Region 2
Minnesota-Dakotas District
Kiwanis International

 


 


 


Official Monthly Report

Instructions:  Complete the following form and submit the totals as of the end of each month.  After you click on the "Submit Report" button you will get the "Form Validation Error" page if there is an error.  If this happens, click on the "Back" button on your browser to go back and correct any mistakes.  Do not use the "Return to the form" link at the bottom of the Form Validation Error page.  It will erase your data.

Fields preceded by an asterisk (*) are required.
 

*For Month:

 

 

Region 2  Minnesota-Dakotas District

*Kiwanis Club:

 

 

Membership Record  
   
*Total end of previous month
*New members this month
*Deletions this month
*Total end of month
   

 

Attendance Record
 

*Day of Month

*Active Total Members on Roster

*Active Members Actually Present

Meetings With Programs

 

 

   Yes

  No

 

    Yes   No

 

    Yes   No

      Yes   No

      Yes   No


 

Inter-Club Meetings (Away meetings only)
 

Day of Month

Number of Members Participating

Club Visited

Miles One Way

 

 

 

 

 

 

Services Rendered by the Club
 
 

Number of Projects Completed

Number of Service Hours

Number of Kiwanians Involved

Dollars Spent

Community Services

 

 

 

 

Youth Services

 

 

 

 

Human and Spiritual Values

 

 

 

 

Young Children Priority One

 

 

 

 

         

 

Additional Comments or Questions  
   

 

 

Submitted by
   
*Name:
*Email address:
Telephone:


     
 




 

 


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