| Your name (First and Last)
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| Your full e-mail address
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| Division:
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| Club:
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| Sponsoring Kiwanis Club(s):
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| Month:
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***** |
| Please complete the following club contact information if it has changed since the last report, OR if you answered the club question above with "Newly Chartered Club". The updated e-mail addresses will not be used until they can be verified, except for the newly chartered clubs.
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| President:
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| Address:
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| E-mail Address:
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| Phone:
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| Secretary:
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| E-mail Address:
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***** |
| I. CLUB STATUS |
| A. Please Check One:
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Building
Active
Past Due
Suspended I
Suspended II
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| B. Membership totals:
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| Paid to District this month:
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| To date for this year:
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| Paid to International this month:
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| To date for this year:
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| C. Additional club status comments:
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| II. CLUB COMMUNICATION
Please indicate if you completed the following communication:
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| Contact with sponsoring Kiwanis Club:
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Yes
No
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| Club newsletter/memo:
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Yes
No
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| Contact with K-Family Counterparts:
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Yes
No
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***** |
| III. MEETINGS Please list any club meeting dates, the program, and any comments.
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| Date:
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| Program:
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| Comments:
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| Date:
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| Program:
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| Comments:
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| Date:
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| Program:
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| Comments:
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| Date:
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| Program:
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| Comments:
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| Date:
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| Program:
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| Comments:
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| IV. COMMITTEES Please list any committee meetings held by your club. Include the committee name, when the meetings were held, and what actions were taken
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| V. PROJECTS
Please list any projects your club members participated in. Include the following information about each project: Date, Description, Number of Members, Hours, and Comments.
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| Total money raised for IDD:
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| Total money raised for district project:
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| Total money raised for other charities:
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| Total service hours:
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| Total hours are the number of hours contributed by members of
your club towards the project. This includes preparation,
transportation, and all hours during the project itself. For
example, if five members participated in an on-campus project
that lasted three hours, the total hours would be fifteen.
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***** |
| VI. KIWANIS SUPPORT Please comment on the support received by your club from Kiwanis.
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| VII. GOAL SETTING
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- A. Please list specific goals you wish to accomplish during the coming month.
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- B. Please summarize and re-evaluate goals/accomplishments over the past month.
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- C. What are the greatest concerns facing your club?
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| VIII. QUESTIONS AND COMMENTS
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- Please list any questions/remarks for your Lt. Governor, District Secretary, or Governor.
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***** |
| IX. UPCOMING EVENTS
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- Please list and describe planning for upcoming club events including the date, etc.
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| Please make sure that you have completed all relevant parts before sending the report.
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