CNH KIWIN'S Contests & Awards Manual 2015 2016

Greetings! My name is Michael Tran and I’m

the appointed District Awards & Recognition Chair

for the 2015-'16 term. I’m currently a sophomore at La

Quinta High School. I take part in other extracurricu-

lars such as Marching Band and Winter Drumline. My

favorite TV shows are The Walking Dead, American

Horror Story, and Criminal Minds. I love chicken Alfre-

do and boba and my favorite color is blue!!

One word: OHANA. These past two years in

KIWIN’S have really changed me as a person. I have

made so many friendships in KIWIN’S and I honestly

believe that it is my second family. This ohana has

been by my side through it all and I have learned so

many wonderful lessons from members and officers.

KIWIN’S has so far made a huge impact in my life be-

cause I have grown to love service and discovered

leadership within myself!! From a personal level I

gained tons of experience in volunteering and serv-

ing my community. KIWIN’S is my ohana, my support

system, and my motivation for service. I'm very

thrilled to be on District Board and ready to serve the organization and members I care for.

My goal this year is to improve member participation in District events by recognizing members,

officers and clubs in any way possible. In order to do this, I would like to incorporate monthly awards

such as Member, Officer, and Club of the Month. I would like to use these awards to recognize mem-

bers for their hard work in the past month and also to motivate other members to work just as hard. An-

other goal I hope to reach is to increase the amount of clubs applying for awards this year compared

to the previous year! Clubs should apply for awards because not only does it allow for you and your

school to be recognized, it also represents the empathy and hard work you’ve contributed into this or-

ganization. I urge ALL clubs to apply no matter how small or how big your club is, please please just ap-

ply! If you are struggling with any aspect of the application (especially the formatting) or have any

other KIWIN’S related questions, please let me know!! I’m always here to help anyone with anything

about awards! Good luck to everyone, don’t procrastinate and make sure to meet the required dead-

lines! Yours in Service,

Michael Tran

California-Nevada-Hawaii KIWIN’S

32nd District of Key Club International

AWARD GUIDELINES REGULATIONS AS SET BY THE 2015-2016 AWARDS COMMITTEE

This year the CNH KIWIN’S District Awards Committee has decided to make a bigger step

toward electronic submissions. There are a total of 28 awards this year that are required to

be submitted electronically, which are:

Changes to the 2015-2016 Awards Manual

15. Most Improved Club

16. Most Improved Division

17. Most Interclubs

18. Partners in Service

19. Sandy Nininger Medal

20. Service Award

21. Sid Smith Award

22. Single Fundrasier

23. Single School Service

24. Single Service Award

25. Club Poster

26. Club Video

27. Club T-Shirt

28. Club Web Page

1. All Star Award

2. Distinguished Club President

3. Distinguished Club Vice President

4. Distinguished Club Secretary

5. Distinguished Club Treasurer

6. Distinguished Club Appointed Board

Officer

7. Distinguished Club

8. District Project - Eliminate

9. Faculty Advisor Hall of Fame

10. Kiwanis Advisor Hall of Fame

11. KIWIN'S Member of the Year

12. KIWIN'S Week

13. Major Emphasis Program - Live2Learn

14. Minor Emphasis - Pediatric Trauma

Program

You must compile an E-Porfolio, instead of a plastic binder as used in the past. Email

all submissions to:

[email protected]

The E-Portfolio must be in PDF format or it will not be judged

If you have any questions or concerns, please contact Michael Tran at

[email protected]

All CNH KIWIN’S Club in good standing will be able to participate in the

contests and awards.

All Section 1 Awards (listed below) must be emailed to

[email protected] by 5:00 PM, November 14, 2015:

- CLUB POSTER - CLUB VIDEO

- CLUB T-SHIRT - CLUB WEB PAGE

All Section 2 Awards must be emailed by 5:00 PM to

[email protected] on February 20, 2016.

All Section 3 Awards are to be judged during District Convention and

therefore they must be received by 9:00 PM on April 15, 2016 at appropri-

ate registration tables.

ALL DEADLINES MUST BE MET. THERE WILL BE NO EXCEPTIONS.

It is important that all criteria are read closely and completed correctly. Be

sure to include all required forms and recommendations (number varies for

each award), and get all required signatures. Before emailing, double

check that everything is filled out.

Deviation from the judging criteria for any contest/award will result in im-

mediate disqualification. Forgeries will result in disqualification. Also the

Awards Committee reserves the right to disqualify any club for inappropri-

ate behavior or harassment.

Eligibility Deadlines

Criteria

Disqualification

Eligibility

As a District of Key Club International, we are able to participate in the In-

ternational Contests and Awards. The 2015-2016 Awards Committee re-

serves the right to retain all the winners for the Key Club International

Awards at District Convention for the purpose of sending them for Interna-

tional judging in May. The International Contests/Awards include:

Sandy Nininger Medal

Distinguished Club

Major Emphasis Program

Single Service

Talent Show

Partners in Service

Club Video

Oratorical Contest

Club Poster

Year in Review Contest

If you have any questions regarding awards, e-mail

[email protected]. No person will be allowed to judge any

contest or award entry by his/her club. All deadlines must be met in order

for any contest or award to be judged. NO EXCEPTIONS. If the Awards

Committee decides that there are not enough applicants for proper judg-

ing, then the committee reserves the right to not judge that contest or

award. All decisions made by the judges and Awards Chair will be final.

CALIFORNIA-NEVADA-HAWAII KIWIN’S DISTRICT OF

KEY CLUB INTERNATIONAL

International Judging

Questions/Reminders/Notes

TABLE OF CONTENTS RECOGNITION FOR 2015-2016 ACCOMPLISHMENTS

MUST BE EMAILED ON FEBRUARY 20, 2016 BY 5:00 PM. ALL E-SUBMISSIONS

Section 1 Awards

13. Major Emphasis Program

14. Minor Emphasis - Pediatric Trauma

Program

15. Most Improved Club

16. Most Improved Division

17. Most Interclubs

18. Partners in Service

19. Sandy Nininger Medal

20. Service Award

21. Sid Smith Award

22. Single Fundraiser

23. Single School Service

24. Single Service Award

1. All Star Award

2. Distinguished Club President

3. Distinguished Club Vice President

4. Distinguished Club Secretary

5. Distinguished Club Treasurer

6. Distinguished Club Appointed Board

Officer

7. Distinguished Club

8. District Project - Eliminate

9. Faculty Advisor Hall of Fame

10. Kiwanis Advisor Hall of Fame

11. KIWIN'S Member of the Year

12. KIWIN'S Week

Section 2 Awards

MUST BE RECIEVED ON APRIL 15, 2016 BY 9:00 PM. (DISTRICT CONVENTION)

1. Convention Attendance

2. Impromptu Essay

3. KIKS Spirit Award

4. Membership and Motivation

5. Oratorical Contest

6. Talent Show

7. Year in Review Non-Traditional

8. Year in Review Traditional

Section 3 Awards

MUST BE EMAILED ON NOVEMBER 14, 2015 BY 5:00 PM. ALL E-SUBMISSION

1. Club Poster

2. Club T-Shirt

3. Club Video

4. Club Web Page

SECTION 1

AWARDS

International Award

Club Poster Contest

Rules Governing the Club Poster Contest The Club Poster Contest will be conducted according to the following rules:

(1) The first and second place KIWIN’S Poster Contest winners will be eligible to compete in the Key Club Internation-

al Poster Contest.

(2) The poster should be designed to recruit and attract new members for a KIWIN’S Club, and should NOT bear the

name of any school, community, or district.

(3) The poster should promote Key Club International as an overall whole and need NOT be themed with the con-

vention theme.

(4) The poster dimensions should be 18 inches by 24 inches

(5) The following information must be submitted on the back of the poster

Name of the artist; name of the KIWIN’S Club; and Division, Region, and District.

Contact name and information for the artist producing the poster. The artist must be a KIWIN’S Club

member.

(6) Posters will be judged according to the following criteria:

(6) Winning entries will become the property of Key Club International, and will not be returned to clubs. Key Club International

reserves the right to reproduce any contest winners, providing appropriate credit to the KIWIN’S Club and artist

(7) The decisions of the judges are final and no changes, alterations, or reassessments will take place after the judges

and the Chair of Contests and Awards have certified the results.

KIWIN’S Club of_________________________ Division ________________________________________________________

Artist ____________________________________________________________________________________

1. Originality and Creativity 25 points

2. Effectiveness for member recruitment 25 points

3. Appearance and artistic expression 50 points

mailto:[email protected]

Entry form 2016 Non-Digital Poster contest Digital poster contest

Contest and award criteria can be found in the Key Club Guidebook, www.keyclub.org/guidebook, in

the Addendum to the Key Club International Board policies starting on page 49.

Please type or print information on this form and affix to the back of the poster.

Entries become the property of Key Club International and will not be returned. Key Club International

reserves the right to reproduce winning entries. Appropriate recognition will be provided to the Key Club

and the poster’s artist.

Key Club of: __________________________________________ Club ID #: ________________________

District: ____________________________________________________________________________________

Contact Information

Please check one: Faculty advisor Kiwanis advisor

Advisor name: ____________________________________________________________________________

Phone number with area code: ___________________________ E-mail: ________________________

Signature of faculty advisor or Kiwanis advisor:

(Signature) _______________________________________ (Print name here) _______________________________

Key Club artist producing poster

Artist name: _____________________________________________________ E-mail: ___________________

Signature of Key Club artist attesting to the poster’s originality:


Please select one:

___________________ This poster placed first at district convention.

___________________ This poster was selected by other means and was approved for entry for International competition by

the Key Club district administrator.

Key Club district administrator signature: _______________________________

Note: Only district winners are eligible for submission to International competition. Refer to the Key Club

Guidebook for additional information and deadlines.

http://www.keyclub.org/guidebook

District Contest

KIWIN’S Club T-Shirt Contest

Rules Governing the T-Shirt Contest

Throughout the California-Nevada-Hawaii KIWIN'S District, clubs have used t-shirts to

promote KIWIN’S in their school and division. Club T-Shirts foster a sense of community within

the club and unite the club into an ohana. Moreover, numerous clubs use T-Shirts to publicize

KIWIN’S in various activities and events, including District Convention.

The Club T-shirt Contest has been established to recognize such clubs that best demonstrate

and promote the values of our organization via their club attire

Criteria

(1) A club must be in good standing with the California-Nevada-Hawaii KIWIN’S District and Key Club

International in order to be eligible to submit an entry.

(2) The article of clothing must display an original and current design that has been used to promote

KIWIN’S. A KIWIN’S member(s) must have created the design with no professional assistance.

(3) The entry must be a clean, unused article of clothing. Only one submission will be accepted per

club.

(4) The design will be judged according to the following criteria:

(5) The decisions of the judges are final. No changes or re-judging will take place after the judges and

Awards and Recognition Chair have certified the results.

Aesthetic Appeal How nice does it look? 15 Points

Creativity Is it imaginative/innovative? 25 Points

Originality Did a KIWIN’S member make it? 15 Points

Uniqueness of Design How different is it in the artistic work? 20 Points

Promotion of KIWIN’S How well does it promote the values of our organization? 25 points


KIWIN’S Club of______________________________________

Division______________________________________________

Name of Artist(s):

1. ___________________________________________

2. ___________________________________________

3. ___________________________________________

4. ___________________________________________

On what date were club shirts first available to members?

___________________________________________________________

How many members are in your club?

_____________________________________________________

How many have shirts?

_____________________________________________________

CONTACT INFORMATION

Contact Name: _____________________________________________

Contact Phone #: ___________________________________________

PLEASE TYPE INFORMATION ON THIS FORM AND PROVIDE WITH THE SUBMISSION.

International Contest

Club Video Contest

Rules Governing the KCI Club Video Award

The Club Video award shall provide recognition to KIWIN’S Clubs that best demonstrate the val-

ues of our organization via a video

Criteria

The Key Club International Video contest will be conducted according to the following rules:

(1) The first and second place Club Video Contest winners from the KIWIN’S district will be eligible

to compete at the International level.

(2) The video must be produced by club members only and cannot spend more than US $200 on

production.

(3) The video should be promotional for Key Club International, of KIWIN’S Club as an organization,

and/or the KIWIN’S Club within its respective school/community.

(4) The length of the completed video segment should be no more than 60 seconds.

(5) The following information must be submitted with each entry:

Name of the Club, Division, and District.

Contact name and information for a KIWIN’S member responsible for the submission.

Itemized listing of all costs associated with the video production, including cost of

the DVD.


(6) Videos will be judged according to the following criteria:

- Originality 10 Points - Projection of Ideas 10 Points

- Creativity 10 Points - Sound Quality 10 Points

- Promotion of Key Club 20 Points - Picture Quality 10 Points

- Clarity of Message 10 Points Overall Impression 20 Points

(7) Suitable awards will be presented to first, second, and third place.

(8) All entries will become the property of Key Club International, and will NOT be returned to clubs. CNH

KIWIN’S and Key Club International reserve the right to reproduce or broadcast any contest entries.

All entries shall be in good taste and appropriate to the standards set by the Objectives of Key Club

International.

(9) The decision of the judges is final and no changes, alterations, or re-judging will take place after

the judges and the Awards Chair have certified the results.

PLEASE TYPE INFORMATION ON THIS FORM AND AFFIX THE COMPLETED FORM TO AN ENVELOPE AND

PLACE THE DVD INSIDE THE ENVELOPE. DVD FORMAT IS THE ONLY FORMAT ACCEPTED.

Winning entries become the property of Key Club International and will not be returned. Key Club Inter-national reserves the right to reproduce winning entries for any use deemed appropriate by Key Club International. Appropriate recognition will be provided to the Key Club.

CLUB INFORMATION

KIWIN’S Club: _________________________________

District: California-Nevada-Hawaii KIWIN’S Division:

ADVISOR CONTACT INFORMATION

Contact name: ___________________________

Check One: Faculty Advisor Kiwanis Advisor

Contact Email: __________________________

APPLICANT INFORMATION: *KIWIN’S Member Producing Video

Contact Name: ____________________________

Contact Address:

____________________________________________________________________________________

City State Postal Code

This certifies that we have read this report and that the information on this report is accu-

rate. We understand that all signatures are required and forgeries will result in automatic

disqualification.

CERTIFICATION

INITIALS POSITION E-SIGNATURE E-MAIL PHONE W/ AREA CODE

President

Faculty Advisor

(select one)

[ ] LT. G

[ ] Regional Advisor

Video contest entry form 2016

Contest and award criteria can be found in the Key Club Guidebook, www.keyclub.org/guidebook, in

the Addendum to the Key Club International Board policies starting on page 52.

Please type or print information on this form and affix the completed form to an envelope. Place the

DVD inside the envelope. DVD or QuickTime format is required.

Entries become the property of Key Club International and will not be returned. Key Club International

reserves the right to reproduce winning entries for any use deemed appropriate by Key Club

International. Appropriate recognition will be provided to the Key Club.

