Lt. Governor __________________________ Division(s) ______________
Key Club of ___________________________ Time of Meeting ___________________
Place of Meeting ________________________ Date of Meeting __________________
1. Number of members at meeting ___________________________________________
2. Club Presidents name ___________________________________________________
Does the club president have and follow an agenda? __________________________
3. Does the club have good working committees? _______________________________
If not, what needs to be done to strengthen them? ____________________________
_____________________________________________________________________
4. Does the club meet weekly at a set time and place? ___________________________
5. Is the faculty and or Kiwanis advisor there? __________ If so, do they advise the
president in proper meeting control? _______________________________________
6. Has the club paid its district and international dues? __________________________
7. Is the club president distributing all publications/newsletters to club members? ____
8. If applicable, have delegates been selected for district/international convention? ____
9. Has the club registered for district convention? _______ Are they planning on
participating in any district contests? _________ If so, has paperwork been filed? __
10. Has the club registered for international convention? _________________________
11. Is the club involved in service projects as well as social projects? _______________
____________________________________________________________________
12. Does the club have good K-family relations? ________________________________
13. Does the club actively help and participate in Kiwanis functions? ________________
14. Have new club officers been elected by the end of February? ___________________
____________________________
_______________________________
Key Club President
Faculty or Kiwanis
Advisor
WITHIN 48 HOURS OF YOUR
VISIT, SUBMIT THIS FORM TO:
THE KEY CLUB DISTRICT ADMINISTRATOR, KEY CLUB GOVERNOR
AND YOUR AREA ADMINISTRATOR.
IF YOU NEED FURTHER
ASSISTANCE WITH THIS CLUB, PLEASE CONTACT
THE KEY CLUB GOVERNOR OR DISTRICT ADMINISTRATOR.
NOTE: THE CLUB PRESIDENT AND FACULTY OR KIWANIS ADVISOR MUST SIGN THIS FORM
LT. GOVERNOR'S CLUB VISITATION REPORT INSTRUCTIONS
NOTE: THE CLUB PRESIDENT AND FACULTY OR KIWANIS ADVISOR MUST SIGN THIS FORM