Alabama District of Circle K International
Steve A. Means Award 
Distinguished Circle K Club President

NOMINEE:_________________________________

CLUB:___________________________________

___________________________                            ____________________________
Circle K Club Secretary				Circle K Club Advisor

The Steve A. Means Award is presented to club presidents who, as indicated by their activities throughout the year, have excelled at fulfilling their roles in the Alabama District of Circle K International.   The Award will go to all club presidents who earn at least eighty percent of the points on the following award form.

In addition to the Steve A. Means Award, club presidents may apply for the David C. Womack Outstanding Club Officer Award.  This award is not limited to any particular office, and one award will be given per year.  To apply for the Distinguished Award only, clubs should complete only the report form. To apply for the Distinguished Award and the Outstanding Award, clubs should complete the report form and submit an essay.  Essay requirements are in the following paragraph.  

Each club may nominate one individual.  The report is to be endorsed by the Circle K club secretary and the Circle K club Kiwanis or faculty advisor.  Reports without these signatures will not be judged.  The following sheet should be filled out entirely for all applicants.  To apply for the Outstanding Officer Award in addition to the Distinguished Award, an essay, one to two pages, double-spaced, and typed should accompany the nomination.   Essays less than one page long shall not be accepted.  The essay should describe how the club president promoted and exemplified CKI ideals, themes, and objectives as well as any other information that makes the president outstanding.  This information should include, but is not limited to, the number of service hours the president completed during his or her term, and the number of Kiwanis Family events the president attended outside of his or her home club.

All nominations must be received by Governor Rachel or any other district officer by the District Board Meeting prior to District Convention, or they will not be considered.

Rachel Mims
500 Snows Mill Avenue
Apartment 1016
Tuscaloosa, AL 35406

District Board members may submit a nomination at the pre-district Board meeting following the above format.  Nominations not in the above format will not be considered.  All entries, upon submission, become the property of the Alabama District and will not be returned.  The District Board reserves the right to decline to present this award in a year when it is determined there are no qualified nominees.

Club President Report Form

Club Requirements
Met or exceeded minimum club membership requirements	_____ 	Must check to be eligible
Attach a copy of the club requirements

Banquets (5 points possible) 
Fall (held)			________	2.5 points	Check all that apply
Winter/Spring (planned)	________	2.5 points

Club dues (5 points possible)
Paid by December 1, 2004	________	2 points	Check the earliest date
Paid by November 15, 2004   ________	3 points	that applies
Paid by November 1, 2004	________	5 points	

Secretary monthly reports submitted (5 points possible)
20% submitted	________	1 point			Check the highest category 
40% submitted	________	2 points		that applies
60% submitted	________	3 points
80% submitted	________	4 points
100% submitted	________	5 points

Kiwanis family interclubs (10 points possible)
2-4 interclubs		________	5 points
5-7 interclubs		________	7 points		Check the highest category
8-10 interclubs 	________	9 points		that applies
10+ interclubs		________	10 points

Kiwanis Club Visits (10 points possible)
Visits to sponsoring Kiwanis Club 	________		Indicate total points earned 									(visits are 2 points each)
Club attendance at District Convention *(10 points possible)
10-20% attendance	________	4 points
20-30% attendance	________	6 points		Check the highest category
30-40% attendance	________	8 points		that applies
40+% attendance 	________	10 points

*2005 District Convention based on pre-registration numbers

District and Divisional activities (30 points possible)
Attended prior year District		________	5 points
Attended LDC				________	5 points
Attended ICON			________	5 points
Attended MER 			________	5 points	Check all that apply
Attended rallies			________	5 points
Attending current year District	________	5 points

Monthly board meetings and 1 summer board meeting (5 points possible) 
held		________	5 points	Check if applies 
 
**The subjective portion will be based upon essay, LTG evaluation, and general participation in the district.  The subjective total will be calculated only for those who are applying for the Outstanding Club Officer Award.
 
To be completed by awards committee:
Total points 1-9	________/80 
Subjective 		________/20 
TOTAL		________/100