Key Club of: ____________________________________ Club ID #: ________________________

District: ______________________________________________________________________________

Contact information


Advisor name: ______________________________________________________________________________

Phone number with area code: ___________________________ E-mail: __________________________



Please itemize costs associated

with creation of this DVD:

Donations: $ _________

DVD: $ _________

Rentals: $ _________

Other: $ _________

Other: $ _________

Other: $ _________

Total: $ _________

Please select one:

___________________ This video placed first at district convention.

___________________ This video was selected by other means and was approved for entry

for International competition by the Key Club district administrator.

Key Club district administrator signature: _______________________________

Note: Only district winners are eligible for submission to the International

competition. Refer to the Key Club Guidebook for additional information

and deadlines.

This certifies that this DVD is original and was created in accordance with copyright laws:

(Signature) ____________________________ (Print name here) __________________________


Club Award

Club Web Page Contest

Rules Governing the Club Web Page

In keeping up with the technological age, it is useful to bring your club to the internet as a club

may be able to maintain better communication with its members and foster a sense of community.

Each KIWIN'S club in good standing has the opportunity to take part in the web page contest. The Club

Web Page award is given to the club that takes advantage of the World Wide Web by using innovative

layouts and constant updates as tools to strengthen involvement and to promote the KIWIN’S organiza-

tion.

Criteria

(1) Please include the link to the website and five (5) screen caps of your club’s web page at the time

of your submission. Screen caps must be attached with the award application’s email when submit-

ting.

(2) Individual schools may only submit one web site. The website must be created by a KIWIN’S mem-

ber.

(3) The website must be KIWIN’S orientated and have only KIWIN’S related material on it.

(4) The website must be user friendly and easily accessible.

(5) Weblogs (e.g. Tumblr), social networking interfaces (e.g. Facebook), and other similar sites will not

qualify for the club web page award.

(6) Please add the link to your web page in the Guidelines and Certification Sheet and in the body of

your email.

(7) E-SIGNATURES: This application requires electronic signatures (e-signatures) by the applicant and

Faculty or Kiwanis Advisor. E-Signatures for this application are defined as names and contact infor-

mation provided into the form. E-Signatures represent the fact that the individuals listed have ap-

proved the application and supporting documentation. These individuals may be contacted for fur-

ther verification. Please do not use digital signatures. E-Signature form can be found in the

Guidelines and Certification page following this page.


A total of 100 points is possible:

Webmaster: Web Page: ________

KIWIN’S Club of Division

Section 1 Content

Information on the web page should be accurate and current.

Webpage should provide original material and respectfully repre-

sent KIWIN’S with proper grammar and spelling.

40 points

Section 2 Layout Design and Organization

The webpage design should be innovative, interactive, and crea-

tive.

It should be well organized and user-friendly for easy navigation. The

webpage should function well with or without images.

20 points

Section 3 Web Link

The club web site must be linked to http://www.kiwins.org

5 points

Sections 4 Maintenance

The website will be subject to inspection on two random occasions.

Please attach 5 screen caps of different tabs/areas of your club’

20 points

Section 5 Miscellaneous

Web page download time should be reasonable and web page

should be readily accessible.

The webpage should also promote KIWIN’S in a favorable manner.

15 points

CERTIFICATION

INITIALS POSITION E-SIGNATURE E-MAIL PHONE W/ AREA CODE Advisor (select one)

[ ] Faculty [ ] Kiwanis

Club’s Board (select one) [ ] President [ ] Secretary

SECTION 2

AWARDS

Member Award

All-Star Award

Rules Governing the All Star Award

KIWIN’S members promote good citizenship by performing service within schools and communi-

ties. Serving their school and community for most of their high school career, KIWIN’S members provide

others with a practical environment where enduring friendships can be made to build better commu-

nities. Every year, the All Star Award is given to one member who exemplifies these KIWIN’S ideals. A

member who receives this award stands out for a very dedicated commitment to upholding KIWIN’S

standards and values.

Criteria

A minimum of two Recommendation letters (from one adult advisor and the respective school club president)

A Statement of Nomination describing why the applicant deserves the award by including the crite-ria below. It must be no more than 500 words with one inch margins in 12 pt Times New Roman font. The title must be the first line (centered and underlined) with the applicant’s name and school un-derneath.

Nominees must have been a member in KIWIN’S for at least 4 years.

Ex:

KIWIN’S All Star Award Michael Tran – La Quinta High School

Note: The KIWIN’S All Star Award applicant must not be an officer or hold a posi-

tion in the club. In addition, the applicant must not be an applicant for the Sandy

Nininger Medal award or Member of the Year Award

Newspaper clippings, substantiating photographs, and other pertinent information (no more than 4 sheets) may be included as appendices and should be attached to the report.


*Answer each section separately and labeled by section. *

All Star Award Certification

This certifies that we have read this report and that the information on this report is accurate. We un-

derstand that all signatures are required and forgeries will result in automatic disqualification.

Nominee _____ _____________

Cal-Nev-Ha KIWIN’S Key Club of ______

Division ______ CERTI-

FICATION

Section 1 Demonstration of KIWIN’S values Describe how the nominee exemplifies what KIWIN’S stands for

List his or her achievements and describe the nominee’s activities in the 4+

years he or she was a member.

40 points

Section 2 Leadership Comment on the nominee’s leadership roles and characteristics.

25 points

Section 3 Commitment Describe the nominee’s involvement in service projects during the time they

were a KIWIN’S member.

25 points

Section 4 Requirement Submit one statement of nomination and two (2) recommendation letters. A

club officer may write no more than one recommendation for the same

award. Additional supplementary material may be provided and attached

to the report as long as it does not exceed 4 sheets.

10 points

CERTIFICATION


Secretary

President

Faculty

(select one)

[ ] LT. G


Club Award: International

Distinguished Club Award

Rules Governing the Distinguished Club Award

The Distinguished Club Award shall provide recognition to individual clubs for their overall perfor-

mance in the combined areas of club administration, membership retention, leadership development,

Kiwanis family involvement, and fundraising as judged against a pre-established standard of excel-

lence.

The Distinguished Club Award shall provide recognition to KIWIN’S Clubs that have demonstrat-

ed overall club excellence during the District administrative year.

Criteria

(1) Entries shall use the Official Annual Achievement Report form (attached). The Awards shall also en-

ter all entries in the Club Achievement Awards program in the Distinguished Club program.

(2) Entries shall be judged based upon achieving a percentage of accumulated points in the catego-

ries of the club Annual Achievement Report. Clubs achieving a predetermined score shall be designat-

ed as a “Distinguished Club.” The Key Club International Board shall set the minimum number of points

required for this designation.

(3) Only activities, which occurred during the district administrative year (District Convention 2015- Dis-

trict Convention 2016), shall be included on the report.

(4) During the judging process, each entry in the Club Achievement Awards Program shall be given a

point total based on its achievement and qualities to determine which clubs shall be recognized for the

Distinguished Club Award.

(5) Disqualification from the Club Achievement Awards Program shall also constitute disqualification

from the Distinguished Club Award Program.

(6) Key Club International will provide suitable recognition to each district for presentation to Distin-

guished Clubs at the district convention. The decisions of the judges are final. No changes or re-judging

will take place after the judges and the Awards Chair have certified the results.


(7) The point value to achieve the Distinguished Club- Platinum Level shall be a predetermined number

set by the Key Club International Board of Trustees.

ON

Distinguished Club Award Certification

This certifies that we have read this report and that the information on this report is accurate. We under-

stand that all signatures are required and forgeries will result in automatic disqualification.

Cal- Nev- Ha KIWIN’S Club of

Division

This certifies that we, the undersigned, verify the completion of the aforementioned requirements by the individual named on this application. All appropriate criteria have been identified on this form.

CERTIFICATION


President

Faculty Advisor

(select one)

[ ] LT. G


Key Club Annual Achievement Report

2015-16

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, 2015 _______ (b) February 1, 2016 _______

2. Average the numbers entered in (a) and (b) above. Round to the nearest whole number and enter the 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 club signatures 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 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, 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 the

contest. 4. The Annual Club Report should contain club activities occurring between the 2015 and 2016 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 Club

district official(s). 7. The district may recognize clubs achieving predetermined scores as "Distinguished Club" or "Distinguished Club-Diamond

Level."

_______ ___

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 ___NO

b. Club Election (submitted to district) ___YES ___NO

c. 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 ___NO

b. Presidents or Divisional Council Meeting(s) ___YES ___NO

c. 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 ___NO

b. 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 ___NO

2. Did the club provide a formal program for member orientation and education including the new-member handbook, Key Club magazine, videos, etc? ___YES ___NO

CONVENTION ATTENDANCE

3. How many attended the 2014 district convention?

Voting delegates: ________Advisors: ________

4. How many attended the 2014 International convention in Anaheim, CA?

Voting delegates: ________ Advisors: ________

Part One: Club Information

SCORING Write Point

Total Here

CLUB MEETINGS

1a. 1 point for every five meetings, to a maximum 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 2 points, 5-9 is 1 point.

1b. 80% or more is 4 points, 60-79% is 3 points, 40-59% is 1 point.

CLUB REPORTS

2a. If YES, 1 point.

b. If YES, 1 point.

c. If YES, 1 point.

DUES PAYMENT

3. By Nov 15th, 3 points; by Dec 1st, 2 points.

DIVISION INVOLVEMENT


b. If YES, 1 point.

c. If YES, 1 point.

CLUB COMMUNICATIONS


b. If YES, 1 point.

Total for Section A.

EDUCATION & DEVELOPMENT

1. If YES, 2 points.


CONVENTION ATTENDANCE

3. 1 point per voting delegate (2 points maximum).

3. An advisor is 1 point (maximum).

4. 1 point per voting delegate (2 points maximum).

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 over the previous year? ________

C. LEADERSHIP DEVELOPMENT - 15 Points Possible

KEY CLUB OFFICER TRAINING

1. Did your club participate in a formal officer training? ___YES ___NO

2. Did the faculty and/or Kiwanis advisor participate in the club officer training? ___YES ___NO

3. 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 ___NO

b. Key Leader event? ___YES ___NO

c. A club officer/member leadership retreat? ___YES ___NO

5. What percentage of members have served in leadership positions including 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 ___NO

b. A district officer or committee member? ___YES ___NO

c. 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 minimum of 15 Key Club meetings? ___YES ___NO

2. Have Key Club members attended a minimum of 15 meetings of the sponsoring Kiwanis club? ___YES ___NO

3. Has the Key Club participated in joint service projects with the sponsoring Kiwanis club? ___YES ___NO

4. Has the Key Club jointly sponsored a Builders Club or K-Kids with its sponsoring Kiwanis club? (Club name __________________) ___YES ___NO

5. Has the Key Club participated in at least one service project with a Kiwanis club (other than its sponsor), CKI, Builders Club, K-Kids or other Kiwanis-family organization? ___YES ___NO

KIWANIS-FAMILY INTERACTION

6. Has the Key Club presented a program at a Builders Club or K-Kids meeting? ___YES ___NO

7. Has the Key Club participated in at least one interclub with a Kiwanis club (other than its sponsoring Kiwanis club), CKI, Builders Club, K-Kids, or other Kiwanis-family organization? ___YES ___NO

SCORING Write Point

Total Here

MEMBERSHIP ACTIVITIES

5. 3 or more is 2 points. 1-2 is 1 point.

6. 5 or more is 2 points. 3-4 is 1 point.

MEMBERSHIP GROWTH 7. The greater of: 10 members or 10% is 2 pts; 5 members or 5% is 1 pt.

Total for Section B.

KEY CLUB OFFICER TRAINING

1. If YES, 1 point.

2. If YES, 1 point.

3. If YES, 1 point.

KEY CLUB LEADERSHIP TRAINING AND DEVELOPMENT

4. if YES to one of a), b), or c), 2 points; if YES to two of a), b), or c), 4 points.

5. 50% is 5 pts, 40% is 4 pts, 30% is 3 pts, 20% is 2 pts, 10% is 1 point.


b. If YES, 1 point.

c. If YES, 1 point.

Total for Section C.

SPONSORING KIWANIS CLUB INTERACTION




4. If YES, 1 point.


KIWANIS-FAMILY INTERACTION


7. If YES, 2 points

Total for Section 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 be organized 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 recurring project (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. The list 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 which have been listed on attached sheets (see section A. above). Divide the service hour total by the number of members (listed in the membership box on the front page of this form). Round to the nearest whole number. Enter that number 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 other charitable purposes. Convert the funds raised to $US. Enter that figure on the

blank to the right. $US _________

Divide the $US figure by the number of members (listed in the membership box on 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 the scoring box to the right.

Transfer the total score for each Section to the proper box below. Add the six Section totals to determine the report score. 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 SCORE

Points possible:

25 points 16 points 15 points 14 points 50 points 60 points 20 points 200 points possible

SCORE:

Judging and Certification:_____________________________________________________________________________

Part Two: Club Service

Example Project Description Month # Members Service Hours 1. Read at primary school April 12 10 2. School trash pick-up April 17 44 3. Bake sale for UNICEF April 18 36 4. Easter egg hunt April 15 60 5. Set up for carnival May 12 24

SCORING Write Point

Total Here

SERVICE PROJECTS

A. Each project is 1 point, With 50 points maximum.

Total for Section A.

SERVICE HOURS

B. Each average service hour is 1 point, with 60 points maximum.

Total for Section B.

SERVICE FUNDRAISING

C. 1 point for every $US per member, with 20 points maximum.

Total for Section C.

Part Three: Scoring

Officer Award

Distinguished Club Appointed Officer

Rules Governing the Distinguished Club Appointed

Officer Award

Robert Greenleaf, the founder of the modern servant leadership movement, wrote: “A true

leader is called to serve his/her followers, employees, and others in the organization.”

Criteria

(1) Minimum of two (2) recommendation is required. One recommendation letter must be from a Re-

gional or Faculty Advisor.

(2) A statement of nomination describing why the applicant deserves the award must be included.

It must be no more than 500 words

One inch margins in 12 pt. Times New Roman font

The title must be the first line (centered and underlined) with the applicant’s name and

school underneath

Ex.

Distinguished Club Appointed Board Officer

Michael Tran – La Quinta High School


Faculty or Kiwanis Advisor. E-Signatures for this application are defined as names and contact

information provided into the form. E-Signatures represent the fact that the individuals listed have

approved the application and supporting documentation. These individuals may be contacted

for further verification. Please do not use digital signatures or scanned photos of signatures.


(4) E-PORTFOLIO: The final submission for this contest includes an E-Portfolio. An E-Portfolio for this ap-plication is defined as one collective portfolio presenting the best pieces of documentation. This E-Portfolio should be a single PDF that includes all merged information. No hard copies will be accepted.

Your E-Portfolio will be judged on sections 1 through 10. As a whole, it must demonstrate your

knowledge of Key Club International Graphic Standards, your commitment, and perfor-

mance as a KIWIN’S Club Appointed Board Member.

NOTE: Newspaper clippings, substantiating photographs, and other pertinent information may be included, as appendices and may be attached to sections 7-10. They are in-cluded in the page limits.

