[2019 - 2020] NYDKC Election Report Form
Hey guys!

Notes:
- If any of these questions are not applicable, PLEASE type in N/A.
- DO NOT USE YOUR SCHOOL'S PHONE NUMBER FOR ANY OFFICERS' NUMBERS
- DO NOT FILL THIS FORM OUT FOR THE 2020 TO 2021 SERVICE YEAR
- There will be places for additional officers so please do not write additional names in each club position

Feel free to contact me if you need any help.
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District Secretary
Linna Cheung
lcheung1302@gmail.com
347-882-5422

Email address *
Club Name *
YOU MUST USE YOUR OFFICAL CLUB NAME! VISIT THE LINK ABOVE FOR YOUR OFFICAL CLUB NAME AND DIVISION IF UNSURE.
Your answer
Division *
Do you have a club email? *
A club email is an email where people can contact your club, not just a specific position
Club Email
Your answer
LTG Information
Divisions 14, 27 - Select governor@nydkc.org
LTG Email Address *
Kiwanis Clubs + Kiwanis Advisors + Faculty Advisor
Please use emails and phone numbers that are easily accessible.
Faculty Advisor's Name *
Your answer
Faculty Advisor's Email *
Your answer
Faculty Advisor's Number *
Your answer
Do know who your Kiwanis Advisor is? *
If you are not sure, this is found in the Membership Update Center, (MUC) which is where dues are paid. Depending on who has access to the MUC, they can find out there. If your club has trouble paying dues or can't access the MUC, please contact me.
Kiwanis Advisor Name *
Your answer
Kiwanis Advisor Email *
Your answer
Kiwanis Advisor Phone Number *
Your answer
Club Officer Information
President's Name *
Your answer
President's Email *
Your answer
President's Phone Number *
Your answer
Vice President's Name
Your answer
Vice President's Email *
Your answer
Vice President's Phone Number *
Your answer
Secretary's Name *
Your answer
Secretary's Email *
Your answer
Secretary's Phone Number *
Your answer
Treasurer's Name *
Your answer
Treasurer's Email *
Your answer
Treasurer's Phone Number *
Your answer
Bulletin Editor's Name *
Your answer
Bulletin Editor's Email *
Your answer
Bulletin Editor's Phone Number *
Your answer
Webmaster's Name *
Your answer
Webmaster's Email *
Your answer
Webmaster's Phone Number *
Your answer
Do you have any additional positions to report? *
This includes co-officers such as presidents and secretaries. If you have more than one advisor, report so here. Any Committee Heads do not count.
Questions, Comments, Concerns
Your answer
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