6. Annual Achievement RF 2011-2012

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Key Club Annual Achievement Report 2011-12 Print Form Each Key Club is required to complete and submit this report prior to its district convention, according to the guidelines set by its own district. PLEASE READ THE RULES BEFORE COMPLETING THIS FORM. KEY CLUB INTERNATIONAL DISTINGUISHED CLUB RULES 1. The filing of the Annual Achievement Report is required for every Key Club, per Key Club International Board policies. Part One and Part Two of the report must be printed in black or blue ink, o
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  Key Club Annual Achievement Report2011-12   Key Club: __________________________________________________ ___ Club ID Number: ________________ District: _______________________________________ Faculty advisor: __________________________________School address: ______________________________________________ City: ______________________________State/province: _________________________ Country: _____________________ Postal Code: ________________Telephone: Business (_______) _______________________ Home (________) __________________________ CLUB MEMBERSHIP 1. Enter the total number of actual club members as of (a) December 1, 2011 _______ (b) February 1, 2012 _______2. Average the numbers entered in (a) and (b) above. Round to the nearest whole number and enterthe average in the box. This is the number that will be used for calculations elsewhere in this report. CERTIFICATION These signatures certify the validity and accuracy of the information contained herein. The school and Kiwanis clubsignatures cannot be by the same person. __________________________ __________________________ __________________________Key Club president Kiwanis club president or advisor Principal or faculty advisor   Each Key Club is required to complete and submit this report prior to its district convention, according to the guidelines set byits own district. PLEASE READ THE RULES BEFORE COMPLETING THIS FORM. KEY CLUB INTERNATIONAL DISTINGUISHED CLUB RULES 1.   The filing of the Annual Achievement Report is required for every Key Club, per Key Club International Board policies.Part One and Part Two of the report must be printed in black or blue ink, or typed.2.   Part Two report attachments must be produced as computer-printed documents.3.   Follow the instructions as indicated on this form. Failure to comply with any rule may result in disqualification from thecontest.4.   The Annual Club Report should contain club activities occurring between the 2011 and 2012 district conventions.5.   Upon completion of the report, the club may score its own report according to the scoring directions shown in the right-hand column on each page; tabulate the scores from each section in Part Three.6.   This report should be submitted to the Key Club district prior to its convention, as directed by the proper Key Clubdistrict official(s).7.   The district may recognize clubs achieving predetermined scores as Distinguished Club or Distinguished Club-DiamondLevel.  ____    Print Form    A. KEY CLUB ADMINISTRATION - 25 Points Possible CLUB MEETINGS 1a. How many club meetings were held:a. During the school year that were attended by faculty advisor? __________b. During the school year that had a speaker or program? __________c. During the summer (or other break period)? __________d. As special meetings (banquet, etc.)? __________e. As board meetings? __________1b. Average club meeting attendance percentage: __________%(Include all regular club meetings, round to nearest whole number) CLUB REPORTS 2. Reports completed and submitted on time:a. Monthly Activity (submitted monthly to district) ___YES ___NOb. Club Election (submitted to district) ___YES ___NOc. Key Club Magazine Report Form (Submitted at least one) ___YES ___NO DUES PAYMENT  3. Dues payment date: ___________ DIVISION INVOLVEMENT  4. Activities in which the club participated:a. Division or Region/Zone training conference ___YES ___NOb. Presidents or Divisional Council Meeting(s) ___YES ___NOc. Division-wide rally or service project ___YES ___NO CLUB COMMUNICATIONS 5. Did the club utilize either of these forms of communications for members?a. Club newsletter with a minimum of six (6) issues ___YES ___NOb. Club Web site (address:___________________________) ___YES ___NO B. CLUB MEMBERSHIP - 16 Points Possible EDUCATION AND DEVELOPMENT PROGRAMS 1. Did the club provide a special program for new-member induction,including a ceremony, and pin presentation? ___YES ___NO2. Did the club provide a formal program for member orientationand education including the new-member handbook,Key Club magazine, videos, etc? ___YES ___NO CONVENTION ATTENDANCE  3. How many attended the 2011 district convention?Voting delegates: ________Advisors: ________4. How many attended the 2011 International convention in Phoenix, AZ?Voting delegates: ________ Advisors: ________   Part One: Club Information SCORING   Write PointTotal Here CLUB MEETINGS 1a. 1 point for everyfive meetings, to amaximum 5 points.b. 6 or more is 1 point.   c. 1 or more is 1 point.   d. 1 or more is 1 point.   e. 10 or more is 2points, 5-9 is 1 point.1b. 80% or more is 4points, 60-79% is 3points, 40-59% is 1point. CLUB REPORTS   2a. If YES, 1 point.   b. If YES, 1 point.   c. If YES, 1 point.   DUES PAYMENT    3. By Oct 15th, 3points; by Dec 1st, 2points. DIVISION INVOLVEMENT    4a. If YES, 1 point.   b. If YES, 1 point.   c. If YES, 1 point.   CLUB COMMUNICATIONS   5a. If YES, 1 point.   b. If YES, 1 point.   Total forSection A.   EDUCATION & DEVELOPMENT    1. If YES, 2 points.   2. If YES, 2 points.   CONVENTION ATTENDANCE    3. 1 point per votingdelegate (2 pointsmaximum).3. An advisor is 1 point(maximum).4. 1 point per votingdelegate (2 pointsmaximum).4. An advisor is 1 point(maximum).  