(5) SMALL FILE SIZES: Application submissions should have a small file size. The following are tips to main-

taining this:

Include only the best samples of documentation

Compress all photos and files before use

Compress the final file

The decisions of the judges are final. No changes or re-judging will take place after the judges and the Awards and Recognition Chair have certified the results.

(6) DISTINGUISHED: requires the completion and submission of an E-Portfolio. The requirements of this E-Portfolio are explained below.

The entire submission needs to be given in one E-Portfolio.

- It may not exceed 10MB.

- It may not exceed 50 pages total (Dividers are not included in total page count)

Save as a PDF. Label the file: AppointedBoardOfficer.YourLastName.YourFirstName.pdf

Section 1

Page Limit: 1 |

Personal Creation,

No Form Provided

Cover Page

A. Name of Nominee

B. Position and Term

C. Home Club and Division

D. Picture of Applicant

E. E-signatures & Certification: “I certify that the information in this e-

portfolio is an accurate representation of the performance of the

student in the position designated.”

Section 2

Page Limit: 1

Nomination Form

A. Name of Nominee(s)

B. Home Club and Division

C. Name of Nominator

D. Table of Contents

E. Statement of Nomination| Word Limit: 500

5 Points

Section 3

Page Limit: 4

Letter(s) of Recommendation

A. These are used as testimonies to support your overall E-Portfolio.

Letters will portray the efforts you set forth to serving as part of the

appointed board officer, as well as the growth you demonstrated

throughout the past year. Letters should address both character

and performance.

B. A club officer may write no more than one recommendation for

the same award. C. No more than two letters per applicant may be included. Each

letter may not exceed one page, single-spaced with 12-point

type.

D. Include the NAME, CONTACT PHONE NUMBER, and POSITION of

person writing the recommendation for each letter.

E. One recommender per applicant must be either a Regional Advi-

sor or a Faculty Advisor.

15 Points

A DIVIDER is required for the sections listed below (5-10). It should include the following information: Page Limit: 1

A. Section Title

Section 5

Page Limit: 4

Proof of Attendance

A. This form displays what projects you’ve attended, how many

hours you have served throughout the year, and at what level

you served. B. Make sure that the secretary or advisor certifies this form.

10 Points

Section 6

Page Limit: 10

Summary of Position

Describe your position are you school.

How does this position help KIWIN’S.

15 points

Section 7

Page Limit: 10

Character and attitude

How does the appointed board officer exemplify the ideals of a KI-

WIN'S member?

15 Points

Section 8

Page Limit: 5

Publicity

How does the appointed board officer reach out to publicize KI-WIN’S and the club?

10 points

Section 9

Page Limit: 4

Communication

This section must focus on your communication with the members, with your club, division, district, and advisors. Sample e-mails, letters, and so forth may be utilized.

10 points

Section 10

Page Limit: 8

Miscellaneous

This section may focus on any additional contributions you have made as a club appointed board officer.

10 points

Nominee Information

Nominee Name: Nominated By:

Club: Division:

Table of Contents

Complete the Table of Contents by listing the different focus areas in each application item, and by

adding the page number for which the listed sections begin. This should also help you place the items

in the correct order.

STATEMENT OF NOMINATION

Why should this officer be recognized? Word Limit: 500

ITEM FOCUS AREAS START PAGE

Cover Page Nomination Form Section 3 Letter(s) of Recommendation

Section 5 Proof of Attendance

Section 6 Summary of Position

Section 7 Character and Attitude

Section 8 Publicity

Section 9 Communication


CERTIFICATION

The E-Signer has to be your club President, Secretary, or Faculty/Kiwanis advisor. Presidents and Secre-

taries may not sign off on their own form.

E-Signature: ____________________________ E-Signer’s Email: _________________________________

E-Signer’s Position: ______________________ E-Signer’s Phone Number: ________________________

Total Service Hours

Project, Activity, Event

Date Level of Activity

Service

Hours Club Division District International

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40.

This certifies that we, the undersigned, verify the completion of the aforementioned require-ments by the individual named on this application. All appropriate criteria have been identi-fied on this form.


Secretary

President

Faculty Advisor

(select one)

[ ] LT. G


Officer Award

Distinguished Club President

Rules Governing the Distinguished Club President

Award



The duties of a KIWIN’S club president are not limited to leading meetings; they are a constant

balance of keeping members active and involved, and keeping the club reputable within the commu-

nity. The president of a KIWIN’S club shapes the character of the club and is instrumental in determining

the success of the club. A distinguished president goes above and beyond the call of duty and exem-

plifies service leadership.

The Distinguished Club President award acknowledges an outstanding president of a KIWIN’S

club for his/her commitment to the club and the community.

Criteria


Faculty or Kiwanis Advisor. E-Signatures for this application are defined as names and contact in-

formation provided into the form. E-Signatures represent the fact that the individuals listed have



(2) E-PORTFOLIO: The final submission for this contest includes an E-Portfolio. An E-Portfolio for this appli-

cation is defined as one collective portfolio presenting the best pieces of documentation. This E-

Portfolio should be a single PDF that includes all merged information. No hard copies will be ac-

cepted. and your commitment and performance as a KIWIN’S president.



knowledge of Key Club International Graphic Standards and your commitment and perfor-

mance as a KIWIN’S president.



taining this:




(4) The decisions of the judges are final. No changes or re-judging will take places after the judges and the Awards and Recognition Chair have certified the results.





Save as a PDF. Label the file: President.YourLastName.YourFirstName.pdf

All required items for the E-Portfolio are listed on Page 2.

(6) MONTHLY AWARDS: Officer and Member of the Month are required to be filled out every month.

- 1 point for a fully completed application every month

(7) PRESIDENT REPORT FORMS: The President Repot Form must be fill out every month.

- 1 point for a fully completed application every month

1. Cover Page Page Limit: 1 | Personal Creation,

No Form Provided

A. Name of Nominee

B. Position and Term

C. Home Club and Division

D. Picture of Applicant

E. E-signatures & Certification: “I certify that the

information in this e-portfolio is an accurate

representation of the performance of the stu-

dent in the position designated.”

2. Nomination Form Page Limit: 2

A. Name of Nominee

B. Home Club and Division

C. Name of Nominator

D. Table of Contents

E. Statement of Nomination| Word Limit: 500

3. Letter(s) of Recommendation Page Limit: 2

A. These are used as testimonies to support your

overall E-Portfolio. Letters will portray the ef-

forts you set forth to serving as a club presi-

dent, as well as the growth you demonstrated

throughout the past year. Letters should ad-

dress both character and performance.

B. A club officer may write no more than one

recommendation for the same award.

C. No more than two letters may be included.

Each letter may not exceed one page, single

-spaced with 12-point type.

D. Include the NAME and Position of person writ-

ing the recommendation for each letter.

5. President Checklist Page Limit: 1

A. The checklist must be fully completed with all

the necessary E-Signatures and contact infor-

mation.

A DIVIDER is required for the sections listed below

(5-10). It should include the following information:

Page Limit: 1

Section Title

6. Proof of Attendance Page Limit: 2

A. This form displays what projects you’ve at-

tended, how many hours you have served

throughout the year, and at what level you

served.

B. Make sure that the secretary or advisor certi-

fies this form.

6. Agendas Page Limit: 12

A. Presidents are responsible for facilitating all general

and board meetings. In this section, provide exem-

plary agendas from at least TWO quarters.

Quarter 1: April-May-June

Quarter 2: July-August-September

Quarter 3: October-November-December

Quarter 4: January-February-March

Refer for Frequently Asked Question (FAQ) #12

7. Growth and Club Achievements Page Limit: 6

A. As president, you oversee the success of your

club. You and your board should be setting goals

at the beginning of the year and following

through to achieve these goals. This section must

focus on showcasing your club’s accomplish-

ments throughout the past year in service, mem-

bership, philanthropy, fellowship etc.

8. Kiwanis Relations Page Limit: 4

A. Key Club International is sponsored by Kiwanis

International. This section must focus on how you

as President, have interacted with your sponsor-

ing Kiwanis Club and Kiwanis family members.

How do you foster professional relationships with

Kiwanis and advisors?

9. Communication Page Limit: 4

A. This section must focus on your communication

with your members, and your club, division, dis-

trict, and advisors; Include sample e-mails, let-

ters, and so forth.

10. Miscellaneous Page Limit: 6

A. This section may focus on any additional contri-

butions you have made as a club president.

B. Character and attitude: How do you exemplify

the ideals of a KIWIN’S member?

A. Personal Reflection: addresses personal growth,

accomplishments, explanation of section, or oth-

er details that may assist judges in determining

scoring (Limit: 300 words)

This checklist must be completed in order for you to be recognized as Distinguished. You will need at

least two individuals to verify that you have completed the items on the checklist. These individuals

must place their initials or provide you with permission to place their initials in the appropriate column.

NOMINEE INFORMATION Nominee Name: Club: District: Cal-Nev-Ha KIWIN’S Division:


INITIALS ITEMS AND REQUIREMENTS Club Standards

Membership This Year: Paid club membership dues by December 1 Membership Last Year: Paid club membership dues by December 1 Service: Provided a minimum of 50 service hours as per Key Club International Constitution & By-Laws Club Status: Home Club is in good standing and has paid dues

Work Accomplishments Administration: Led the majority of club general meetings and a minimum of eight (8) board meetings Reporting: Assisted Vice President in training and Kiwanis family relations, assisted Secretary with timely submission of

all reports (elections, monthly, and officer reports), assisted Treasurer with timely dues submission to Key Club Interna-

tional by December 1 Leadership Qualities: Promoted and exemplified the KIWIN’S Core Values, led by example, motivated the

members, was receptive to new ideas, and made an effort to meet and welcome new members Membership Education: Promoted active participation by new and returning members and promoted revitalization

of inactive members Leadership Skills: Developed effective problem-solving skills, helped to resolve issues and promoted leadership devel-

opment of future club leaders Club Communication: Communicated on a weekly basis with the membership (via phone, electronic, in person,

etc.), with the Faculty/Kiwanis Advisor, and with the sponsoring Kiwanis Club Division Communication: Communicated on a monthly basis with the Division Lieutenant Governor and/or Region

Advisor Attendance

Club Meetings: Attended at least eighty-percent (80%) of all club general meetings

Board Meetings: Attended at least eighty-percent (80%) of all club executive board meetings Division Council Meetings: Attended at least six (6) Division Council Meetings Kiwanis Meetings: Attended at least one (1) Kiwanis Division Council Meetings or attended a minimum of three

(3) general Kiwanis meetings Training Conference: Attended the Officer Training Conference or KTC President Workshop: Attended the President Workshop at District Convention, International Convention, or Of-

ficer Training Conference

CERTIFICATION


Advisor (select one) [ ] Faculty [ ] Kiwanis

Lt. Governor (select one) [ ] KIWIN’S [ ] Kiwanis

Nominee Information


Club: Division:

Table of Contents

Complete the Table of Contents by listing the different focus areas in each applica-

tion item, and by adding the page number for which the listed sections begin. This

should also help you place the items in the correct order.


Why should this president be recognized? Word Limit: 500



Section 4 President Checklist


Section 6 Agendas

Section 7 Club Achievements

Section 8 Kiwanis Relations



CERTIFICATION





Total Service Hours



Service


1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40.

Officer Award

Distinguished Vice President

Rules Governing the Distinguished Vice President

Award



The duty as a vice president of a KIWIN’S club consists of being more than the president’s assis-

tant. The vice president has to help keep the club productive and assist the president in finding service

projects and fundraisers. Two major aspects of great vice presidents are their versatility and will. They

are able to perform the duties of all officers in any situation and find ways to make them useful when

no particular task is demanded of them. The Distinguished Club Vice President Award acknowledges

an outstanding vice president of a KIWIN’S club for his or her commitment to the club and community.

Criteria









cepted.

Your E-Portfolio will be judged on sections 1 through 10. As a whole, it must demonstrate

your knowledge of Key Club International Graphic Standards, your commitment, and per-

formance as a KIWIN’S Vice President.




taining this:




(4) The decisions of the judges are final. No changes or re-judging will take place after the judges and the Awards and Recognition Chair have certified the results.





Save as a PDF. Label the file: VicePresident.YourLastName.YourFirstName.pdf

All required items for the E-Portfolio are listed on Page 2.

Section 1 Page Limit: 1 |

Personal Creation,

No Form Provided

Cover Page A. Name of Nominee B. Position and Term C. Home Club and Division D. Picture of Applicant E. E-signatures & Certification: “I certify that the information in this e-

portfolio is an accurate representation of the performance of the

student in the position designated.”

Section 2 Page Limit: 2

Nomination Form A. Name of Nominee B. Home Club and Division C. Name of Nominator D. Table of Contents E. Statement of Nomination| Word Limit: 500

10 Points


Letter(s) of Recommendation A. These are used as testimonies to support your overall E-Portfolio.

Letters will portray the efforts you set forth to serving as a club

vice president, as well as the growth you demonstrated through-

out the past year. Letters should address both character and

performance.

B. A club officer may write no more than one recommendation for

the same award.

C. No more than two letters may be included. Each letter may not

exceed one page, single-spaced with 12-point type.

D. Include the NAME, CONTACT PHONE NUMBER and POSITION of

person writing the recommendation for each letter.

10 Points


Vice President Checklist A. The checklist must be fully completed with all the necessary E-

Signatures and contact information.

5 points


A. Section Title


Proof of Attendance A. This form displays what projects you’ve attended, how many



10 Points

Section 6

Page Limit: 10

Summary of Position

A. Every KIWIN’S Club is allowed to have up to five (5) vice presidents to support the overall functioning of the club. Each vice president

is often given a focus are that will determine his/her daily, weekly, monthly, and yearly tasks and responsibilities. In this section, pro-vide a detailed explanation of your position as defined by your Ex-ecutive Board. It is vital for the judges to understand your duties as determined by your club.

B. Showcase the specific tasks and general work the vice president has completed as part of his/her role in the club.

15 points

Section 7

Page Limit: 10

Character and attitude

A. How does the vice president exemplify the ideals of a KIWIN’S

member?

15 Points

Section 8

Page Limit: 4

Kiwanis Relations

A. Key Club International is sponsored by Kiwanis International. This section must focus on how you as Vice President, have interacted with your sponsoring Kiwanis Club and Kiwanis family members.

15 points

Section 9

Page Limit: 4

Communication

A. This section must focus on your communication with the members, your club, division, district, and advisors. Sample e-mails, letters, and so forth may be utilized.

15 points

Section 10

Page Limit: 4

Miscellaneous

A. This section may focus on any additional contributions you have made as a club vice president.

5 points

This checklist must be completed. You will need at least two individuals to verify that you have com-

pleted the items on the checklist. These individuals must place their initials or provide you with per-

mission to place their initials in the appropriate column.



Identified requirements must be met in order to be eligible for this recognition. It is also understood

that the decisions of the judges are final and no changes, alteration or re-judging will take place af-

ter the judges and the Awards and Recognition Chair have certified the results. NOTE: All names,

initials and contact information are ONLY required if used as verification. REMEMBER: There must be

at least 2 out of 4 people verifying task completion. Signatures from the school representative and

the Kiwanis club representative may not be by the same person. *You may only include those who are verifying completion of the checklist items. *

CERTIFICATION

INITIALS ITEMS AND REQUIREMENTS

Club Standards Membership This Year: Paid club membership dues by December 1 Membership Last Year: Paid club membership dues by December 1 Service: Provided a minimum of 50 service hours as per Key Club International Constitution & By-Laws Club Status: Home Club is in good standing and has paid dues

Work Accomplishments Leadership Qualities: Promoted and exemplified the KIWIN’S Core Values, led by example, motivated the

members, was receptive to new ideas, and made an effort to meet and welcome new members Membership Education: Promoted active participation by new and returning members and promoted revitalization

of inactive members Leadership Skills: Developed effective problem-solving skills, helped to resolve issues and promoted leadership devel-

opment of future club leaders Club Communication: Communicated with the membership (via phone, electronic, in person, etc.), with the Fac-

ulty/Kiwanis Advisor, and with the sponsoring Kiwanis Club Division Communication: Communicated on a monthly basis with the Division Lieutenant Governor and/or Region-

al Advisor Attendance

Club Meetings: Attended at least eighty-percent (80%) of all club general meetings Board Meetings: Attended at least eighty-percent (80%) of all club executive board meetings Divisional Council Meetings: Attended at least six (6) Divisional Council Meetings Kiwanis Meetings: Attended at least one (1) Kiwanis Divisional Council Meetings or attended a minimum of

three (3) general Kiwanis meetings Training Conference: Attended the Officer Training Conference or KTC

President Workshop: Attended the President Workshop at District Convention, International Convention, or Of-ficer Training Conference

INITIALS POSITION E-SIGNATURE E-MAIL PHONE W/ AREA CODE Advisor (select one)

[ ] Faculty [ ] Kiwanis

Lt. Governor (select one) [ ] KIWIN’S [ ] Kiwanis

Nominee Information


Club: Division:

Table of Contents





Why should this Vice President be recognized? Word Limit: 500



Section 4 Vice President Checklist


Section 6 Summary of Position

Section 7 Character and Attitude

Section 8 Kiwanis Relations



CERTIFICATION





Total Service Hours



Service


1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40.

Officer Award

Distinguished Club Secretary

Rules Governing the Distinguished Secretary/

Secretarial Team Award



Due to the increasing number of members, many clubs have two secretaries (Corresponding

and Recording). Please indicate whether you will be applying for secretary or secretarial team in your E

-Binder Title and Subject title of your email. If you are a secretarial team, two recommendations per

secretary are required. Please indicate who the corresponding secretary is and who the recording sec-

retary is. Please fill out the necessary forms accordingly.

Criteria

(1) Minimum of two (2) recommendation per secretary is required. One recommendation letter for

each secretary must be from a Regional or Faculty Advisor.

(2) A secretarial team must have separate recommendation letters, proof attendances and secretary

checklists.

MRFs, samples, statements of nomination, and other supplemental materials can be used

for BOTH Secretaries (A secretarial team does not have to provide one for each secretary)

(3) A statement of nomination describing why the applicant(s) deserve the award must be included.




school underneath


Ex.

Distinguished Club Secretary/Secretarial Team










cepted.

Your E-Portfolio will be judged on sections 1 through 10. As a whole, it must demonstrate

your knowledge of Key Club International Graphic Standards, your commitment, and

performance as a KIWIN’S Secretary.

NOTE: Newspaper clippings, substantiating photographs, and other pertinent infor-mation may be included, as appendices and may be attached to sections 7-10. They are included in the page limits.


taining this:




(7) The decisions of the judges are final. No changes or re-judging will take place after the judges and the Awards and Recognition Chair have certified the results.





Save as a PDF. Label the file: Secretary.YourLastName.YourFirstName.pdf


Personal Creation,

No Form Provided

Cover Page A. Name of Nominee B. Position and Term C. Home Club and Division D. Picture of Applicant E. E-signatures & Certification: “I certify that the information in this e

-portfolio is an accurate representation of the performance of

the student in the position designated.”


Nomination Form A. Name of Nominee(s) B. Home Club and Division C. Name of Nominator D. Table of Contents E. Statement of Nomination| Word Limit: 500

5 Points



Letters will portray the efforts you set forth to serving as a secre-

tary/secretarial team, as well as the growth you demonstrated

throughout the past year. Letters should address both character

and performance. B. A club officer may write no more than one recommendation for

the same award. C. No more than two letters per secretary may be included. Each

letter may not exceed one page, single-spaced with 12-point

type. D. Include the NAME, CONTACT PHONE NUMBER, and POSITION of

person writing the recommendation for each letter. E. One recommender per secretary must be either a Regional Ad-

visor or a Faculty Advisor.

15 Points


Secretary Checklist A. The checklist must be fully completed with all the necessary E-

Signatures and contact information. B. One is required for EACH secretary in a Secretarial Team.

5 points


A. Section Title





10 Points


Monthly Report Forms A. Secretaries compile an Excel Report Form and submit it to their

respective Lt. Governors on a monthly basis.

B. Please be sure to include at least one sample report from

each quarter.

Quarter 1: April-May-June Quarter 2: July-August-September Quarter 3: October-November-December Quarter 4: January-February-March

15 points


Organization A. The Secretary’s duty is to record minutes at all executive board

and general meetings.

B. Please include at least one sample of each type of meet-

ing minutes from each quarter.

Quarter 1: April-May-June Quarter 2: July-August-September Quarter 3: October-November-December Quarter 4: January-February-March

C. How does the Nominee effectively organize the Club’s files?

Comment of Secretary’s organization.

20 Points


Publicity A. How does the secretary reach out to publicize KIWIN’S and the

club?

10 points


Communication A. This section must focus on your communication with the mem-

bers, with your club, division, district, and advisors. Sample e-mails, letters, and so forth may be utilized.

10 points


Miscellaneous A. This section may focus on any additional contributions you have

made as a club vice president.

10 points

This checklist must be completed. You will need at least two individual to verify that you have com-

pleted the items on the checklist. These individuals must place their initials or provide you with permis-

sion to place their initials in the appropriate column.


This certifies that we, the undersigned, verify the completion of the aforementioned re-quirements by the individual named on this application. All appropriate criteria have been identified on this form.

Identified requirements must be met in order to be eligible for this recognition. It is also

understood that the decisions of the judges are final and no changes, alteration or re-

judging will take place after the judges and the Awards and Recognition Chair have certified the

results. NOTE: All names, initials and contact information are ONLY required if used as verification.

REMEMBER: There must be at least 2 out of 4 people verifying task completion. Signatures from the

school representative and the Kiwanis club representative may not be by the same person.

*You may only include those who are verifying completion of the checklist items. *

CERTIFICATION


Membership This Year: Paid club membership dues by December 1

Membership Last Year: Paid club membership dues by December 1

Service: Provided a minimum of 50 service hours as per Key Club International Constitution & By-Laws

Club Status: Home Club is in good standing and has paid dues

Work Accomplishments Club Directory/Roster: Updated, completed, and distributed the club directory/roster

Club Monthly Reports: Completed a minimum of five (5) Monthly Report Forms and submitted forms on time

Leadership Skills: Developed effective problem-solving skills, helped to resolve issues and promoted leadership development of future club leaders

Attendance Club Meetings: Attended at least eighty-percent (80%) of all club general meetings

Board Meetings: Attended at least eighty-percent (80%) of all club executive board meetings

Division Council Meetings: Attended at least six (6) Division Council Meetings

Kiwanis Meetings: Attended at least one (1) Kiwanis Division Council Meetings or attended a minimum of three (3) general Kiwanis meetings

Training Conference: Attended the Officer Training Conference or KTC

INITIALS POSITION E-SIGNATURE E-MAIL PHONE W/ AREA CODE [ ] President

Advisor (Select one) [ ] Faculty [ ] Regional

[ ] KIWIN’S LtG.

Nominee Information

Nominee Name(s): Nominated By: _____________________________

Club: Division: ___________________________________

Table of Contents





Why should this Secretary be recognized? Word Limit: 500



Section 4 Secretary Checklist


Section 6 Monthly Report Forms

Section 7 Organization

Section 8 Publicity



CERTIFICATION





Total Service Hours



Service


1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40.

Officer Award

Distinguished Club Treasurer

Rules Governing the Distinguished Club Treasurer

Award



A KIWIN’S club treasurer serves as a vital part of the KIWIN’S organization. Not only is this person

responsible for turning in district, divisional, and club dues, but the nominee must also motivate the

club for service and find a less costly way to get people to the annual District Convention. The nomi-

nee must constantly be creative and assertive in dealing with various fundraising situations.

Criteria

(1) Minimum of two (2) recommendation letters are required. One recommendation letter must be

from a Regional or Faculty Advisor.

(2) A statement of nomination describing why the applicant deserves the award must be included.




school underneath

Ex.

Distinguished Club Treasurer











cepted.


knowledge of Key Club International Graphic Standards, your commitment, and perfor-

mance as a KIWIN’S Treasurer.

NOTE: Newspaper clippings, substantiating photographs, and other pertinent information may be included, as appendices and may be attached to sections 7-9. They are includ-ed in the page limits.


taining this:




The decisions of the judges are final. No changes or re-judging will take places after the judges and the Awards and Recognition Chair have certified the results.





Save as a PDF. Label the file: Treasurer.YourLastName.YourFirstName.pdf


Personal Creation,

No Form Provided

Cover Page A. Name of Nominee B. Position and Term C. Home Club and Division D. Picture of Applicant E. E-signatures & Certification: “I certify that the information in this e

-portfolio is an accurate representation of the performance of

the student in the position designated.”


Nomination Form A. Name of Nominee(s) B. Home Club and Division C. Name of Nominator D. Table of Contents E. Statement of Nomination| Word Limit: 500

5 Points



Letters will portray the efforts you set forth to serving as a treasur-

er, as well as the growth you demonstrated throughout the past

year. Letters should address both character and performance. B. A club officer may write no more than one recommendation for

the same award. C. No more than two letters may be included. Each letter may not

exceed one page, single-spaced with 12-point type. D. Include the NAME, CONTACT PHONE NUMBER, and Position of

Person writing the Recommendation for each letter. E. One recommender per secretary must be either a Regional Advi-

sor or a Faculty Advisor.

15 Points


Treasurer Checklist A. The checklist must be fully completed with all the necessary E-

Signatures and contact information.

5 points


A. Section Title





10 Points


Club Dues

If turned in by December 1, 2014 December 15, 2014 January 1, 2015 When were club dues turned in?

15 points 10 points 5 points


Club Membership Growth

If there is a 66% to 100% increase If there is a 33% to 65% increase If there is a 0% to 32% increase

How many members did the club have in the 2012-2013 year?

How many members did the club have as of February 20, 2014?

What percentage of increased membership did your club have?

20 points 10 points 5 points


Fundraisers

A. As the coordinator for club fundraisers, the treasurer provides members with the opportunity to raise funds so that they’ll have

the chance to participate in costly club-related events and ac-tivities. The treasurer is also responsible for educating the mem-bers on philanthropy opportunities associated with our organiza-tion.

B. Please be sure to include the fundraiser name, date, and a

summation of the purpose, event, budget, funds raised, effec-

tiveness, and/or other information for each fundraiser show-

cased in the report.

How many fundraisers did the club hold?

Average number of fundraisers held per month:

Initial amount of money in club treasury:

Total amount of profits in all fundraisers:

_____________________

Average percentage of member participation per fundraiser:

Decreased cost of convention per club member:

What were funds and profits used for?

25 points


Miscellaneous

A. This section may focus on any additional contributions you have made as a club treasurer.

5 points

This checklist must be completed. You will need at least two individual to verify that you have com-

pleted the items on the checklist. These individuals must place their initials or provide you with permis-

sion to place their initials in the appropriate column.






initials and contact information are ONLY required if used as verification. REMEMBER: There must be

at least 2 out of 4 people verifying task completion. Signatures from the school representative and

the Kiwanis club representative may not be by the same person.

*You may only include those who are verifying completion of the checklist items. *

INITIALS POSITION E-SIGNATURE E-MAIL PHONE W/ AREA CODE [ ] President

Advisor (Select one) [ ] Faculty [ ] Regional

[ ] KIWIN’S LtG.


Membership This Year: Paid club membership dues by December 1 Membership Last Year: Paid club membership dues by December 1 Service: Provided a minimum of 50 service hours as per Key Club International Constitution & By-Laws Club Status: Home Club is in good standing and has paid dues

Work Accomplishments Club Dues: In accordance with school policy, collected dues, submitted dues and updated roster to Key

Club International by December 1st Member Education: Educated the membership on the purpose and value of dues

Fundraising for Service: Assisted with organization and implementation of fundraisers for charitable causes (i.e. UNICEF, Project Eliminate, March of Dimes, Children’s Miracle Network, PTP)

Attendance Club Meetings: Attended at least eighty-percent (80%) of all club general meetings Board Meetings: Attended at least eighty-percent (80%) of all club executive board meetings Division Council Meetings: Attended at least six (6) Divisional Council Meetings Kiwanis Meetings: Attended at least one (1) Kiwanis Divisional Council Meetings or attended a minimum of

three (3) general Kiwanis meetings Training Conference: Attended the Officer Training Conference or KTC

CERTIFICATION

Nominee Information


Club: Division:

Table of Contents

Complete the Table of Contents by listing the different focus areas in each application item,

and by adding the page number for which the listed sections begin. This should also help you

place the items in the correct order.


Why should this Treasurer be recognized? Word Limit: 500



Section 4 Treasurer Checklist


Section 6 Club Dues

Section 7 Membership Growth

Section 8 Fundraisers


CERTIFICATION





Total Service Hours



Service


1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40.

District Contest

District Project - Eliminate

Rules Governing the District Project Award

The KIWIN’S organization has adopted Project ELIMINATE, which is focused on eliminating mater-

nal and neonatal tetanus (MNT). In the past, Kiwanis and UNICEF joined forces to tackle iodine deficien-

cy disorders, achieving one of the most significant public health successes of the 20th century. It has

now led to this project, to eliminate maternal and neonatal tetanus off the face of the Earth.

The goal of ELIMINATE is to raise $110 million by 2015 in order to accomplish the task of eliminat-

ing MNT. With the end of Project ELIMINATE nearing it’s end, this is the time to fundraise more then ever

to end this terrible disease.

Criteria

(1) The applicant KIWIN’S club must be in good standing with CNH KIWIN’S and Key Club International

(2) Entries shall complete the necessary sections

(3) The District Project Award will recognize the clubs that exemplified an outstanding dedication to-

wards eliminating MNT.

Section 1 ELIMINATE Week

For each day please briefly describe what activities your club has done that

contributed to ELIMINATE.

Monday - 5 Points

Tuesday - 5 Points

Wednesday - 5 Points

Thursday - 5 Points

Friday - 5 Points

25 points


Answer each section separately and label each section


Section 2 Total Members Involved

Total percentage of members involved in top ten projects

Range basis for grading:

0% to 20% members 1 point

21% to 40% members 5 points




1. Number of total members involved in top ten projects

2. Divide that number by 10

3. Percentage [(#2) / total members in club) x 100]

20 points

Section 3 Top Ten Projects

In what way did you further and improve the Cal- Nev- Ha KIWIN’S organi-

zation with these projects?

