DISTINGUISHED CLUB TREASURER AWARD APPLICATION FORM

(PLEASE TYPE)

Nomination for Click here to enter text.Circle K Club of Click here to enter text.

PART ONE: MANDATORY CRITERIA

Please specify if the club treasurer has met each one of the following mandatory criteria.

  1. Been in office as club treasurer for at least four (4) months.☐YES☐NO
  2. Attended at least 75% of all Circle K Club meetings since taking office. ☐YES☐NO
  3. Attended at least 75% of all Circle K Club Board meetings since taking office.☐YES☐NO
  4. Ensured club dues were received by both the Indiana District and Circle K

International by November 30.☐YES☐NO

  1. Attended Indiana District Club Officer Training Conference, or received sufficient

training from a District or International officer or through other means. ☐YES☐NO

PART TWO: ADDITIONAL CRITERIA .

A. CLUB MEETING AND EVENT ATTENDANCE

CLUB MEETINGS

1A. How many regular club meetings were held beginning with the ____ (A)

treasurer’s term in office, and concluding with this report’s submission?

b. How many meetings did the club treasurer attend?____ (B)

2A. How many club board meetings were held during the club ____ (A)

treasurer’s term to date?

b. How many meetings did the club treasurer attend?____ (B)

CLUB SERVICE PROJECTS

3. How many service hours did the club treasurer complete during his/her____

term in office as reported to the club secretary?

CLUB EVENT ATTENDANCE
4A. How many interclub events has the club participated in during____ (A)

the current year to date?

b. How many interclubs did the club treasurer attend?____ (B)

5A. How many social events has the club held during the current____ (A)

year to date?

b. How many social events did the club treasurer attend?____ (B)

B. DISTRICT AND INTERNATIONAL EVENTS

DISTRICT EVENTS

  1. Did the club board member attend 2016 Indiana District DCON? ☐YES☐NO
  2. Did the club board member attend the 2016 Indiana District ☐YES☐NO

Club Officer Training Conference?

  1. Did the club board member attend the 2016 Indiana District ☐YES☐NO

Fall Service Kick-Off?

  1. Did the club board member attend the 2016 Indiana District ☐YES☐NO

Membership Development and Education Conference?

  1. Did the club board member attend their divisional rally?☐YES☐NO
  2. Did the club board member attend 2017 Kiwanis Family Love Day? ☐YES☐NO

INTERNATIONAL EVENTS

  1. Did the club board member attend the 2016 Circle K International

Convention?☐YES☐NO

C. FINANCIAL ADMINISTRATION

1.On what date were club dues submitted to Circle K International?Click here to enter a date.

  1. Did the club treasurer prepare a budget for club funds and make

it available to the club board of directors?☐YES☐NO

  1. Did the club treasurer report to the club on its financial standing

at least one time per month?☐YES☐NO

  1. Did the club treasurer submit the MRF at least FOUR (4) months

of the required reporting (by the 5th of each month)?☐YES ☐NO

D. OPTIONAL ESSAY/LETTER

An optional essay or letter may be submitted on the club board members president’s behalf which will only be used in the case when there is a tie between two or more nominees.