Alabama District of Circle K International
David C. Womack Award 
Distinguished Club Secretary/Treasurer

NOMINEE:_________________________________

CLUB:___________________________________

___________________________                            ____________________________
Circle K Club President				Circle K Club Advisor

The David C. Womack Awards are presented to those individuals within a club who have served in an administrative office, other than club president, during the 2004-2005 administrative year.  Each club may submit one nomination in each of the five categories:  vice president, secretary, treasurer, secretary/treasurer (must have officially served both), and other administrative (can include, but is not limited to, editor, board representative, and committee chairperson).  

Awards will be given to those officers who receive at least eighty percent of the points on the report form.  In addition to the Distinguished Award, nominees 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.  All nominated offices must have been elected/appointed to their office no later than November 2004.

The report is to be endorsed by the Circle K club president and the Circle K club Kiwanis or faculty advisor.  Reports without these signatures will not be judged.  The following sheet should be filled out, and, if applicable, 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 secretary/treasurer promoted and exemplified CKI ideals, themes, and objectives as well as any other information that makes the secretary/treasurer outstanding.  This information should include, but it not limited to, the number of service hours the secretary/treasurer completed during his or her term, and the number of Kiwanis Family events the secretary/treasurer 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.

Secretary/Treasurer Award Report Form
Club Requirements
Met or exceeded minimum club membership requirements	_____ 	Must check to be eligible
Attach a copy of the club requirements

Monthly reports (15 points possible)
100%	on time	________	15 points
90%	on time	________	13 points	Check the highest category that 
80%	on time	________	11 points	applies
Directory information submitted to District Secretary (5 points possible) 
Summer			________	2.5 points	Check all that apply
Fall				________	2.5 points

Correspondence with District Secretary (5 points possible)
Fall banquet information	________	2.5 points	
Club meeting dates	   	________	2.5 points	Check all that apply

All club and board meeting minutes submitted (5 points possible)
To District Secretary		________	5 points	Check if applies

Club dues and member report form (15 points possible)
Paid by December 1, 2003	________	  8 points
Paid by November 15, 2003	________	12 points	Check the earliest date
Paid by November 1, 2003	________	15 points	that applies
District dues match International dues (5 points possible) 
on December 1, 2003		________	2.5 points	Check all that apply
on February 1, 2004		________	2.5 points
				
Created a club budget and forwarded to District Treasurer (5 points possible)
Yes			________	5 points	Check if applies

Club and board meetings attended (5 points possible)
100% attended		________	  5 points
90% attended			________	  4 points	Check the highest category
80% attended 			________	  3 points	that applies

District and Divisional activities (30 points possible)
Attended Last Year’s District	________	5 points
Attended LDC			________	5 points
Attended ICON		________	5 points
Attended MER 		________	5 points	Check all that apply
Attending District		________	5 points
Attended Rallies		________	5 points

District secretary and treasurer opinion (5 points possible) 
		________	5 points	To be completed by DS and DT  
 
**The subjective portion will be based upon essay, District Secretary and Treasurer's evaluation, and general participation in the district. 
 
To be completed by awards committee:
Total points 1-10	________/95 
Subjective 		________/25 
TOTAL________/115