Secretary Report Form
New England and Bermuda District of Key Club International
Club secretaries should submit this form each calendar month by the 10th of the following month (i.e., the November report is due December 10th). The months of April through September are combined 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 Tia Guay at firstname.lastname@example.org
Key Club of
Your high school
Division 1 (ME)
Division 2 (ME)
Division 3 (ME)
Division 4 (ME)
Division 5 (VT)
Division 6 (NH/VT)
Division 7 (NH)
Division 8 (NH/MA)
Division 9 (MA)
Division 10 (MA)
Division 11 (MA)
Division 12 (MA)
Division 13 (MA/RI)
Division 14 (MA/NH)
Division 15 (MA)
Division 16 (MA)
Division 17 (CT)
Division 18 (CT)
Division 19 (CT)
Division 20 (CT)
Note: Divisions were changed effective April 2021. Please double check your Division at https://www.newenglandkeyclub.org/club-list
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
Total Service Hours
School Project 1
School Project 2
Community Project 1
Community Project 2
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 WASH), 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 (KPTI, Camp Sunshine, Children of Peace Int'l)
Service to an International Project (UNICEF, CMN Hospitals, March of Dimes, or Thirst Project)
Describe your Key Club's fundraising efforts. Please include a description of the fundraiser, amount raised, and the District or International project it was supporting.
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, including Kiwanis Clubs, Circle K clubs, Builders Clubs, K-Kids clubs, and Aktion 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.
Key Club Participation
2021-2022 Key Club Year
Submitted Club Officer Directory
Participated in Key Leader (Virtual or In Person)
Attended Club Officer Training Conference (virtual)
Trick or Treat for UNICEF (virtual)
Participated in Key Club Week
Paid dues by December 1
Submitted an article to the YanKey
Applied for Youth Opportunities Fund Grant
Going to attend District Educational Conference 2022
Optional: please include any information to explain extenuating circumstances that prevented your Key Club from earning more points.
Key Club President's Email (1 Point)
Key Club Secretary's Email (1 Point)
Key Club Advisor's Email
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