Election Report – Key Club Michigan District

Elections should be held in early February. Information submitted below will be published in the District Directory compiled by the District Secretary. A copy should also be sent to your respective Lt. Governor — forward it from the receipt email you receive.

"*" indicates required fields

Key Club Name*

Division*

School*

School Address*

Street Address Address Line 2 City State ZIP Code

Principal Name*

Principal Phone*

Meeting Time*

Day, Hour, Frequency

Meeting Place*

Sponsoring Kiwanis Club*

This form submitted by*

First Last

Email*

A copy of the submitted form will be emailed.

President

President Name

First Last

President Email

President Phone

Vice-President

First Last

Vice-President Email

Vice-President Phone

Secretary

First Last

Secretary Email

Secretary Phone

Treasurer

Treasurer Name

First Last

Treasurer Email

Treasurer Phone

Bulletin Editor

Bulletin Editor Name

First Last

Bulletin Editor Email

Bulletin Editor Phone

Faculty Advisor

Faculty Advisor Name

First Last

Faculty Advisor Email

Faculty Advisor Phone

Kiwanis Advisor

Kiwanis Advisor Name

First Last

Kiwanis Advisor Email

Kiwanis Advisor Phone