Monthly Report Form (MRF)

Monthly Report Form

* Indicates required field

Please indicate your full school name (ie., Wilmot Union): *

Please indicate your City and State: *

Reporting for month in which service was provided (ie., Report due April 5th for March Service Provided - Select March from Dropdown) *

Was Your Club Contacted by Your Lt Governor this month? *

Yes No

Was your club contacted by your Sponsoring Kiwanis Club or your Kiwanis Club Advisor this month? *

Yes No

Did your club hold officer elections this month? *

Yes No

If yes, please copy and paste the following link to complete the Club Officer Information (COI) form after submitting your Club Monthly Report.

http://www.wiumkeyclub.org/club-officer-information-coi.html

Total hours of service for this month (Please list all Club member service hours) If no service was performed this month, show as a zero (0): *

Please list, if any, the amount raised for our Preferred Charities, the total number of service hours worked, as well as which charity benefited:

Name of Charity Served (Children's Miracle Network, UNICEF, March of Dimes, Yell & Tell): *

Dollar Amount Raised: *

Total Service Hours Worked: *

Please list, if any, the amount raised for a District Project fundraiser completed this month. *

Also, please note that all donations for the District Project are required to be sent to the District Office in order to to be recognized, or have a copy of the check be sent to the District Office for recognition. Thank you.

Please list the most successful service project or fundraiser performed this month. (If your club did not do any service or fundraising projects, please indicate "none" in the box. *

Additional Comments / Message / How can the District Board help you? *

Club President Name: *

Club President Email Address: *

Club Secretary Name: *

Club Secretary Email Address: *

Faculty Advisor Name: *

Faculty Advisor Email Address: *

Submit