How significant were these projects? (Briefly explain each event. Please be

neat and organized)

Note: Please provide an additional sheet of paper if more space is need-

ed than the attached table. A form is provided on the following page.

50 points

Section 4 Supplementary Materials

Newspaper clippings, substantiating photographs, and other pertinent infor-

mation (no more than 4 sheets) may be included as appendices and

should be attached.

10 points

CERTIFICATION


Secretary

President

Faculty Advisor

(select one)

[ ] LT. G


KIWIN’S Club of ________ Division _

Top Ten Projects [50 points]

Describe the top ten projects your club performed pertaining to raising funds to eliminate ma-ternal and neonatal tetanus.

List in order of decreasing importance (most important to least important).

A description of each project is required

Top Ten Projects – Describe Briefly Total Mem-bers

Total Hours

Funds Raised

Advisor Award

Faculty Advisor Hall of Fame

Rules Governing the Faculty Advisor Hall of Fame

Since the beginning of the KIWIN’S organization, there have been extraordinary faculty advisors

who have gone through extreme measures to better their KIWIN’S clubs. This award is to honor those

faculty members who strive to serve and foster a sense of leadership and community within the school

and district.

Criteria

(1) Each club in good standing with the Cal-Nev-Ha KIWIN’S District will be eligible to nominate an advisor for the KIWIN’S Facul-

ty Advisor Hall of Fame.

(2) One outstanding KIWIN’S Faculty Advisor Award may be given if a worthy candidate is found.

(3) No nominee shall be eligible to be accepted into the Hall of Fame a second time. Please do not nominate an applicant who

has already been accepted into the Hall of Fame.

(4) Each candidate shall be eligible for only one award per year, either Kiwanis Advisor or Faculty Advisor.

(5) The report will have a statement consisting of no more than 500 words concerning why this person should receive this award

and should include a summary of his/her achievements for the year. An appendix may be included with additional pertinent

material and letters of recommendation attached.

(6) E-SIGNATURES: This application requires electronic signatures (e-signatures) by the KIWIN’S Club President and KIWIN’S Lt.

Governor or Regional Advisor. E- Signatures for this application are defined as names and contact information provided into the

form. E-Signatures represent the fact that the individuals listed have approved the application and supporting documentation.

These individuals may be contacted for further verification. Please do not use digital signatures.

(7) SMALL FILE SIZES: Application submissions should have a small file size. The following are tips to maintaining this:




(8) The decisions of the judges are final. No changes or re-judging will take place after the judges and the Awards and Recogni-

tion Chair have certified the results.


E-PORTFOLIO: The final submission for this contest includes an E-Portfolio. This E-Portfolio should be a

single PDF that includes all merged information.

This E-Portfolio shall be organized in this order:

Please attach a completed version of this page to your submission

Faculty Advisor: __________________________ KIWIN’S Club of:__________________________

Kiwanis Club of: __________________________ Division:__________________________________



that the decisions of the judges are final and no changes, alteration or re-judging will take place after

the judges and the Awards and Recognition Chair have certified the results. NOTE: All names, initials

and contact information are ONLY required if used as verification.

CERTIFICATION

Cover Page Please Include:

Name of Nominee

Home Club and Division

Guidelines

and Cert.

Page

Please insert a completed Guidelines and Certification form

(this form) here (after the cover page)

Section 1 Effort

To what degree did the Faculty Advisor assist club officers? To

what degree did the Faculty Advisor assist club members?

What was the Faculty Advisor’s level of participation?

40 points

Section 2 Achievements of the Club How was the club successful in increasing membership? How was the club successful in improving fundraisers?

30 points

Section 3 Outstanding Accomplishments of the Person

30 points

INITIALS POSITION E-SIGNATURE E-MAIL PHONE W/ AREA

CODE

[x] KIWIN’S President

Select one:

[ ] Lt. Governor


Advisor Award

Kiwanis Advisor Hall of Fame

Rules Governing the Kiwanis Advisor Hall of Fame

Throughout the years, Cal- Nev- Ha KIWIN’S has done amazing things. However, none of these

accomplishments would have been made possible without Kiwanis advisors. This award is in recognition

of those who go above and beyond to support their sponsoring KIWIN’S clubs.

Criteria

(1) Each club in good standing with the Cal-Nev-Ha KIWIN’S District will be eligible to nominate an advisor for the

Kiwanis Advisor Hall of Fame.

(2) One outstanding Kiwanis Advisor Award may be given if a worthy candidate is found.

(3) No nominee shall be eligible to be accepted into the Hall of Fame a second time. Please do not nominate an

applicant who has already been accepted into the Hall of Fame.

(4) Each candidate shall be eligible for only one award per year, either Kiwanis Advisor or Faculty Advisor.

(5) E-SIGNATURES: This application requires electronic signatures (e-signatures) by the KIWIN’S Club Pres ident and

KIWIN’S Lt. Governor or Regional Advisor. E- Signatures for this application are defined as names and contact infor-

mation provided into the form. E-Signatures represent the fact that the individuals listed have approved the appli-

cation and supporting documentation. These individuals may be contacted for further verification. Please do not

use digital signatures.

(6) SMALL FILE SIZES: Application submissions should have a small file size. The following are tips to maintaining this:




(7) The decisions of the judges are final. No changes or re-judging will take place after the judges and the Awards

and Recognition Chair have certified the results.





Please attach a completed certification (bottom of this page) to your submission

Faculty Advisor: __________________________ KIWIN’S Club of:__________________________

Kiwanis Club of: __________________________ Division:__________________________________





CERTIFICATION

Cover Page Please Include:

Name of Nominee

Home Club and Division

Guidelines

and Cert.

Page

Please insert a completed Guidelines and Certification form

(this form) here (after the cover page)

Section 1 Effort

To what degree did the Kiwanis Advisor assist club officers? To

what degree did the Kiwanis Advisor assist club members?

What was the Kiwanis Advisor’s level of participation?

40 points

Section 2 Achievements of the Club

How was the club successful in increasing membership?

How was the club successful in improving fundraisers?

30 points

Section 3

Outstanding Accomplishments of the Person

30 points


CODE

[x] KIWIN’S President

Select one:

[ ] Lt. Governor

[ ] Faculty Advisor

Member Award

KIWIN’S Member of the Year

Rules Governing the Member of the Year Award

KIWIN’S members embody the spirit of enthusiasm and friendship. Every year, there are numer-

ous KIWIN’S members who shine brightly with their love for service. The KIWIN’S Member of the Year

award will recognize one individual who demonstrates extreme commitment to bettering his or her

community and contributes to the growth and unity of the nominee’s KIWIN’S club and to the district

as a whole. This person must be devoted to service and uphold the objectives of KIWIN'S and Key Club

International.

Criteria

(1) Each club in good standing is allowed to nominate one of its members to be recognized as the most prestig-

ious KIWIN’S member.

(2) The KIWIN’S Member of the Year award applicant must not be an officer or hold a position in the club. In addi-

tion, the applicant must not be an applicant for the Sandy Nininger Medal award, a recipient of a District Member

of the Month Award, or the All Star Award.

(3) E-SIGNATURES: This application requires electronic signatures (e-signatures) by the Faculty Advisor, respective

club secretary, president, and Lt. Governor or Regional Advisor. E-Signatures for this application are defined as

names and contact information provided into the form. These individuals may be contacted for further verification.

Please do not use digital signatures. E-Signature form can be found in the Guidelines and Certification page follow-

ing this page.

(4) Two (2) recommendation letters are required (from one adult advisor and the respective school club presi-

dent).

(5) A Statement of Nomination describing why the applicant deserves the award must be in the E-Portfolio. It must

be no more than 500 words with one-inch margins in 12 pt. Times New Roman font. The title must be the first line

(centered and underlined) with the applicant’s name and school underneath.

Ex: KIWIN’S Member of the Year






Please attach a completed certification (bottom of this page) to your submission

Cover

Page

Please Include: Name of Nominee Home Club and Division

Certifica-

tion Page

Please insert a completed Certification form (this form) here

(after the cover page)

Section 1 Active Membership – Involvement & Accomplishments Showcase the applicant’s involvement and accomplishments as a KIWIN’S member during the district administrative year.

Mention involvement on the club level, divisional level, and district

level if possible.

Mention total service hours and percentage of club meetings

and projects attended.

40 points

Section 2 Leadership Comment on the applicant’s leadership roles and characteristics. Showcase how the applicant has been an inspiration to others

by providing any additional information that will assist the judges

in this evaluation process.

25 points

Section 3 Outstanding Trait Showcase how the applicant distinguished himself/herself by

making the most of his or her opportunities.

25 points

Section 4 Requirement Submit one (1) statement of nomination Submit two (2) recommendation letters . A club officer may not write a

recommendation letter for a person from another school. Additional

supplementary material may be provided and attached to the report

as long as it does not exceed 4 sheets.

10 points

Nominee: _______________________________________________________

KIWIN’S Club of: _________________________________________________

Division: _________________________________________________________

This certifies that we, the undersigned, verify the completion of the aforementioned requirements by the individual named on this application. All appropriate criteria have been identified on this form. We understand that all signatures are required and forgeries will result in automatic disqualification.


that the decisions of the judges are final and no changes, alteration or re-judging will take place after

the judges and the Awards and Recognition Chair have certified the results. NOTE: All names, initials

and contact information are ONLY required if used as verification.


CODE

[ ] KIWIN’S Secretary

[ ] KIWIN’S President

[ ] KIWIN’S Faculty

Advisor

Select one:

[ ] Lt. Governor


Club Award

KIWIN’S Week

Rules Governing the KIWIN’S Week Award

KIWIN'S WEEK focuses on promoting KIWIN'S and seeking media coverage. Hence, KIWIN'S be-

comes a household name. Each day of KIWIN'S Week places an emphasis on service including a KI-

WIN'S Week fundraising project. KIWIN’S Week was adopted from Key Club International’s Key Club

Week which gives clubs the opportunity to show the community what Key Club is truly about: service.

This year, KIWIN’S Week was held from November 3rd through November 7th. Each day is significant

and educates the club members and the community about KIWIN’S and its causes. This award was

made for clubs to be recognized on how they contribute to KIWIN’S and exemplify the Ohana spirit.

Criteria

(1) A club is eligible if it is in good standing with CNH KIWIN’S and Key Club International

(2) Please attach the completed certification form to the award submission

(3) KIWIN’S Week

Day 1 (Monday): Show Your K in Every Way

Day 2 (Tuesday): Kudos to the Key Players

Day 3 (Wednesday): ELIMINATE Day

Day 4 (Thursday): Bring a Friend to KIWIN’S

Day 5 (Friday): Fall Rally Friday

(4) Fill out every section for each day of KIWIN’S Week on separate sheets of paper


*Up to twenty (20) points may be earned for each day of KIWIN’S Week*



Cal- Nev- Ha KIWIN’S Club of _____________________ Division:_________________

CERTIFICATION

Section 1 Members’ Involvement

0% to 20% members 1 point





5 points

Section 2 Description of Project/Activity

What did the club do?

Where was it held?

How did it benefit KIWIN’S?

What were the costs involved?

5 points

Section 3 Execution and Creativity

How was each day publicized?

In what way did each project/activity relate to a certain day within KIWIN’S

Week? What were the steps taken to complete the project/activity?

5 points

Section 4 Attach Photos and Supplements

For each day of the week, attach photos, fliers, and other pertinent infor-

mation appropriate for that day

5 points


President

Faculty Advisor

(select one)

[ ] LT. G


Service Award: International

Major Emphasis Program - Live2Learn

Rules Governing the Major Emphasis Program

Members’ goals are to help children cooperate and achieve collaborated success. The Major

Emphasis Program award is the award given to the KIWIN’S Club, which, through its unselfish efforts,

has produced during the year the best Major Emphasis Program Project. The winning report advances

to international competition. The Major Emphasis award shall provide recognition to Key Clubs for a

commendable project relating to “Children: Their Future, Our Focus.”

Criteria

(1) Only one winner in the district contest will be eligible for entry in the International competition.

(2) Submit a report describing the club’s involvement with the Major Emphasis Program by including

the criteria below in Section G. Each section in Section G must begin on a new page and each page

must have a heading specifying the section being described. There is no word limit. The official Major

Emphasis Report cover sheet must accompany each entry. It must be completed in its entirety.

(3) The activity described can cover any phase of Key Club Major Emphasis involvement specifically

highlighting personal development and social interaction of children, during the year from district con-

vention to district convention. The report may include newspaper clippings, substantiating photo-

graphs, or other pertinent information. Projects acceptable for this award may include both hands-on

service and fundraising efforts.

(4) Reports will be judged according to the amount of Major Emphasis Program activity described in

Section G. Suitable recognition and awards will be presented to the KIWIN’S Club filing the best Major

Emphasis Program Report in compliance with these rules.

(5) To be eligible for the International contest, the Awards and Recognition Chair must mail the report

that wins the district contest to the Key Club International Office, 3636 Woodview Trace, Indianapolis, IN

46268-3196, no later than the first Friday in May.


(6) The decisions of the judges are final and no changes, alterations or regards will take place after the

judges and the Awards Chair have certified the results.

(7) The section to be described and the points for each are indicated below:

A. THE NEED – to qualify for judging, a statement must establish in what way the project deals

with the Major Emphasis.

B. THE PLAN (10 POINTS) – describe how the project was organized.

C. IMPLEMENTATION (20 POINTS) – describe the steps taken to implement the plan.

D. FINAL RESULTS (25 POINTS) – describe the benefits of the service rendered.

E. PARTNERSHIPS WITH THE KIWANIS FAMILY AND OTHER ORGANIZATIONS (10 POINTS) – describe

actions and partnerships formed. Describe how the project was publicized.

F. PERCENTAGE OF CLUB MEMBERS PARTICIPATING (10 POINTS)

Please refer to the Key Club Guidebook for details on calculations.

G . OVERALL PROGRAM DEALING WITH ME (25 POINTS) – describe any other projects/programs

your club implemented to address the Major Emphasis. Describe how your club worked with

Major Emphasis during other parts of the year.

(8) Live2Learn Day

- For Live2Learn day please briefly describe what activity(s) your club has done that contributed

to Live2Learn. (25 Points)

01-09% = 1 POINT

10-19% = 2 POINTS

20-29% = 3 POINTS

30-39% = 4 POINTS

40-49% = 5 POINTS

50-59% = 6 POINTS

60-69% = 7 POINTS

70-79% = 8 POINTS

80-89% = 9 POINTS

90-100% = 20 POINTS

This certifies that we have read this report and that the information on this report is accurate.

We understand that all signatures are required and forgeries will result in automatic disquali-

fication.


