Standard Monthly Report Form Template - DOC

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Standard Monthly Report Form Template - DOC Powered By Docstoc
					                    Standard Monthly Report Form Template
General
 Month/year of report: <Select One>      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 <select one> 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     <select one>(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
<select>
<select>
<select>
<select>
<select>
<select>
<select>
<select>

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: