Standard Monthly Report Form Template
General
Month/year of report: 2005
Club Name:
Division (if applicable):
Sponsoring Kiwanis Club(s):
Number of Dues-Paid Members
Number of Dues-Paid member adds for the month
Membership goal for the year
Have there been any officer changes or contact information changes during the month? Yes
Club Meeting Information
Meeting Date
# members present
# guests present
Faculty Advisor Yes Yes Yes Yes Yes
Present (yes/no)
Kiwanis Advisor Yes Yes Yes Yes Yes
present (yes/no
Program/Speaker
Club Board Meetings
Date of Meeting
Faculty or Kiwanis advisor present? Yes
Contact
Has the Lt. Governor contact the club this month? Yes other:
Is this sufficient contact? Yes Why
Kiwanis Family
Did your club attend a Kiwanis meeting? Yes How many?
Did your club attend a Key Club meeting? YesHow many?
Please list any other Kiwanis-Family meetings or events members of your club attended and
the number of members present.
Please list which events or meetings were attended by Kiwanis-Family members and from
which clubs.
Public Relations
Did your club have a newsletter this month? Yes
Did your club participate in promotional methods this month? Yes (ie
designated t-shirt day, hang posters on campus, chalking)?
Fundraising
Did your club organize any fundraising events this month? Yes
Activities
Codes: CS=Community Service, SI=Service Initiative, SO=Social, I=Interclub, KF=Kiwanis
Family, FR=Fundraising, DE=District Event
Code, Date(s), Name of Event, members present, total service hours
Service # Members Total Service
Date Name of Event
Code Present Hours
Service hour total for month
Total service hours since April 1st
Other
Do you have any comments, questions, suggestions about CKI—club, district, international
levels?
District Specific Questions:
Question 1:
Question 2:
Question 3:
Question 4:
Question 5: