Club MRF (September)
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1. Default Section

*
1. Club:

Club:

*
2. Time of Report

	Month
Please select the month for which you are reporting:	Time of Report Please select the month for which you are reporting: Month

3. How is your club doing?

	Poor	Fair	Good	Excellent
Membership	*How is your club doing? Membership Poor	Membership Fair	Membership Good	Membership Excellent
Retention	Retention Poor	Retention Fair	Retention Good	Retention Excellent
Service Projects (number)	Service Projects (number) Poor	Service Projects (number) Fair	Service Projects (number) Good	Service Projects (number) Excellent
Participation	Participation Poor	Participation Fair	Participation Good	Participation Excellent
K-Family Interaction	K-Family Interaction Poor	K-Family Interaction Fair	K-Family Interaction Good	K-Family Interaction Excellent
Inter-club Communication	Inter-club Communication Poor	Inter-club Communication Fair	Inter-club Communication Good	Inter-club Communication Excellent
District Board Communication (to your club)	District Board Communication (to your club) Poor	District Board Communication (to your club) Fair	District Board Communication (to your club) Good	District Board Communication (to your club) Excellent

4. Paid Dues members:

	Club Dues paid	Registered with CKI
Paid Dues Member	Paid Dues members: Paid Dues Member Club Dues paid	Registered with CKI

5. Club Service Hours:

Club Service Hours:

6. In what service projects did your club participate? This also includes any K-family projects your club has participated in. Please tabulate hours with a slash (/) next to the project.

In what service projects did your club participate? This also includes any K-family projects your club has participated in. Please tabulate hours with a slash (/) next to the project. Project 1:
Project 2:
Project 3:
Project 4:
Project 5:
Project 6:
Project 7:
Project 8:
Project 9:
Project 10:
Project 11:
Project 12:
Project 13:
Project 14:
Project 15:

7. Funds raised/spent:

Funds raised/spent: Amount ($) Raised:
How?
Amount ($) Spent:
On?

8. Interclubs:

Interclubs:

9. How many meetings have you hosted/attended? (Please note if more than one member attends a meeting, it only counts as one meeting)

How many meetings have you hosted/attended? (Please note if more than one member attends a meeting, it only counts as one meeting) Club meetings:
Board meetings:
Kiwanis meetings:
Aktion Club meetings:
Key Club meetings:
Builders Club meetings:

10. Who would you like contact from?

Who would you like contact from? Governor

Secretary/Treasurer

Dist. Administrator

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