Secretary Report Form
New England and Bermuda District of Key Club International
Club secretaries should submit this form each month by the 10th of the following month (i.e., the November report is due December 10th). The months of April through September should be aggregated into a single report due on October 10th.
This Report is graded out of 12 points:
1 point for being submitted complete and on time
4 points for service to school and community
1 point for service to District Projects
1 point for service to the Key Club International Service Partners
2 points for Kiwanis Family Relations
3 points for e-mail addresses
Please direct any questions to District Secretary Emily Nguyen at email@example.com
Key Club of
Your high school
Division 1 (LTG Aidan Sites)
Division 2 (LTG Crystal Macomber)
Division 3 (LTG Kate Lusignan)
Division 4 (LTG Kyle Long)
Division 5 (LTG Annie Carman)
Division 6 (LTG Leah Desveaux)
Division 7 (LTG Trevor Hustus)
Division 8 (LTG Skyler Brown)
Division 9-10 (LTG Vacant)
Division 11 (LTG Molly Engels)
Division 12-13 (LTG Lauren Rostosky)
Division 14-15 (LTG Kelsey Vu)
Division 16-17-21 (LTG Thomas Galligan)
Division 18 (LTG Gillian Benoit)
Division 19-25 (LTG Asami Castellano)
Division 20 (LTG Raphaella Dossantos)
Division 22 (LTG Ava Paine)
Division 23 (LTG Joey Yacavone)
Division 24 (LTG Zachary Medeiros)
Division 26-27A (LTG Vacant)
Division 27B-28 (LTG Amisha Paul)
Division 29A (LTG Cathy Yan)
Division 29B (LTG Tyler Chavez)
Division 30 (LTG Daniel Knorr)
Division 31 (LTG Jessica Tambascio)
If you are unsure, please check the District Club List on www.newenglandkeyclub.org
This Report is for the Month(s) of:
Note: The report for each month is due on the 10th of the following month. For example, you should submit your October report on or before November 10. The first report of the year (April-September) is due by October 10.
Is your club in contact with your Lieutenant Governor (LTG)
Please describe how your Lieutenant Governor contacts you, i.e., emails, text messages, phone calls, letters, etc.
Note: This section is not graded.
Number of Meetings in the Past Month
More than 4
Average Meeting Attendance Last Month
Please only include dues-paid members.
Total Number of Dues-Paid Members in the Club
Did your faculty advisor attend these meetings?
Did your Kiwanis Advisor or other Kiwanians attend these meetings?
Service to School and Community (4 points)
Please describe the 4 biggest service projects performed by your club in the last month that benefited your school and community (2 projects to benefit the school and 2 projects to benefit the community). If one service project took place multiple times (i.e., your Key Club raked leaves once a week), please aggregate the projects together for the month in question.
Top 4 Service Projects for School and Community
Type of Project (School/Community)
Total Service Hours
Other Service Projects
Please describe any other service projects for your school and community not included above.
Total Service Hours for Service to School and Community
Total Number of Members Involved in Service to School and Community
Service to District and International Projects (2 points)
Please describe one project that your club performed to benefit any of our three District Projects: Kiwanis Pediatric Trauma Institute, Camp Sunshine, and Children of Peace International, and one project that your club performed to benefit a Key Club International Preferred Charity: UNICEF (including The Eliminate Project), Children's Miracle Network Hospitals, March of Dimes, or the Thirst Project.
Service to District and International Projects
Total Service Hours
Funds Raised (if applicable)
Service to District Project
Service to an International Project or Preferred Charity
Other Service Projects
Please describe any other service projects and fundraisers for District Projects, International Service Partners, and/or the Eliminate Project
Total Service Hours for Service to District and International Projects
Total Number of members involved in Service to District and International Projects
Total Funds Raised for District and International Projects
Kiwanis Family Relations (2 points)
Please describe the interactions between your Key Club, your sponsoring Kiwanis Club, and other Kiwanis Family clubs..
Did your club attend a Kiwanis Family meeting in the past month?
This includes meetings by a Kiwanis Club, CKI club, Builders Club, K-Kids, or Aktion Club.
Please explain which Kiwanis Family club meetings you attended, or why your club could not attend any meetings.
Did your club participate with another Kiwanis Family club in a service project in the past month? (1 point)
Please explain which Kiwanis Family service projects you participate in, or why your club could not participate.
Did your Kiwanis Club attend any Key Club meetings or projects in the past month?
Please explain which meetings or projects they attended.
2016-2017 Key Club Year
April 2016 - April 2017
Trick or Treat for UNICEF
Key Club Week
District Educational Conference
Partnered with Boys and Girls Club
Submitted an article to the YanKey
Paid dues by December 1
President's Email (1 Point)
Secretary's Email (1 Point)
Advisor's Email (1 Point)