Alabama District of Circle K International
David C. Womack Award 
Distinguished Club Vice President

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 vice-president promoted and exemplified CKI ideals, themes, and objectives as well as any other information that makes the vice-president outstanding.  This information should include, but it 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.

Vice-President Award Report Form

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

Club and board meetings attended (10 points possible)
100% attended		________	10 points
90% attended			________	  8 points		Check the highest category
80% attended 			________	  6 points		that applies
70% attended			________	  4 points

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 District		________	5 points

Banquets (5 points possible) 
Attended Fall banquet			________	5 points 	Check if applies

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)
 
Because each club has different requirements for the office of Vice-President, you must submit the section of your club bylaws that pertains to the duties of the Vice-President with the nomination for reference.  Any form that does not include this copy will not be considered.  Duties or goals of nominee may be included in the nomination essay to help clarify club's expectations.

If a club has one Vice-President, the club should complete the section above and both sections that follow to be considered for either the Distinguished or Outstanding Award.  If a club has more than one Vice-President, the club should complete the section above, and the section that follows that applies to the nominee.   

Vice-President of Membership

Member Recruitment and Education
Check categories that apply
(20 points possible)

•	New member packets created and distributed (5 points)		_____

•	Membership drive planned and executed (10 points) 			_____

•	Member education programs planned and implemented (5 points)	_____

Vice-President of Service

Average number of projects planned per month		_____

Project Attendance
Check the category that applies 
(15 points possible)

10 or fewer projects per month
50-74% attendance	_____	5 points
75-84% attendance	_____	10 points
85-100% attendance	_____	15 points

11-20 projects per month
40-59% attendance 	_____ 5 points
60-79% attendance	_____10 points
80-100% attendance	_____15 points

20 or more projects per month
35-49% attendance 	_____5 points
50-69% attendance	_____10 points
70-100% attendance	_____15 points

Service hours collected monthly 	_____ (5 points)

A subjective portion will be based upon essays, LTG evaluation, duties as stated in the club bylaws, 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:
More than one Vice-President				One Vice-President
Total points		________/85 			Total points		________/105
Subjective 		________/25 			Subjective		________/25
TOTAL		________/110			TOTAL		________/125