General Information
Month:
January
February
March
April
May
June
July
August
September
October
November
December
Year:
2004
2005
2006
Mo-Ark Division:
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Diamond
Gateway
Heartland
Your School:
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Arkansas State Univerity - Mountain Home
Arkansas State University - Jonesboro
Hannibal-LaGrange
Harding University
Lindenwood University
Northwest Missouri State University
Southeast Missouri State University
Southwest Missouri State University
Truman State University
Univ of Arkansas Community College - Batesville
University of Arkansas - Fayetteville
University of Central Arkansas
University of Missouri - Columbia
University of Missouri - Rolla
Washington University
Westminster College
William Woods College
Unlisted/Newly Chartered Club
Sponsoring Kiwanis Club:
Your Name:
Your E-mail:
Any Club Officer Contact Information that has Changed:
I. Club Status
Club Status:
Active
Building
Past Due
Suspended
Membership Total:
Members Paid to District this Month:
Members Paid to District this Year:
Members Paid to International this Month:
Members Paid to International this Year:
II. Club Communication
Club Newsletter/Memo:
Yes
No
Contact with Sponsoring Kiwanis Club:
Yes
No
Contact with other K-Family Counterparts:
Yes
No
III. Meetings
Please list any club meetings held by your club. Include when the meeting was held,
and what the main program was (such as a speaker or activity), and any important information that came out of the meeting.
Meeting 1
Date:
Program:
Comments/Summary:
Meeting 2
Date:
Program:
Comments/Summary:
Meeting 3
Date:
Program:
Comments/Summary:
IV. Committees
Please list any club committee meetings held by your club. Include the committee name, when the meetings are held,
and what actions were taken.
Committee Meeting 1
Committee Name:
Meeting Date:
Meeting Actions:
Committee Meeting 2
Committee Name:
Meeting Date:
Meeting Actions:
Committee Meeting 3
Committee Name:
Meeting Date:
Meeting Actions:
Committee Meeting 4
Committee Name:
Meeting Date:
Meeting Actions:
V. Projects
Please list any projects your club members participated in. Include the following information about each project:
Date, Description, Number of Members, Service Hours, and Comments.
Projects:
Total Money Raised for IDD:
Total Money Raised for District Project:
Total Money Raised for Other Charities:
VI. Service Hours
Service hours contributed by members of your club towards the project. This includes preparation,
transportation, and all hours during the project itself. For example, if 5 members participated in a project that
lasted 3 hours, the total hours would be 15.
Total Service Hours:
VII. Goal Setting
Please list any specific goals in which you wish to accomplish during the coming month.
What are the greatest concerns facing your club to date?
VIII. Questions, Comments, Concerns
Please list any questions, comments, or concerns that you have for your District LTG, District
Secretary, or District Governor.
IX. Upcoming Events
Please list and describe upcoming events planned. Include date, time, etc.