Distinguished Members Recognition

"*" indicates required fields

Kiwanis Club*

Division*

Name of Recipient*

1) Sponsor at least one new member (must still be a member in good standing September 30)

Name of Member Sponsored*

Date Member Joined*

2) Complete at least three Interclubs (one must be with one of your Service Leadership Program clubs)

Club Visited*

Date of Interclub*

Club Visited*

Date of Interclub*

Club Visited*

Date of Interclub*

3) Participate in a service project with one of your Service Leadership Program clubs or actively serve as a regional member of a District committee.

Name of Project/Committee*

Date of Project*

4) Participate in at least one club social activity.

Name of Activity*

Date of Activity*

5) Attend a minimum of three club Board of Directors meetings.

Date of Meeting*

5) Attend at least two Kiwanis activities at the Division (Council Meeting), District (Midyear/Convention) or International (Convention) Level

Name of Activity*

Date of Activity*

Name of Activity*

Date of Activity*

5) Make a financial contribution this year to either the Capital District Kiwanis Foundation or Kiwanis Children's Fund.

Date Contribution Sent*

Certification*

I hereby certify that the above listed member has completed all activities required for recognition

Name of Club Officer Certifying*

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