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Ohio District Awards Packet District Convention 2017 Award forms and scholarship applications can also be found online at http://ohiocki.org/district-events/district-convention-dcon/ How to Apply 1. Eligibility: A Circle K club must be in good standing with both the Ohio District and Circle K International, and must have submitted at least 9 of the required 12 monthly report forms (MRFs) in order to apply for any awards. 2. Unless otherwise indicated, forms must be completed by Circle K members (not an advisor or Kiwanian) and must be submitted to the Ohio District of Circle K Office. 3. Signature Sheet: A completed signature sheet is required for reward forms to be considered. It is not required, however, for scholarship forms. 4. Electronic Copies must be sent to: [email protected] MUST BE RECEIVED BY: January 6, 2017 @ 11:59PM 5. Hard Copies can be sent to: Ohio District Circle K 941 Chatham Lane, Suite 236 Columbus, OH 43221 MUST BE POST-MARKED BY: January 4, 2017 1

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Ohio District Awards Packet

District Convention 2017Award forms and scholarship applications can also be found online at http://ohiocki.org/district-events/district-convention-dcon/

How to Apply1. Eligibility: A Circle K club must be in good standing with

both the Ohio District and Circle K International, and must have submitted at least 9 of the required 12 monthly report forms (MRFs) in order to apply for any awards.

2. Unless otherwise indicated, forms must be completed by Circle K members (not an advisor or Kiwanian) and must be submitted to the Ohio District of Circle K Office.

3. Signature Sheet: A completed signature sheet is required for reward forms to be considered. It is not required, however, for scholarship forms.

4. Electronic Copies must be sent to: [email protected]

MUST BE RECEIVED BY: January 6, 2017 @ 11:59PM

5. Hard Copies can be sent to:Ohio District Circle K941 Chatham Lane, Suite 236Columbus, OH 43221MUST BE POST-MARKED BY: January 4, 2017

NOTE: You are not required to fill out the entire packet! You may pick and choose the awards that apply to your club and members.

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Table of Contents Signature Sheet

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Club Awardso Daniel J. Romanello Achievement Award

4o Ken Creasey Most Improved Club Award

12o Kiwanis Family Award

13o Outstanding Scrapbook Award

16o Single Service Award

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Officer and Committee Chair Awardso Lanton Lee Outstanding President

19o Outstanding Vice President

23o Linda M. Stiegler Outstanding Secretary

26o Andrew Littlefield Outstanding Treasurer

29o P.A.C.E. Setter

32o Brian Ritchie Outstanding Club Committee

Chairperson 35

Member Awards

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o David Mathias Outstanding Kiwanis Family Achievement 38

o Erin M. Dillon Outstanding New Member41

o Jason Stewart Outstanding Member44

o Tom Andrews Award for Leadership46

Kiwanis Awardso James F. Kneisel Outstanding Kiwanis Sponsor Club

47o Kenneth H. Weeks Outstanding Kiwanian

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Other Special Awardso Wayne and Laura Enders Ohio Circle of Service

Award 52

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Signature SheetIn order for any award form to be judged by the District Board, your club must obtain the following six signatures. By signing this form, that person has verified that the material enclosed is correct.Circle K Club of__________________________________________________________

Circle K Club President____________________________________________________

Circle K Club Vice President________________________________________________

Circle K Club Secretary____________________________________________________

Circle K Club Treasurer____________________________________________________

Faculty Advisor___________________________________________________________

Kiwanis Advisor__________________________________________________________

Please Note:The following signatures are required by those who are not elected district board officers. Your club should elect two (2) delegates, one (1) Sergeant-at-Arms and two (2) alternates to serve at Convention.

Delegate #1______________________________________________________________

Delegate #2______________________________________________________________

Seargeant-at-Arms_________________________________________________________

Alternate Delegate #1______________________________________________________

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Alternate Delegate #2______________________________________________________

THIS FORM MUST BE ENCLOSED WITH THE COMPLETED AWARD APPLICATIONS IN ORDER TO BE ELIGIBLE FOR AWARDS

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Daniel J. Romanello Achievement AwardAward Philosophy: The Club Achievement Award is designed to recognize and honor those Circle K clubs that have excelled in all aspects of club operation.

Guidelines for Form Completion1. Members reported must be in good standing with both the Ohio

District and Circle K International. For your club to be in good standing, you must have no debt to the district or international.

