DIVISION IV-B

CLUB MONTHLY REPORT

Month of Kiwanis Club of _______________

IMPORTANT REMINDERS: Please review carefully all the information stated in your report before
submission. You may add pictures of your activities and other supporting documents using the ANNEX
page below. This will be the basis of your club’s performance rating in receiving District awards and
recognitions. Submission must be made on or before every DIVISION COUNCIL MEETING of the following:
 Signed Hard Copy; and
 By sending Word or PDF version to the Division’s official email address:
div4Bresnonverba@gmail.com or div4B_20192020@yahoo.com; and
 By sending Word or PDF version to Philippine Luzon District - pld.awards19_20@yahoo.com
(NOTE: Please use “CLUB NAME/MONTH” as your Email Subject in submitting your report)

However, this report does not work to replace the ONLINE REPORT to Kiwanis International Portal which
must also be accomplished every month. Please add the following official email addresses in your KI
Online Report Submission:
 Philippine Luzon District - pld.awards19_20@yahoo.com
 Division IV-B – div4Bresnonverba@gmail.com or div4B_20192020@yahoo.com

INSPIRATION & ENGAGEMENT

Members in club at the beginning New Members paid this month Members Deleted
of the month (District and KI Dues) this month

Dues Payment
Month/Day Members Paid KI Dues Amount District Dues Amount

Club Meeting Attendance

Month/Day Members in Attendance Make-ups Leave of Absence Meeting Program

Interclub Activity
Month/Day Members Club Visited Mi/Km One Way Division SLP Club

Council Meeting Attendance

Month/Day President Secretary Other Members

Sponsor a new Kiwanis Club/SLP Club

Name of Club District & KI Dues Paid Date and Amount

“Kiwanis is a global organization of volunteers dedicated to improving the world, one child and one
community at a time.”
 DIVISION IV-B
Sponsored Kiwanis Club from AY 2016-17 up to present (status)
Name of Club District & KI Dues Paid Date and Amount

SERVICE
Service Members
Project Description Beneficiaries Expenses
Hours Involved

IMAGE
Date and Location Date and Name of Magazine
Kiwanis Marker
Article on Newsletter
Other PR Efforts

FINANCIALS
Date and Name of Institution Activity Amount
Funding Support
Donations
Kiwanis Children’s Fund $10
Fundraising
Scholarship

OTHERS
Date Activity Members in Attendance
Club Leadership Education – Pres. & Sec.
District Convention (Crown Legacy Hotel)
Club Planning Conference
Club President’s Address
Kiwanis One Day
Lieutenant Governor’s Visit
Kiwanis Week Wreathlaying
Kiwanis Night
Governor’s Visit
ASPAC Conference (Nepal)
International Convention (USA)
Luzon Kiwanians Foundation, Inc. Membership

Prepared by: Noted:

Club Secretary Club President

E-mail Address:
Mobile nos.:

“Kiwanis is a global organization of volunteers dedicated to improving the world, one child and one
community at a time.”
 DIVISION IV-B
ANNEX “__”

“Kiwanis is a global organization of volunteers dedicated to improving the world, one child and one
community at a time.”