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Section 1 of 5
John G. Miller Longevity Certificate
In an effort to say “thank you” to those Faculty and Kiwanis Advisors who have attained longevity in their Key Club role, the John G. Miller Longevity Award has been established to recognize those advisors with fifteen (15) or more years of service. This award is named after John G. Miller, long time faculty advisor to the Moon High School Key Club, for over 38 years, and a past District Administrator. Mr. Miller truly represents dedication and loyalty to the Key Club Program in Pennsylvania.

To be recognized, an advisor must have achieved a minimum of fifteen (15) years of service as a Key Club advisor. An advisor must also be currently serving as a Key Club advisor. Recognition of recipients will take place at the annual District Key Club Convention. Recipients do not to be present. A recipient may receive this award only once, after the fifteen (15) year anniversary date.

Note: The entry must be sent to the District Administrator by *March 1, 2019*
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Section 2 of 5
Advisor Nomination Information
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Section 3 of 5
Key Club/Kiwanis Club Information
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Section 4 of 5
Years of Service
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Section 5 of 5
Verification Signatures
Key Club President  (and Date)
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Key Club Faculty Advisor, Kiwanis Club President, or Advisor (and Date)
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