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2018-2019 NYDKC Monthly Report Form
Thank you secretary for filling out the Monthly Report Form. You're helping the district work as smoothly as possible. Remember to check the Google Classroom for updates. The code to join the google classroom is x4vq2xf

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 District Secretary Trisha Melton, at

Email address *
Key Club of *
Your High School Name [Please use the official school name reported on the district website,]
Your answer
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'.
Secretary Name *
Your answer
Secretary Email Address *
Please enter an email to receive your submission confirmation email. DO NOT delete the confirmation email.
Your answer
Secretary Phone Number *
Your answer
President Email Address *
Your answer
Number of Members Up to Date *
Your answer
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