Key Club of: Date Report Filed:
Month: Year: Meeting Day:
Meeting Location: Meeting Time:
Week/Activity
1st
2nd
3rd
4th
5th
1. Did your club hold a meeting?
2. Number of members present at meeting.
3. Speaker present?
4. Kiwanis advisor present?
5. School advisor present?
6. Number of Kiwanians/Guests present:
7. Club officer meeting held?
8. Key Club members present at Kiwanis meeting?
9. Club article sent to Minnkota Key?
10. Club article sent to Keynoter?
11. Has your Lieutenant Governor contacted you this month?
12. By what means? Other method:
13. Has this contact been sufficient?
Form filled out by:
Your e-mail address:
Position
Miscellaneous Comments: