Club MRF Form
Due by the 5th of every month!
Email address *
Please indicate the name of your Key Club/High School: *
Please indicate your City and State: *
Reporting for month in which service was provided (ie., Report due April 5th for March) *
Was Your Club Contacted by Your Lt Governor this month? *
Was your club contacted by your Sponsoring Kiwanis Club or your Kiwanis Club Advisor this month? *
Did your club hold officer elections this month? *
If you have held elections for next year and have not submitted a new COI form (Club Officer Information Form), please do so here:
Please list, if any, the amount raised for our Preferred Charities, the total number of service hours worked, as well as which charity benefited:
Name of Charity Served (Children's Miracle Network, UNICEF, March of Dimes, Yell & Tell):
Dollar Amount Raised:
Please list, if any, the amount raised for a District Project fundraiser completed this month:
Please list the most successful service project or fundraiser performed this month. (If your club did not do any service or fundraising projects, please indicate "none" in the box. *
TOTAL SERVICE HOURS FOR THIS MONTH (Please list all Club member service hours) If no service was performed this month, show as a zero (0): *
Additional Comments / Message / How can the District Board help you?
Club President Name: *
Club President Email Address: *
Club Secretary Name: *
Club Secretary Email Address: *
Faculty Advisor Name: *
Faculty Advisor Email Address: *
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