Distinguished Clubs Recognition

Clubs must complete 6 of the 8 items below, have at least 15 members and have no outstanding financial liability to Kiwanis International or the Capital District in order to qualify. All submissions subject to verification by Executive Director.

Club Name*

1. Membership- clubs must have a net increase in membership or have sponsored a Kiwanis club that chartered this year.

Starting Membership on October 1, 2021

Ending Membership on September 30, 2022

Name of New Kiwanis Club Sponsored in 2021-22 (if applicable)

2. Service - Clubs must have performed a Signature Project in the 2020-21 year.

Name of Signature Project

Date of Signature Project

3. Service Leadership Programs - Kiwanis clubs must sponsor at least 1 Service Leadership Programs club.

Name of Sponsored SLP Club

4. Education - Kiwanis club president and secretary must have participated in Club Leadership Education session.

Date Club President Attended CLE

Date Club Secretary Attended CLE

5. Conference Attendance - Kiwanis club had representation at the District Midyear Conference, Kiwanis International ELC or Capital District ELC.

Conference Participation

Name of At Least One Club Member Who Attended Conference

6. Foundation Support - Kiwanis club donated at least $10.00 per-member to the Kiwanis Children’s Fund, or a 10% increase over previous year; and at least $5.00 per-member to the Capital District Kiwanis Foundation

Amount of Club's 2020-21 Donation to Kiwanis Children's Fund

Amount of Club's 2021-22 Donation to Kiwanis Children's Fund

Amount of Club's 2021-22 Donation to Capital District Foundation

7. Report Submission - Kiwanis club submitted all 12 Monthly Reports and 2021-22 Club Election Report. This requirement is MANDATORY in order to be considered a Distinguished Club.

Declaration of Report Submission*

I attest that our Kiwanis club submitted all required reports this year.

8. Youth Protection - Kiwanis club has provided all members with information on current Youth Protection Guidelines and has reported this on Secretary's Dashboard. This requirement is MANDATORY in order to be considered a Distinguished Club.

Declaration of Youth Protection Education*

I attest that our Kiwanis club provided Youth Protection Guidelines to all members and reported this in Secretary's Dashboard

Name of Club Member Attesting to Completion of Above Criteria*

Kids Need Kiwanis

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