number of dues paid members.  Enter this figure in box two to the right.					
3. Round to the nearest whole number.  Enter this number (maximum 20) in the scoring box three to the right.					

4. Total your score for the G section of this report. Enter total in box 4 and in the total box.			
Total for G section.	

Part ii:  Service, Leadership, Fellowship And Kiwanis-Family
					
H.  Service Projects – 100 Points Possible                                                                                               Point Totals                       	
In each of the categories under this section, please describe the project and be sure to include the number of members participating and the total number of service hours performed.  No project can be listed under more than one category.

1.	Give a description of the best project involving the Service Initiative:  Focusing on the future:  Children.  
(20 points possible) 

The Service Initiative: “Focusing on the Future:  Children” is a program designed to encourage Circle K clubs to be actively involved in the growth and development of children, ages 6 – 13.  For more information on the Service Initiative, please refer to the Service Initiative Kit or contact the Circle K International Office for details.  Information about the Service Initiative is also available on the Circle K Web site at www.circlek.org.

2.	Give a description of the best service project to the campus. (20 Possible Points) 

3.	Give a description of the best service project to the community.  (20 Possible Points) 

4.	Give a description of the best joint service project held with your sponsoring Kiwanis club.  (15 Possible Points) 

5.	Give a description of the best joint service project held with any member of the Kiwanis-Family other than the sponsoring Kiwanis club.  (15 Possible Points) 

6.	Give a description of the best joint service project held with any organization, club or society on your school campus.  (10 Points Possible)

Total your score for the H section of this report.                                                          Total for H section.		

Overall point total                                                                                                                                                    Entire Report Total. 	

Membership Education (15 points)
Briefly explain programs for membership recruitment and development.
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Briefly explain programs for the education of new members. 
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Briefly explain how your club utilizes minimum membership requirements. 
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Fellowship (20 points)
List activities designed to promote fellowship in which your club participated.
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

KIWANIS FAMILY ACTIVITIES AND INTERCLUBS—50 points total 

Circle K (20 points)
List interclub meetings, projects, and socials in which your club participated or acted as host with other Circle K clubs.
Date/Event	Number of clubs present 	Total present	Number of your club present	Service hours	

Kiwanis Family (30 points)
List Kiwanis, Key Club, Builders Club, K-Kids, Aktion Club meetings and events at which at least four members of your club were present. (20 points)
Date/Event	Number of clubs present 	Total present	Number of your club present	Service hours	

What programs has your club initiated to specifically promote Kiwanis Family relations? (5 points)
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________

How have you implemented the Key to College and Kiwanis Career Contacts programs? (5 points)
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________

RELATIONS TO THE DISTRICT—15 points total 

List type and number of reports or press releases sent to the Bama Bugle. (5 points)
Type of Report	Content (briefly)	Date Sent	Published (Y/N)	

List events (divisional or district) attended as a club.  Indicate "host" where appropriate. (5 points)
Date/Event	Location	Number of members attending	

List contacts with district officers, excluding official reports and district events. (5 points)
Type of Contact	Title of District Officer	Content (briefly)	

RELATIONS TO CIRCLE K INTERNATIONAL—20 points total 

Number of members attending the 2004 International Convention (5 points) ________
How did your club take part in Community Service and Awareness Week? (5 points)
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________

How did your club promote and celebrate Circle K Week? (5 points)
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________

List any contests your club entered at the 2004 Circle K International Convention. (5 points)
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________

NON-SERVICE PROJECTS AND ACTIVITIES—20 points  

Give of brief description of your one best project from each of the following areas.

Social Events (10 points) Briefly describe the nature of the activity, number of members and other guests who participated, and other pertinent information.
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Fundraising for non-club use (10 points)  Briefly describe the nature of the project, number of hours involved, amount raised, and other pertinent information.
___________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________

LEADERSHIP DEVELOPMENT—10 points 

How has your club developed the leadership potential of its members?  Describe leadership activities, seminars, or workshops implemented by the club.
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
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