President

Faculty Advisor

(select one)

[ ] LT. G


Major Emphasis Involvement Report Cover Sheet

Key Club of: ______________________________________________Club ID #: _____________________________________

District: _________________________________________ Number of members in club: ______________________________

Project name: _____________________________________ Total service hours involved: ___________________________

Contact name: _______________________________________ E-mail: ____________________________________________

Phone number with area code: ____________________________________________________________________________

Application return address: ___________________________________________________City: ________________________

State/province: ________________________ Postal code: ________________________ Country: __________________

Brief description of project: ________________________________________________________________________________

Major Emphasis Award governing rules

A. Only one winner in the district contest will be eligible for entry in the International competition.

B. Report must be typed. Each section found in Section G must begin on a new page and each page must have a heading specifying the section being described. There is no word limit. The official Major Emphasis Involvement Report cover sheet must accompany all entries. It must be completed in its entirety.

C. The activity described can cover any phase of Key Club Major Emphasis involvement specifically highlighting personal development and social interaction of children, during the year from district convention to district convention. The report may include newspaper clippings, substantiating photographs, or other pertinent information. Projects acceptable for this award may include both hands-on service and fundraising efforts.

D. Reports will be judged according to the amount of Major Emphasis activity described in Section G. Suitable recognition and awards will be presented to the Key Club filing the best Major Emphasis Report in compliance with these rules. This award will be given at the International Convention. There are no platinum, silver, gold, or bronze divisions in this contest; instead there are first, second, and third place awards.

E. To be eligible for the International contest, the report that wins the district contest must be received by the Key Club International Office, 3636 Woodview Trace, Indianapolis, IN 46268-3196, no later than the first Friday in May.

F. The decisions of the judges are final, and no changes, alterations, or regradings will take place after the results have been certified by the judges.

G. The section to be described and the points for each are indicated below: 1. THE NEED: To qualify for judging, a statement must establish in what way the project deals with the ME. 2. THE PLAN (10 points): Describe how the project was organized. 3. IMPLEMENTATION (20 points): Describe the steps taken to implement the plan. 4. FINAL RESULTS (25 points): Describe the benefits of the service rendered. 5. PARTNERSHIPS WITH THE KIWANIS FAMILY AND OTHER ORGANIZATIONS (10 points): Describe actions and partnerships formed. Describe how the project was publicized. 6. PERCENTAGE OF CLUB MEMBERS PARTICIPATING (please refer to the Key Club Guidebook for details.) 7. CLUB’S OVERALL PROGRAM DEALING WITH ME (25 points): Describe any other projects/programs your club implemented to address the Major Emphasis. Describe how your club worked with ME during other parts of the year.

Certification. This certifies that we, the undersigned, have read this report and that the activity described in this report and preparations for this report were performed by official Key Club members. NOTE: All signatures are required. Signatures from the school representative and the Kiwanis club representative must not be by the same person.

Faculty/Kiwanis advisor: ________________________________ Principal: _______________________________________

Major Emphasis Award 2016 Contest criteria are posted in the Key Club Guidebook on Page 53.

http://www.keyclub.org/Libraries/Governance/Guide_KeyClub_Key_Club_Guidebook_2014-15.sflb.ashx

Service Award

Minor Emphasis - PTP

Rules Governing the Minor Emphasis Award

Pediatric Trauma affects children from infancy to age nineteen. It is a result of motor vehicle accidents,

physical abuse, drowning accidents, falls, and animal bites, making it the leading cause of death of children in

the United States. To prevent these accidents and injuries from happening, KIWIN'S has focused on fighting Pedi-

atric Trauma through raising funds and by increasing general awareness through education. Established in 1992,

Pediatric Trauma Prevention is a main focus of KIWIN'S in conjunction with California-Nevada-Hawaii Kiwanis. Cal-

Nev-Ha KIWIN’S strives to exemplify support by annually raising funds, spreading knowledge, and reaching out to

incorporate the objectives of PTP into various service projects.

Criteria


(2) Entries shall complete the necessary sections

(3) Please submit a completed Certification page (the following page after this) along with this award

submission

(4) Answer each section separately and labeled by section

Section 1 PTP Week

For each day please briefly describe what activities your club has done that

contributed to PTP.

Monday - 5 Points

Tuesday - 5 Points

Wednesday - 5 Points

Thursday - 5 Points

Friday - 5 Points

25 Points




CERTIFICATION

Section 1 Total Members Involved Total percentage of members involved in top five projects. Basis for grading:

01%-09% = 1 point 50%-59% = 6 points 10%-19% = 2 points 60%-69% = 7 points 20%-29% = 3 points 70%-79% = 8 points 30%-39% = 4 points 80%-89% = 9 points 40%-49% = 5 points 90%-100% = 10 points 1. Give total members involved in top five Minor Emphasis Projects __________ 2. Divide total members involved by 5 3. Percent Involved [(#2 / (members in club))*100]

30 points

Section 2 Top Five Projects List the top five Minor Emphasis Projects your club has performed and briefly

explain what the project consisted of and how effective the project was to

your community. How did these projects help to publicize the cause of PTP? (An additional sheet may be used and attached to this award.)

60 points


How did you document and publicize these projects? Newspaper clippings, substantiating photos, and other pertinent information

(no more than 4 sheets) may be included as appendices and should be at-

tached to this report.

10 points


Secretary

President

Faculty Advisor

(select one)

[ ] LT. G


Club Award

Most Improved Club

Rules Governing the Most Improved Club Award

The ability of a KIWIN’S club to build upward and to bring it to new heights is extraordinary and

shows the commitment of its members to the organization and to service. The Most Improved Club

Award shall provide recognition to KIWIN’S Clubs that have demonstrated the greatest improvement

during the district administrative year.

Criteria


(2) Entries shall complete the necessary sections and complete the necessary documents explaining

why the club is deserving of the award based on the criteria below


Section 1 Club's Growth

How many club meetings have been held during the 2014-2015 term?

How many club meetings have been held during the 2015-2016 term?

How many board meetings have been held during the 2014-2015 term?

How many board meetings have been held during the 2015-2016 term?

20 points

Section 2 Methods of Increasing Membership

What innovative and creative ideas were used to increase membership

during the 2014-2015 term?

What innovative and creative ideas were used to increase membership

during the 2015-2016 term? Were these efforts effective? Explain.

25 points


*Involved member: Member who shows willingness to attend meetings and service projects that shows

their passion to increase membership at their school*

How many dues-paid members were in the club at the end of last year?

How many involved members?

How many dues-paid members are presently in the club?

How many involved members?

Section 3 Club Achievement

How many fundraiser were held during the 2014-2015 term?

How many fundraiser were held during the 2015-2016 term? Describe a few suc-

cessful fundraisers.

How many service projects were held during the 2014-2015 term?

How many service projects were held during the 2015-2016 term? Describe a

few unique service projects.

25 points

Section 4 K-Family Relations

What K-Family activities was the club involved with during the 2014-2015 term?

What K-Family activities was the club involved with during the 2015-2016 term?

10 points

Section 5 Evaluation Report

Why do you think the club deserves this award?

15 points

Section 6 Supplemental Materials

Newspaper clippings, substantiating photos, and other pertinent (no more than

4 sheets) information may be included as appendices and should be attached

to this form.

5 points



KIWIN’S Club of____________________ Division ____________________


Secretary

President

Faculty Advisor

(select one)

[ ] LT. G


Divisional Award

Most Improved Division

Rules Governing the Most Improved Division Award

The ability of a KIWIN’S division to build upward and to bring it to new heights is extraordinary

and shows the commitment of its members, officers, and Lieutenant Governor to the organization and

to service. The Most Improved Division Award shall provide recognition to KIWIN’S divisions that have

demonstrated the greatest improvement during the district administrative year.

Criteria

(1) The KIWIN’S division must be in good standing with CNH KIWIN’S


why the division is deserving of the award based on the criteria below.



Section 1 Division's Growth

How has the division improved since last year’s KIWIN’S year?

30 points

Section 2 Methods of Increasing Membership

What innovative and creative ideas were used to increase membership? Were these efforts effective? Explain.

20 points


*Involved member: Member who shows willingness to attend meetings and service projects that shows

their passion to increase membership at their school*

How many dues-paid members were in the division during the 14’-15’ term?

How many involved members? ______________________________________

How many dues-paid members are presently in the division during the 15’-16’ term?

How many involved members? _______________________________________


We understand that all signatures are required and forgeries will result in automatic disqualifi-

cation.

Cal - Nev – Ha KIWIN’S __________________________ Division____________________________

CERTIFICATION

Section 3 Divisional Achievement

What did your division accomplish in terms of fundraising and service?

20 points

Section 4 K-Family Relations

What K-Family activities was the division involved with?

10 points

Section 5 Evaluation Report

Why do you think the division deserves this award?

15 points


Newspaper clippings, substantiating photos, and other pertinent (no more than 4 sheets) information may be included as appendices and should be attached to this form.

5 points


Regional Advisor

District

Administrator

Club Award

Most Interclubs

Rules Governing the Most Interclubs Award

An interclub is when 4 or more members of your club meet with 4 or more members of another

club within the Kiwanis and professional clubs. The Kiwanis Family includes Kiwanis Clubs, Circle K Clubs,

Key Clubs, KIWIN’S Clubs, Builders Clubs, Aktion Clubs and K-Kids. The meeting must be arranged in ad-

vance. All district and divisional events count as Interclubs except for District Conventions and Divisional

Council Meetings.

Criteria

(1) The specific Interclubs (date, location, etc.) reported are up to the discretion of the reporting club.

(2) Interclubs should be within the district administrative year (District Convention 2015 to District Con-

vention 2016).

(3) Each meeting of 4 or more members of your club with 4 or more members of another Kiwanis Family

club is considered an Interclub. If 10 clubs are present at a given activity, and each had 4 or more pre-

sent, there would be 9 Interclubs received per club.

(4) The distance traveled also has bearing in this award. Distance traveled is determined by the trav-

eled distance between the city of the home club and the site of the Interclub. Please be sure to write

down the distance traveled on the application. Distance only includes the mileage traveled; do not

include the distance going back.

(5) Please complete the necessary certification from the respective persons.



A total of eighty (80) points is possible:




CERTIFICATION

Section 1 Club's Growth

How has the club improved since last year’s KIWIN’S year?

15 points

Section 2 Distance Traveled

Total distance traveled

15 points

Section 3 Percentage of Divisional Interclubs

Percentage with divisional clubs (# of schools involved in Interclub within division / # of schools in the division)

15 points

Section 4 Promotion of KIWIN’S through Interclubs

How was KIWIN’S represented and promoted through participating in Inter-

clubs? (On a separate sheet of paper)

25 points


Newspaper clippings, substantiating photos, and other pertinent (no more

than 4 sheets) information may be included as appendices and should be

attached to this form.

10 points


President

Faculty Advisor

(select one)

[ ] LT. G


List all Interclubs, dates held, distances traveled, with whom, hosting clubs, locations, how many mem-

bers attended, and what kind of activity it was. Reporting false information will directly result in auto-

matic disqualification. If there is not enough space, an additional sheet may be attached to this report.

Date Distance Traveled

With Club, Division, District Hosted By Location Number

Activity

Club Award

Partners in Service

Rules Governing the Partners in Service Award

The Partners in Service award is given to each KIWIN’S Club which, through its unselfish service

efforts, has participated in at least one project with each official partner during an administrative year.

The official partners of Key Club International are UNICEF, Children’s Miracle Network, March of Dimes,

and Pediatric Trauma Program (PTP).

Criteria



(3) The activities described must cover the club’s participation with the official partners of Key Club

International performed between the 2015 District Convention and the 2016 District Convention.

(4) Fill out every section on separate sheets of paper and labeled by section.

*Up to a hundred (100) points may be earned in the entire award*

Section 1 Projects

Select 3 out of the 4 projects. The project performed with each partner must

be on a separate sheet of paper with the name of the partner at the top of

the sheet. A description of the project, total service hours performed and

funds collected if applicable should be reported.

60 points




Cal-Nev-Ha KIWIN’S Key Club of______________________________

Division:_____________________________________________________ER

CERTIFICATION

Section 2 Total Members Involved

Total percentage of members involved in top five projects, at least one from

each of the partners you have selected.

Basis for grading:

01%-09% = 1 point 50%-59% = 6 points

10%-19% = 2 points 60%-69% = 7 points

20%-29% = 3 points 70%-79% = 8 points

30%-39% = 4 points 80%-89% = 9 points

40%-49% = 5 points 90%-100% = 10 points

1. Give total members involved in top five Partners in Service Projects 2. Divide total members involved by 5 3. Percent Involved [(#2 / (members in club))*100]

30 points


How did you document and publicize these projects? Newspaper clippings,

substantiating photos, and other pertinent information (no more than 4

sheets) may be included as appendices and should attach to this report.

10 points


President

Faculty Advisor

(select one)

[ ] LT. G


Member Contest


Rules Governing the Sandy Nininger Medal

In 1946, Key Club International formally named Lieutenant Alexander R. Nininger, Jr. as the ideal

Key Club member. The Sandy Nininger Medal was created in his memory and is awarded to high

school graduates who have distinguished themselves by making the most of their opportunities – disre-

garding any school average or group standard. It honors individuals in terms of their own abilities and

weaknesses, opportunities and lack of opportunities. The high school graduate who most exemplifies

the tradition begun by Sandy Nininger and has given of themselves “above and beyond the call of

duty” will be awarded at the KIWIN’S District Convention with this honorable award.

Criteria

(1) The applicant must be in the graduating class of 2016 and be a dues paid, Cal-Nev-Ha KIWIN’S

member

(2) The nominee cannot be an officer or KIWIN’S Member of the Year applicant

(3) The applicant must have a minimum of ten (10) service hours

(4) The application must include (in this order):

A competed criteria sheet (on the following page) with the necessary information and

proper signatures

One letter of recommendation using the letter of recommendation form provided

A Statement of Nomination describing why the applicant deserves the Sandy Nininger

Medal

Newspaper clippings, substantiating photographs, and other pertinent information may

be included as appendices and should be attached to the report


(1) Criteria Sheet | This is the Criteria Sheet

A. Please attach this form to the application with the bottom portion (necessary information

and signatures) properly completed

(2) Letter of Recommendation | Page Limit: 2

A. Please also include a completed Letter of Recommendation form that is provided in this

Manual. It is labeled “Letter of Recommendation Form.”

B. This is used as a testimony to support the applicant’s overall contribution to the district

and to his or her community.

C. Letters will portray the efforts set forth to serving the district as well as the growth that the

applicant has demonstrated throughout his or her time in KIWIN’S

(3) A Statement of Nomination | Page Limit: 1

A. Explain how the applicant has given to the school and community “above and beyond

the call of duty.”

B. Limited to one page with one (1) inch margins in 12pt Times New Roman font.

C. The first line must be the award and it must be centered and underlined with the appli-

cant’s name and school underneath

EX.



(4) Appendices | Page Limit: 5

A. You may include newspaper clippings, photographs, and any other pertinent supple-

ments to showcase the applicant’s commitment to service, Key Club/KIWIN’S Core Val-

ues, inspirational qualities, etc.



