International Representative Monthly Reporting Form- January

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1. Name:

Name:

2. Sub region

Sub region   A B C D E F G

3. Please list your first district:

Please list your first district:

4. Please provide an overall evulation for the district:

Please provide an overall evulation for the district:

5. Please list your second district:

Please list your second district:

6. Please provide an overall evulation for the district:

Please provide an overall evulation for the district:

7. Please list your third district:

Please list your third district:

8. Please provide an overall evulation for the district:

Please provide an overall evulation for the district:

9. Please list your fourth district, if applicable:

Please list your fourth district, if applicable:

10. Please provide an overall evulation for the district:

Please provide an overall evulation for the district:

11. Please list your fifth district, if applicable:

Please list your fifth district, if applicable:

12. Please provide an overall evulation for the district:

Please provide an overall evulation for the district:

13. Please talk about your interactions with your governors and districts this month:

Please talk about your interactions with your governors and districts this month:

14. Please talk about your committee and your role with your committee:

Please talk about your committee and your role with your committee:

15. Please talk about your involvement in your home club:

Please talk about your involvement in your home club:

16. Please talk about your involvement in your district:

Please talk about your involvement in your district:

17. Have you participated in any other K family events?

Have you participated in any other K family events?

18. If you could wave a magic wand and change one thing about CKI, what would it be? Why?

If you could wave a magic wand and change one thing about CKI, what would it be? Why?

19. What does true servant leadership mean to you?

What does true servant leadership mean to you?

20. Anthing else you would like us to know?

Anthing else you would like us to know?