EmailMeForm
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 Autumn Verran at autumnverran.keyclub@gmail.com.
Name
*
First
Last
Key Club of
*
Your high school
Division
*
Please select
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)
Bermuda
Note: Divisions were changed effective April 2021. Please double check your Division at https://www.newenglandkeyclub.org/club-list
Today's Date
*
MM
/
DD
/
YYYY
This Report is for the Month(s) of:
*
Please select
April-September 2023
October 2023
November 2023
December 2023
January 2024
February 2024
March 2024
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)
*
Yes
No
Occasionally
Please describe how your Lieutenant Governor contacts you, i.e., emails, text messages, phone calls, letters, etc.
*
Club Meetings
Note: This section is not graded.
Number of Meetings in the Past Month
*
0
1
2
3
4
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?
*
Yes
No
Did your Kiwanis Advisor or other Kiwanians attend these meetings?
*
Yes
No
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
*
Short Description
Members Involved
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 (Start Strong:Zambia), the Thirst Project, Ericka's Lighthouse, or Schoolhouse.
Service to District and International Projects
Short Description
Members Involved
Total Service Hours
Funds Raised (if applicable)
Service to District Project (KPTI, Camp Sunshine, Children of Peace Int'l)
Service to/with an International Project (UNICEF, Thirst Project, Ericka's Lighthouse, Schoolhouse)
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?
Yes
No
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)
*
Yes
No
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?
(1 point)
*
Yes
No
Please explain which meetings or projects they attended.
Key Club Participation
2023-2024 Key Club Year
Submitted Club Officer Directory
Attended Key Leader
Attended Club Officer Training Conference (virtual)
Raised funds for Trick or Treat for UNICEF
Participated in Key Club Week
Paid dues by December 1
Submitted an article to the YanKey
Applied for Youth Opportunities Fund Grant
Planning to attend District Educational Conference 2024
Key Club President's Email (1 Point)
Key Club Secretary's Email (1 Point)
*
Key Club Advisor's Email
(1 Point)
Submit
Scroll up after you click "Submit" or "Save and Resume Later" to see the confirmation message.
