Name Month Club Name

Email

Number of Paid Members Number of officers

Service Projects:

#.......description of project...... # people involved.......# of hrs per person....... total hours..... money spent

1

2

3

4

Fundraising Projects:

#.............description...................# people involved........# of hrs per person......total hours.....$ raised..$spent

1

2

3

4

Does your club participate in the following projects and if so how much money have you raised?

Project	Click if you participate	money raised
March of Dimes

Interclubs: (an interclub is an activity that your club has such as a social, get together with another club, or a membership drive:)

Interclub #1: Number of members attending

Interclub #2: Number of members attending

Interclub #3: Number of members attending

List the number of members attending the following:

International convention District Convention

FLTC

Number of articles sent to a news source These articles were sent to

Number of minutes sent in with report Please add other articles to seperate sheet.

Club Meetings:

Meeting.Date ............# members present............... # advisors present..... Check if program

1

2

3

4

5

Board Meetings:

Meeting Date ..# members present.. # advisors present

1

2

3

4

5

Total number of members attending Kiwanis, Circle K, or Builder's Club meetings this month

Is your club doing well? If not, why not?

Would you like contact from: (Check those that apply) Lt. Gov. ; Governor ; District Administrator ; District Secretary

Minutes: Please be sure to tell which meeting(s) these are minutes for.

(Copy and paste minutes or Email them to the district secretary).