Applicant: _____________________________________________________________

KIWIN’S Club of: ______________________________ Division: _________________

Address: _______________________________________________________________

City: ___________________________________ State: _________________________

CERTIFICATION


President

Faculty Advisor

(select one)

[ ] LT. G


Club Service Award

Service Award

Rules Governing the Service Award

Service is the form of selfless action that is done to benefit one’s environment rather than one-

self. The KIWIN’S year is focused on service and every club should strive to perform the maximum

amount of service possible. This award acknowledges clubs for their dedication in the involvement of

their community. Quality of service projects rather than quantity will be considered.

Criteria


(2) Service Dates must be within the district Administrative year (District Convention 2015 to District Con-

vention 2016)


why the club is deserving of the award and this form must be used to complete the submission. Any ad-

ditional sheets will be discarded.



Section 1 Total Percentage of Members Involved

Total percentage of members involved in top ten projects, see next page.

0%-20% 5 points 21%-40% 10 points 40%-69% 15 points 70%-89% 20 points 90%-100% 25 points

25 points





CERTIFICATION

Section 2 Average Hours

This section will be calculated on a set curve according to percentages,

see next page.

0%-09% = 2 points 50%-59% = 12 points

10%-19% = 4 points 60%-69% = 14 points

20%-29% = 6 points 70%-79% = 16 points

30%-39% = 8 points 80%-89% = 18 points

40%-49% = 10 points 90%-100%= 20 points

20 points

Section 3 Final Results

Evaluate and describe the significance of these top ten activities. Did

they further promote KIWIN’S while serving the community?

50 points


Newspaper clippings, substantiating photos, and other pertinent (no

more than 4 sheets) information may be included as appendices and

should be attached to this form.

5 points


Secretary

President

Faculty Advisor

(select one)

[ ] LT. G


KIWIN’S Club of Division

Number of paid dues members in KIWIN’S Club

Total number of members involved on February 20th for all ten projects

Percentage of club members involved (Total hours per member/ Total number of members on February

20, 2015)

Grand total of hours for all ten projects:

Average hours per member:

(Total number of hours/divided by Total number of members on February 20, 2015

*Description of each project is required*

Title of Top Ten Service Projects (Description no more than 50 words

each on separate sheet) Mem-bers In-volved

Hours Per

Mem-ber

Total Hours

Total

Mem-

bers

Total

Hours

Club Award

Sid Smith Award

Rules Governing the Sid Smith Award

Sid Smith, founder of Keywanettes, has offered $500.00 to the school with the most innovative

and successful service project. Each year, a KIWIN’S club goes above and beyond in their service to

affect their community in a new and creative way. To enter, write an essay describing your innovative

and successful service project. Be detailed in this essay and include what the project was, the plan-

ning that went into this project, profits made if any and most importantly, how it affected your commu-

nity. Choose your words carefully; you are limited to 1,000 words. You may include only TWO supple-

mentary materials.

Criteria



(3) EACH PAGE of the essay must have the name of the school on the upper left hand corner and the

signatures of the president and faculty advisor on the upper right hand corner.

(4) Fill out every section on separate sheets of paper and labeled by section.

*Please include each of the following into your essay*




disqualification.

Cal- Nev- Ha KIWIN’S Club of _________ ___________

Division ________

Section 1 Project Title

Section 2 Originality and creativity of project

Section 3 Success of Project

Section 4 Publicizing of project

Section 5 Organization and planning of project

Section 6 Need of project within community

Section 7 Effect of project on surrounding community

Section 8 Use of resources within reach of the KIWIN’S Club

Section 9 Membership Involvement

Section 10 Leadership of board members shown through this project

Section 11 Involvement of other K-Family, school, clubs, etc.

CERTIFICATION


President

Faculty Advisor

(select one)

[ ] LT. G


Club Award

Single Fundraiser Award

Rules Governing the Single Fundraiser Award

Each KIWIN’S Club is responsible for holding numerous fundraisers to raise money to cover many

activities, including reducing the cost of convention for its members, donating to charities, and socials

and other expenditures for members. This award acknowledges the use of creativity, originality, and

financial success fundraising project.

Criteria


(2) Fundraising date must be within the district Administrative year (District Convention 2015 to District

Convention 2016)

(3) The fundraising event being considered in this award must have occurred in a continuous block of

time excluding planning. Entries that occurred in discontinuous time periods will be disqualified.

(4) Money received must be for the club’s treasury (funds needed for charitable and administrative

purposes), for an organization (e.g. March of Dimes, MD, Spastic Children’s Foundation, etc.), or a com-

bination of the two.

(5) Club members must be the organizers. Donations or rewards from contests will not be considered.

(6) A fundraiser sponsored by a school (e.g. International Week, Club Day), an organization (e.g. 24-

Hour Famine), or another K-Family organization will not be considered.


why the club is deserving of the award and this form must be used to complete the submission. Any ad-

ditional sheets will be discarded.




Section 1 Need for Funds Why does the club need funds? Describe the need specifically.

25 points

Section 2 Plan Explain the project. What was the initial cost of the project? How organized was the plan? (Realistic goal, use of KIWIN’S, etc.)

Describe how well the plan was carried out. How was the plan presented? Did it cover all the necessary items request-

ed? Was the goal clearly defined? Does it appear that KIWIN’S members did the work?

25 points

Section 3 Final Results How much money was raised? What were the costs to carry out this project? What was the net profit (amount raised minus costs)? What was the percent-

age of KIWIN’S members involved? Did other K-Family clubs help in any way? If

so, what help was involved?

25 points

Section 4 Public Awareness

How was the fundraiser publicized?

10 points

Section 5 Members Participating

01% - 09% = 1 point

10% - 19% = 2 points

20% - 29% = 3 points

30% - 39% = 4 points

40% - 49% = 5 points

50% - 59% = 6 points

60% - 69% = 7 points

70% - 79% = 8 points

80% - 89% = 9 points

90% - 100% = 10 points

10 points


Newspaper clippings, substantiating photos, and other pertinent information


tached.

5 points

KIWIN’S Club of ____ Division _________

Number of dues-paid members ____________________________________________

Number of members involved ____________________________________________________

Length of project (excluding planning) ______________________________

Number of people benefited _____________________________________________

Name of fundraiser ___________________________________________________



disqualification.

CERTIFICATION


Secretary

President

Faculty Advisor

(select one)

[ ] LT. G


Service Award

Single School Service Award

Rules Governing the Single School Service Award

Every year, KIWIN’S clubs perform service projects and activities that benefit their schools. Each

year, clubs decide on one single service project out of their total that was done in excellence. Certain

clubs show outstanding school pride as well as KIWIN’S pride through their diligent acts of service. The

Single School Service award is given in honor of these clubs who go above and beyond in working to

improve the quality of life on their school campuses.

Criteria


(2) Service Dates must be within the district Administrative year (District Convention 2015 to District Con-

vention 2016)


why the club is deserving of the award and this form must be used to complete the submission. Any

additional sheets will be discarded.



Section 1 Need

Describe the need for this project. It should be specific, clear, and concise.

Describe the reasons why this project was necessary.

20 points


Section 2 Usefulness

How practical is this project and does the usefulness support the need?

Describe the practical purpose this project served in your school.

20 points

Section 3 Plan

What were the steps to carrying out this project? Described how the

plan was carried out.

Was the goal clearly defined? How much was accomplished?

How was this project completed? How was it organized, and what was

the cost?

10 points

Section 4 Final Results

Describe how the project benefits the club and those served.

How does the project serve a purpose adequately?

How big of an impact was this project to the school?

Describe benefits of services rendered and number of people served.

15 points

Section 5 Public Awareness

Was the community informed of this project?

How was the event publicized (e.g., television, newspaper, etc.)?

How was the project publicized?

15 points

Section 6 Summary Statement

Briefly summarize the project in an original statement.

Explain how the statement gives a good portrayal of the project done.

What was gained and how significant was this project?

Briefly, how did your club benefit in performing this project?

5 points

Number of dues-paid members _______________________ _________

Total number of members involved __________________________________________

Length of project (excluding planning) ____________________________________

Approximate number benefited ____________________________________


We understand that all signatures are required and forgeries will result in automatic disqual-

ification.

CERTIFICATION

Section 7 Members Participation

01% - 09 % = 1 point 50% - 59% = 6 points

10% - 19% = 2 points 60% - 69% = 7 points

20% - 29% = 3 points 70% - 79% = 8 points

30% - 39% = 4 points 80% - 89% = 9 points

40%- 49% - 5 points 90% - 100% - 10 points

Percent of total membership %

[# of Members Involved divided (/) by # of Members in club times (x) 100 = %]

1-10 points


Newspaper clippings, substantiating photos, and other pertinent information


tached.

5 points


Secretary

President

Faculty Advisor

(select one)

[ ] LT. G



Single Service Award

Rules Governing the KCI Single Service Award

The Single Service award shall provide recognition to the KIWIN’S Clubs for a commendable ser-

vice project .

Criteria

(1) A qualifying single service project shall be defined as a club service project, planned, orga-

nized and produced by the KIWIN’S Club occurring on a single day, consecutive days or recurring

on different days. Projects acceptable for this award may include both hands-on service projects

and fundraising efforts. In the case of a recurring project, it is the same project that must be repeat-

ed for the purpose of achieving the same service goal.

(2) Entries shall use the official Single Service Report form and shall be submitted to the district for

competition according to the guidelines as set by the district.

(3) Clubs shall compete with other clubs of similar size within four membership categories: Bronze,

being 35 members or less; Silver, being 36 to 60 members; Gold, being 61 to 85 members; and Plati-

num, being 86 members or more.

(4) Entries shall be judged based upon an accumulated total of 100 points allocated to the follow-

ing categories:

Service Need - 10 Points Final Results - 25 Points

Project Plan - 20 Points Public Awareness - 15 Points

Project Implementation - 20 Points Members’ Participation - 10 Points


(5) Judging of all entries within each district shall determine one first place winner, and other levels

of recognition as deemed appropriate, in each membership category. Each first place report

should be forwarded to Key Club International for competition with other first place winners. No

changes may be made in the report by the club, district or judging committee. Reports must be

received by the first Friday in May.

(6) An entry may be disqualified by the judges for reporting incorrect or false information or failure

to submit a report according to the rules of the district’s competition. Any disqualification at the

district level requires the approval of the district administrator or his/her designee. An entry may be

disqualified by the judges at the International level for the same reasons and disqualifications re-

quire the approval of the International Administrator.

(7) Suitable recognition should be provided to clubs achieving first place and other places at dis-

trict and international levels of competition. At each level of judging, the decisions of the judges

are final.

(8) Only activities that occurred during the district administrative year shall be included on the re-

port.

PLEASE TYPE INFORMATION ON THIS FORM AND ATTACH THE SUBMISSION

CLUB INFORMATION

KIWIN’S Club:_________________________________________________________________________________

District: California-Nevada-Hawaii KIWIN’S Division:___________________________________________

BRONZE

SILVER

GOLD

PLATINUM

ADVISOR CONTACT INFORMATION

Contact name:______________________________________________________________________________

Check One: Faculty Advisor Kiwanis Advisor

Contact Email:_______________________________________________________________________________



disqualification.

CERTIFICATION


President

Faculty Advisor

(select one)

[ ] LT. G


Key Club of: _____________________________________ Club ID #: ___________________ District: _____________

Number of members in club: ______________________Total service hours involved: _______________________

Project name: _____________________________________ Contact name: _________________________________

E-mail: _____________________________________ Phone number with area code: _________________________

Application return address: _____________________________________ City: _____________________________

State/province: _____________________________________ Postal code: _____________ Country: __________

Brief description of project: _________________________________________________________________________

Club membership

1. Enter the total number of dues paid club members as of February 1, 2015. 2. Enter the number of paid members in the box below. 3. Use the number in the box to determine the club’s membership category. 4. Place a check next to the category that applies.

Number of dues paid members:

A. A qualifying single service project shall be defined as a club service project, planned, organized and produced by the Key Club occurring on a single day or consecutive days, or recurring on different days. In the case of a recurring project, it is the same project that must be repeated for the purpose of achieving the same service goal.

B. Entries shall use the official Single Service Report form cover sheet and shall be submitted to the district for competition according to the guidelines as set by the district. Clubs existing within a non-districted area shall submit their entries to Key Club International.

C. Clubs shall compete with other clubs of similar size within four membership categories: Bronze, being 35 members or less; Silver, being 36 to 60 members; Gold, being 61 to 85 members; and Platinum, being 86 members or more.

D. Entries shall be judged based upon an accumulated total of points allocated to the following categories: service need, 10 points; project plan, 20 points; project implementation, 20 points; final results, 25 points; public awareness, 15 points; member participation, 10 points.

E. Only activities which occurred during the district administrative year shall be included on the report. Clubs existing within a non-districted area shall report activities occurring between May 1 and the following April 30.

F. Judging of all entries within each district shall determine one first place winner, and other levels of recognition as deemed appropriate, in each membership category. Each first place report should be forwarded to Key Club International for competition with other first place winners. No changes may be made in the report by the club, district or judging committee. Reports must be received by the first Friday in May.

G. All entries from non-districted clubs shall be judged to also produce a first place winner in each category. Reports must be received by the first Friday in May.

H. An entry may be disqualified by the judges for reporting incorrect or false information or failure to submit a report according to the rules of the district’s competition. Any disqualification at the district level requires the approval of the district administrator or his/her designee. An entry may be disqualified by the judges at the International level for the same reasons, and any disqualification requires the approval of the International Director.

I. Suitable recognition should be provided to clubs achieving first place and other places at district and International levels of competition. At each level of judging, the decisions of the judges are final. No changes, alterations or re-grading will take place after the results have been certified by the judges.

Single Service Award 2016

Certification. This certifies that we, the undersigned, have read this report and that the activity described in this report and preparations for this report were performed by official Key Club members. NOTE: All signatures are required. Signatures from the school representative and the Kiwanis club representative must not be by the same person.

Kiwanis/faculty advisor: __________________________ Principal: _______________________________________________

______ Bronze (35 members or less) ______ Silver (36-60 members)

______ Gold (61-85 members) ______ Platinum (86 members or more)

Contest criteria are posted in the Key Club Guidebook on Page 57.

http://www.keyclub.org/Libraries/Governance/Guide_KeyClub_Key_Club_Guidebook_2014-15.sflb.ashx

SECTION 3

AWARDS

Club Award

Convention Attendance

Rules Governing the Convention Attendance Award

To participate in this competition, you will want to recruit as many members to attend the annual KIWIN'S District Con-

vention as possible. No matter what the size of your club, you will have an opportunity to be recognized. Whether you come to

convention with the desire to run for office, to meet KIWIN'S from all over the California-Nevada-Hawaii District, or to learn from

the various sessions and workshops, be determined to represent your school and show your KIWIN'S spirit. You’ll have the chance

to make the necessary preparations to “ONE family, ONE mission, ONE word KIWIN’S” at your highest potential for the coming

KIWIN'S year.