MEMBERSHIP ACTIVITIES 5. How many club social activities were held for all club members? ________6. How many inter-clubs were held with other Key Clubs? ________ MEMBERSHIP GROWTH 7. What is the increase (decrease) of dues-paid members overthe previous year? ________ C. LEADERSHIP DEVELOPMENT - 15 Points Possible KEY CLUB OFFICER TRAINING 1. Did your club participate in a formal officer training? ___YES ___NO2. Did the faculty and/or Kiwanis advisor participate in the clubofficer training? ___YES ___NO3. Did the president and secretary attend a division or   district club officer training workshop or conference? ___YES ___NO KEY CLUB LEADERSHIP TRAINING AND DEVELOPMENT  4. Has your club conducted or participated in:a. District or division leadership conference or retreat? ___YES ___NOb. Key Leader event? ___YES ___NOc. A club officer/member leadership retreat? ___YES ___NO5. What percentage of members have served in leadership positionsincluding officers, board members, committee and project chairpersons?_________%6. During the past year, has the club included:a. A candidate for district or International office? ___YES ___NOb. A district officer or committee member? ___YES ___NOc. An International officer or committee member? ___YES ___NO D. KIWANIS-FAMILY INVOLVEMENT - 14 Points Possible SPONSORING KIWANIS CLUB INTERACTION 1. Have sponsoring Kiwanis club members attended a minimumof 15 Key Club meetings? ___YES ___NO2. Have Key Club members attended a minimum of 15 meetingsof the sponsoring Kiwanis club? ___YES ___NO3. Has the Key Club participated in joint service projects with thesponsoring Kiwanis club? ___YES ___NO4. Has the Key Club jointly sponsored a Builders Club or K-Kidswith its sponsoring Kiwanis club? (Club name __________________) ___YES ___NO5. Has the Key Club participated in at least one service projectwith a Kiwanis club (other than its sponsor), CKI, BuildersClub, K-Kids or other Kiwanis-family organization? ___YES ___NO KIWANIS-FAMILY INTERACTION 6. Has the Key Club presented a program at a BuildersClub or K-Kids meeting? ___YES ___NO7. Has the Key Club participated in at least one interclubwith a Kiwanis club (other than its sponsoring Kiwanisclub), CKI, Builders Club, K-Kids, or other Kiwanis-family organization? ___YES ___NO   SCORING   Write PointTotal Here MEMBERSHIP ACTIVITIES   5. 3 or more is 2 points.1-2 is 1 point.6. More than 5 is 2points. 3-4 is 1 point. MEMBERSHIP GROWTH  7. The greater of: 10members or 10% is 2 pts;5 members or 5% is 1 pt.   Total forSection B. KEY CLUB OFFICER TRAINING   1. If YES, 1 point.2. If YES, 1 point.3. If YES, 1 point. KEY CLUB LEADERSHIP TRAININGAND DEVELOPMENT   4. if YES to one of a), b),or c), 2 points;if YES to two of a), b), orc), 4 points.5. 50% is 5 pts, 40% is 4pts, 30% is 3 pts, 20% is2 pts, 10% is 1 point.6a. If YES, 1 point.b. If YES, 1 point.   c. If YES, 1 point.   Total forSection C.   SPONSORING KIWANIS CLUBINTERACTION   1. If YES, 2 points.2. If YES, 2 points.3. If YES, 3 points.4. If YES, 1 point.5. If YES, 2 points. KIWANIS-FAMILY INTERACTION   6. If YES, 2 points.7. If YES, 2 points Total forSection D.      A. SERVICE PROJECTS - 50 Points Possible List all service projects and activities the Key Club has completed during the administrative year. The projects should beorganized by month. If more than 50 projects have been undertaken, list the 50 projects involving the greatest number of members and producing the greatest number of service hours first. Then, list the remaining projects. For a recurringproject (for example, daily raising and lowering of school flags) treat the project as a single project for each month.Use separate sheets of paper, allowing only one line for each project. Provide the month, brief project description,number of members participating, and number of service hours produced by Key Club members during the month. Thelist must be a) typed or b)completed as a computer printed document. An example is provided. Total the number of projects and enter the number in the scoring box below. Attach the list to this report. B. SERVICE HOURS - 60 Points Possible Total the number of service hours for the 50 best projects of the Key Club whichhave been listed on attached sheets (see section A. above). Divide the servicehour total by the number of members (listed in the membership box on thefront page of this form). Round to the nearest whole number. Enter thatnumber in the scoring box to the right.   C. SERVICE FUNDRAISING - 20 Points Possible Total the money raised by the Key Club for nonprofit, educational, and othercharitable purposes. Convert the funds raised to $US. Enter that figure on theblank to the right. $US _________ Divide the $US figure by the number of members (listed in the membership boxon the front page of this form). Enter that figure on the blank below. $US/member________   Round to the nearest whole number. Enter that number (maximum 20) in thescoring box to the right.  Transfer the total score for each Section to the proper box below. Add the six Section totals to determine the reportscore. Enter this total in the REPORT SCORE box to the right of the chart below. PART ONE   PART TWO  Section: A. B. C. D. A. B. C. FINAL SCOREPointspossible: 25 points 16 points 15 points 14 points 50 points 60 points 20 points 200 pointspossible   SCORE:   Judging and Certification:_____________________________________________________________________________   Part Two: Club Service ExampleProject Description Month # Members Service Hours 1. Read at primary school April 12 102. School trash pick-up April 17 443. Bake sale for UNICEF April 18 364. Easter egg hunt April 15 605. Set up for carnival May 12 24   SCORING   Write PointTotal Here SERVICE PROJECTS   A. Each project is 1 point,With 50 points maximum.   Total forSection A. SERVICE HOURS   B. Each average servicehour is 1 point, with 60points maximum. Total forSection B. SERVICE FUNDRAISING C. 1 point for every $USper member, with 20points maximum. Total forSection C. Part Three: Scoring
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