Club MRF Form
Due by the 5th of every month!
Email address *
Please indicate the name of your Key Club/High School: *
Your answer
Please indicate your City and State: *
Your answer
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: https://goo.gl/cTu4FT
Please list, if any, the amount raised for our Preferred Charities, the total number of service hours worked, as well as which charity benefited:
Your answer
Name of Charity Served (Children's Miracle Network, UNICEF, March of Dimes, Yell & Tell):
Your answer
Dollar Amount Raised:
Your answer
Please list, if any, the amount raised for a District Project fundraiser completed this month:
Your answer
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. *
Your answer
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): *
Your answer
Additional Comments / Message / How can the District Board help you?
Your answer
Club President Name: *
Your answer
Club President Email Address: *
Your answer
Club Secretary Name: *
Your answer
Club Secretary Email Address: *
Your answer
Faculty Advisor Name: *
Your answer
Faculty Advisor Email Address: *
Your answer
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