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2016-2017 Monthly Report Form (MRF)
This is the Monthly Report Form for the 2016-2017 service year.
Please fill out every question, and if you are unable to answer a question write N/A where applicable.

If you have any questions please email the District Secretary, Tanya Hao, at tanyahao.sec@nydkc.org.
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Key Club of *
Your High School Name [Please use the official school name reported on the district website, http://nydkc.org/who-we-are/division-clubs/]
Your Division *
Visit http://nydkc.org/who-we-are/division-clubs/ to find your division
Month *
Note: This is NOT the current month, but the month for which the form is submitted for. So- if you're submitting hours done in March, choose 'March'.
Lt. Governor Email Address *
Please verify your Lt. Governor's Email Address
Secretary Name *
Secretary Email Address *
Please enter an email to receive your submission confirmation email. Do not delete the confirmation email.
Secretary Phone Number *
XXX-XXX-XXXX
Members Up to Date *
Number of Meetings Held *
Date of All Meetings Held *
MM/DD/YY [0 for none]
Advocacy Activities *
[0 for none]
Team Building Activities *
[0 for none]
Issues With Your Club *
[0 for none]
Is this submission approved by your club faculty advisor and president? *
Did your club hold/ attend any service projects, fundraisers, or events? *
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