KIWIN’S Club of Division _________ __________________

1. Total Number of dues-paid members _____________________________ __________________

2. Total number of paid convention attendants _____________________________ __________________

3. Percentage of members attending the convention ______________________________ ___________________

[(answer to number 2/answer to number 1) x 100%]

4. Total number of dues-paid members last year _______________________ ___________________________

5. Total number of paid convention attendants last year_____________________________ ___________________________

6. Percentage of members attending the convention last year ___________________________________________

[(answer to number 5/answer to number 4) x 100%]

Signature Date

KIWIN’S Treasurer

Signature Date

KIWIN’S Faculty Advisor

Signature Date

KIWIN’S District Treasurer (at Convention)

CERTIFICATION

Member Contest

Impromptu Essay Award

Rules Governing the Impromptu Essay Award The Impromptu Essay contest allows KIWIN’S members in good standing with Cal-Nev-Ha KI-

WIN’S to display their knowledge of KIWIN’S information by composing an essay during the District Con-

vention.

Criteria (1) The Cal-Nev-Ha KIWIN’S Impromptu Essay contest will be conducted according to the following rules:

This contest will be held at the District Convention at a designated time and place (as stat-

ed in the convention program) where complete silence will be maintained at all times.

Each KIWIN’S Club in good standing with Cal-Nev-Ha KIWIN’S and Key Club International will

be able to select one club member to participate in the contest.

(2) Each entrant will write an essay of up to 500 words on a topic unknown to the contestants in advance

(3) The following guidelines will be enforced for this contest:

All essays must be neatly handwritten.

Contestants are not permitted to use any outside notes, electronic equipment, printed mate-

rials or any other references during this contest.

Essays must pertain to the topic. Essays that fail to address the topic will be disqualified.

Essays will be judged on a basis of quality not quantity. (4) Judging and awarding points will be based on the following criteria:

(5) The decisions of the judges are final, and no changes or alterations will take place after the results have been

certified by the judges and the chairperson of the judges of this contest

Contestant _________________ Contestant Contact Phone Number ______________

Faculty Advisor _________________ KIWIN’S Club of Division ______________

1. Originality and Clarity 30 points

2. Organization 25 points

3. Development of Topic 25 points

4. Grammar 20 points

Club Award

KIKS Spirit Award

Rules Governing the KIKS Spirit Award

One of the distinguishing characteristics of the KIWIN’S District Convention is the abundance of

spirit and enthusiasm. The battle for the glory of the KIKS Spirit Award has been a long sought tradition,

which has always heightened a member’s experience at KIWIN’S District Convention. KIKS is an acro-

nym for Keeping In KIWIN’S Spirit. What started out as just an award has manifested into one of the

greatest honors a club can receive. Clubs cheer their hearts out and display pride in their schools and

divisions through little gifts and dances performed throughout the convention.

Criteria

(1) Written applications stating that your club wishes to participate in this contest and a general de-

scription (for judges' use ONLY) of how you intend to show your spirit will be required of all clubs wish-

ing to enter the contest. (One of each KIKS must be presented at the judging table on April 15, 2016

by 9:00 PM)

(2) Interruptions during general sessions, caucus sessions, and/or workshops may result in disqualifica-

tion

(3) Noise enhancing objects, except non-electronic megaphones, will not be allowed and may result

in disqualification. (i.e. musical instruments, microphones, electronic megaphones, etc.) No noise-

makers!

(4) All clubs participating in this contest MUST OBSERVE ALL CONVENTION RULES AND HOTEL RULES AT ALL

TIMES. Any infraction of the rules will result in automatic disqualification from the KIKS Spirit Award.

Section 1 Presentation and Originality: (cheers, club gifts, etc.) 20 points

Section 2 Attendance and Participation: (general sessions, workshops, etc.) 20 points

Number of members attending convention ___________________________

Percentage of members attending __

Will you be wearing a club uniform? _______

Have you planned club cheers?

Please describe below and/or on the back of this page what cheers and gimmicks that you plan

to use, and submit any KIKS materials used with the KIKS application. (For judges’ viewing only.)

Note: Clubs are permitted to place/leave KIKS on the dining room tables 45 minutes prior to

each general session. Each club is allowed up to 2 members at that time.

Please be courteous of others when placing the KIKS on the tables.

Place all KIK items in a clear zip lock bag


We understand that all signatures are required and forgeries will result in automatic disqualifi-

cation.

Signature Date

KIWIN’S President

Signature _______ Date


Signature Date

KIWIN’S Lt. Governor or Regional Advisor

Section 3 Promotion of Service 10 points

Section 4 Percentage of Members: (at convention) 10 points

Section 5 Display of District Spirit: (district cheers, support of other schools) 10 points

Section 6 Display of Divisional Spirit: (divisional cheers, support of other schools) 10 points

Section 7 Display of Club Unity: (gimmicks, cheers, uniforms, etc.) 10 points

Section 8 District Convention Program AD Sales 10 points

CERTIFICATION

Club Award

Membership and Motivation

Rules Governing the Member and Motivation Award

(1) Each KIWIN’S Club attending the District Convention will be considered for the Mem-

bership and Motivation award.

(2) Each club that gains a 30% increase in membership from last year's PAID DUES will

receive a certificate.

(3) The KIWIN’S Clubs with the highest increase in membership in each category will

each receive an award.

Number of dues-paid members for last year (2014-2015)____________________________

Number of dues-paid members for this year (2015-2016)___________________________

Percentage increase {[(#2 / #1)*100] } ___________________________________________

(To be eligible this must be 130 or higher)

CNH KIWIN’S of Division _________

Signature Date

KIWIN’S Treasurer

Signature Date

KIWIN’S President

Signature Date

KIWIN’S Faculty or Regional Advisor

CERTIFICATION

A. The Oratorical Topic for the 2015-2016 Service Year is: How would Key Club membership growth help us further our vision of being caring and com petent servant leaders who transform communities worldwide?

B.

C.

D.

E.

F.

G.

H.

I.

J.

K.


Talent Show Contest

Rules Governing the Single School Service Award

The Talent Contest will be conducted according to the following rules.

(1) Any KIWIN’S member in good standing is eligible to audition for the talent contest. In order to audition for the District

contest, a form including the member’s name, club and district must be received by February 20, 2016. No mem-

ber will be allowed to audition without the form.

(2) Each KIWIN’S Club may participate in no more than one act entered in the International Talent Contest.

(3) A talent contest entry may take any form as long as it is entertaining and in good taste.

(4) All participants in an act must be official members of a KIWIN’S Club in good standing with the Cal-Nev-Ha KIWIN'S

District and Key Club International. In the case of a group act, all members must be from the same district.

(5) All acts entered in the Talent Contest will be required to demonstrate their ability and entertainment appeal at au-

ditions (Time and place to be announced in the convention program). At this time, the most entertaining six to

eight acts will be selected to appear in the District Convention Talent Show as International finalists.

(6) Selection of acts by the judges will be final.

(7) The first and second place winners will be eligible to compete at the Key Club International Convention. There will

not be any categories for this contest to enable competition at the international level.

(8) No performance must exceed five (5) minutes.

(9) Any materials (props, instruments, costumes, etc.) needed for each performance must be supplied by the contest-

ants who participate in the performance. Pianos are available but the need for one must be noted on the applica-

tion.

(10) Judging for this contest will be based on the following criteria and point values:

(11) Suitable awards will be presented to first, second, and third places.

(12) The decisions of the judges are final and no changes, alterations, or re-

grading will take place after the judges, the Chair of Contests, and the

Awards Chair have certified the results.

1. Content 20 points

2. Performance 20 points

3. Poise 20 points

4. Audience Response 20 points

5. Personal Evaluation 20 points

KIWIN’S Club of__________________ Division_________________ Student Contact Name______________

Phone___________________ E-mail _____________________________ Approximate Length ________

Name of Participant(s) and KIWIN’S Club(s):

Props: (piano and tape deck) Piano may be made available but participant(s) of the club must

provide other items. Please specify if you need a piano or CD Player provided at Convention.

Description of Act:

The rules and regulations for this contest are understood. Any modification of the rules or negligence of the require-

ments or regulations will result in automatic disqualification. It is also understood that the decisions of the judges are

final and no changes, alterations, or reassessments will take place after the judges and the Chair of Contests and

Awards have certified the results.

This certifies that we have read this report and that the information on this report is accurate. We

understand that all signatures are required and forgeries will result in automatic disqualification.

Signature _ Date

KIWIN’S President

Signature _ Date


Signature _ Date

KIWIN’S Lt. Governor or Regional Advisor

CERTIFICATION

International Award

Year in Review - Non-Traditional Scrapbook

Rules Governing the Non-Traditional Scrapbook

Each KIWIN’S club may enter the Year in Review contest in one of the follow categories: Tradi-

tional or Non-Traditional.

Criteria

(1) A KIWIN’S Club may enter a non-traditional scrapbook or composition of other media con-taining pictures, souvenirs, examples, newspaper clippings, or other representations of its activities during the club administrative year (defined as being from District Convention to District Convention).

(2) Each entry should adequately portray the following categories: Service to School; Service to Community; Fundraising Projects; Assistance to Kiwanis Projects; Major Emphasis and Mis-cellaneous.

(3) Judging of the non- traditional scrapbook will be on a point system as follows:

Format [50 Points]

- Cover Artwork 10 Points

- Interior Artwork 20 Points

- News Clippings and Photo 20 Points

General Context [60 Points]

- Service to School 10 Points

- Service to Community 10 Points

- Fundraising 10 Points

- Assistance to Kiwanis Projects 10 Points

- Involvement with Major Emphasis Program 10 Points

- Miscellaneous 10 Points

(4) A sheet of paper must be affixed to the scrapbook containing the following: KIWIN’S Club

name, city, state/ province, district and an itemized statement of total expenditures and

donations. If this sheet of paper is not affixed to the scrapbook, the judges will deduct ten

points. This statement must be signed by the KIWIN’S Club president and faculty advisor,

stating the scrapbook’s retail cost value (including photographic materials) does not ex-

ceed the amount of US $150. Work done by KIWIN’S Club members such as hand- lettering,

artwork, etc., do not need to be included as cost items. Failure to comply with this rule will

result in disqualification.

(5) Entries shall be submitted to the KIWIN’S Convention desk during specified hours as

listed in the convention program.

(6) No audio, visual, or computer equipment will be allowed as part of the entry. The entry

must be sturdy to allow handling by judges as necessary.

(7) Suitable awards will be presented to first, second, and third places on the basis of creativity

and general content.

(8) The decisions of the judges are final and no changes, alterations or reassessments will take

place after the judges and the Chair of Contests and Awards have certified the results.

(9) Each scrapbook being judged at the International Convention MUST be the exact same

scrapbook judged at the district convention. Any alteration in the scrapbook will result in

disqualification.



disqualification

Signature Date

KIWIN’S President

Signature Date


Signature Date

Kiwanis President

CERTIFICATION

Scrapbook year in review cost sheet

Contest and award criteria can be found in the Key Club Guidebook,

www.keyclub.org/guidebook. Scrapbook information is on page 54.

Check One: TRADITIONAL SCRAPBOOK NON-TRADITIONAL SCRAPBOOK


District: ______________________________________________________________________________

Contact Information


Advisor name: ______________________________________________________________________________



(Signature) ______________________________________ (Print name here) ______________________________

Signature of club president:


(PLEASE ATTACH THIS COST SHEET TO INSIDE COVER OF SCRAPBOOK ENTRY)

Costs

Photo materials: US$ _________

Pages: US$ _________

Binder: US$ _________

Other: US$ _________

Other: US$ _________

Other: US$ _________

Total: US$ _________

Donations

Materials by school: US$ _________

Materials by businesses: US$ _________

Other: US$ _________

Other: US$ _________

Other: US$ _________

Total: US$ _________


International Award

Year in Review - Traditional Scrapbook

Rules Governing the Non-Traditional Scrapbook

Each KIWIN’S club may enter the Year in Review contest in one of the follow categories: Tradi-

tional or Non-Traditional.

Criteria

(1) A KIWIN’S Club may enter a scrapbook containing pictures, souvenirs, examples, newspaper clippings,

etc. of its activities during the club administrative year (defined as being from District Convention to

District Convention). Each scrapbook must be subdivided into the following categories: Service to

School; Service to Community; Fundraising Projects; Assistance to Kiwanis Projects; Involvement with

the Major Emphasis Program; and Miscellaneous. Each category must be tabbed accordingly. The

pages must also be numbered with a table of contents included at the beginning. Only the first and

second place district winners in each category will be eligible to compete in the International contest.

(2) Each entry must be submitted in a specified scrapbook binder to be determined by the International

office and made available for purchase from Kiwanis International and other designated vendors. The

cover may be decorated.

(3) Judging of the traditional scrapbook will be on a point system as follows:

Format [50 Points] - Cover Artwork 10 Points - Interior Artwork 20 Points - News Clippings and Photo 20 Points General Context [60 Points] - Service to School 10 Points - Service to Community 10 Points - Fundraising 10 Points - Assistance to Kiwanis Projects 10 Points - Involvement with Major Emphasis Program 10 Points - Miscellaneous 10 Points

(4) A sheet of paper must be affixed to the inside front cover of the scrapbook containing the

following: KIWIN’S Club name, city, state, district and an itemized statement of total expend-

itures and donations. If this sheet of paper is not affixed to the inside front cover of the

scrapbook, the judges will deduct ten points. This statement must be signed by the KIWIN’S

Club president and faculty advisor, stating the scrapbook’s retail cost value (including pho-

tographic materials) does not exceed the amount of US $150. Work done by KIWIN’S Club

members such as hand-lettering, artwork, etc., need not be included as cost items. Failure

to comply with this rule will result in disqualification.

(5) Each scrapbook being judged at the International Convention MUST be the exact same

scrapbook judged at the District Convention. Any alteration in the scrapbook will result in

disqualification.

(6) Entries shall be submitted to the KIWIN’S Convention Contest desk during specified hours as

listed in the convention program.

(7) Suitable awards will be presented to first, second, and third places on the basis of creativity

and general content.

(8) The decisions of the judges are final and no changes, alterations or reassessments will take

place after the judges and the Chair of Contests and Awards have certified the results.

(9) No audio, visual, or computer equipment will be allowed as part of the entry.



disqualification

Signature Date

KIWIN’S President

Signature Date


Signature Date

Kiwanis President

CERTIFICATION

Scrapbook year in review cost sheet

Contest and award criteria can be found in the Key Club Guidebook,

www.keyclub.org/guidebook. Scrapbook information is on page 54.

Check One: TRADITIONAL SCRAPBOOK NON-TRADITIONAL SCRAPBOOK


District: ______________________________________________________________________________

Contact Information


Advisor name: ______________________________________________________________________________




Signature of club president:


(PLEASE ATTACH THIS COST SHEET TO INSIDE COVER OF SCRAPBOOK ENTRY)

Costs

Photo materials: US$ _________

Pages: US$ _________

Binder: US$ _________

Other: US$ _________

Other: US$ _________

Other: US$ _________

Total: US$ _________

Donations

Materials by school: US$ _________

Materials by businesses: US$ _________

Other: US$ _________

Other: US$ _________

Other: US$ _________

Total: US$ _________


Documents

CNH KIWIN'S Contests & Awards Manual 2015 2016