2. Use club minutes, MRFs sent to the district, and other club records to complete each section of the form.

3. Use specific statements showing definite accomplishments, including the month and year in which the activities were conducted.

4. State the exact role of club participation, such as “hosted,” “cooperated,” “aided,” “assisted,” etc.

5. List activities performed by the club as a whole, not those performed by individual members of their own initiative or as members of other school or community groups.

6. If any area or question does not apply to your club, please write “N/A” in the space provided.

7. Review the award submission with the individuals listed on the application and obtain the proper signatures of certification. Failure to do so disqualifies your entry.

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DIVISION DETERMINATIONThe following will determine the division in which your club will

compete. Please add the number of paid members to your club as of February 1, 2016, to the number of paid members of your club as of January 31, 2017. Take the total sum and divide it by two (2) for your club’s total membership average. This is done to compensate for both the paid membership at the end of the ’15-’16 fiscal year and the paid members of the ’16-’17 fiscal year. This award is split by the average memberships of your club, so clubs are being judged with other clubs of similar size.

1. Number of paid members as of February 1, 2016: _______ (“membership total 1”)

2. Number of paid members as of January 31, 2017: _______ (“membership total 2”)

3. (membership 1) + (membership 2) = _______ (“membership total 3”)

4. (membership total 3)/2 = _______ (“total membership average”)

According to your Total Membership Average, in which division does your club fall?

Gold Division (40+) Silver Division (26-40) Bronze Division (25 or fewer)

RULES1. Each Circle K club shall use this standard form for its entry and

follow all instructions for this form.

2. Each club must be in good standing with both the Ohio District and Circle K International.

3. Please only include activities undertaken during the time period of February 1, 2016, to January 31, 2017.

4. Part two of this form must be typed.

5. Repetitive reporting of activities, fancy bindings, pictures, etc. will not be taken into account when judging applications.

6. Total service hours for each activity shall be reported by area: planning, travel, project time, and follow-up. A service hour is sixty (60) minutes of work performed by a member of a Circle K club on a service project participated in or approved by the club or club board of officers.

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7. Prizes can be awarded to first, second, and third places in each division.

8. The decisions of the judges are final. No changes, alterations, or re-grading will take place after judging is complete and approved by the district board.

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PART I: CLUB INFORMATION

A. Circle K Club Administration Club Meetings

1. How many club meetings were held, described as the following: a. During the school year that were attended by an advisor

_____ b. During the school year that had a guest speaker

_____ c. During the holidays or other break periods

_____ d. Special meetings (banquets, ceremonies, etc.)

_____ e. Board meetings

_____

Average club meeting attendance as a percentage of dues paid membership:(Include all regular club meetings, round to nearest whole number) _____

Club Reports and Public Relations

2. a. How many monthly reports were submitted to the district from February 1, 2016, to January 31, 2017?

_____

b. Were articles submitted to the district newsletter?_____Was article printed in district newsletter?_____

c. Were articles submitted to the CKI magazine?_____Was article printed in CKI magazine?_____

d. Were articles sent to the campus newspaper?_____Was an article printed in the campus newspaper?

_____

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e. Were articles sent to the community newspaper?_____Was an article printed in the community newspaper?_____

f. Did the club have any publicity through radio or television? _____

Dues Payment: What date was the first payment for fifteen or more members sent to the Circle K International office in 2016?

_____

District/Division Involvement

4. Activities in which the club participated: a. Division rallies _____ b. District Events: Please indicate the number of district events attended by any club members. District events include: District Convention, February 2016; SpOT, April 2016; Fall Rally, October 2016

District Convention _____SpOT _____Fall Rally _____

c. Did the club participate in Circle K Week? _____

Club Communications

5. Did the club utilize either of these forms of communications for members? a. Club newsletter with a minimum of four (4) issues.

_____ b. Club Web site _____ c. Club directory _____ d. Club e-mail _____

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B. Club Membership Education & Development Programs1. Did the club provide a special program for new member induction, including a ceremony and pin presentation?

_____2. Did the club provide a formal program for member orientation and education including a CKI 101 program, handbook, etc?

_____

Convention Attendance

3. a. Was an advisor in attendance at the District Convention in 2016? _____ b. How many voting delegates attended the District Convention in 2016? _____ c. How many members attended the District Convention in 2016? _____4. How many members attended the 2016 International Convention in Toronto? _____

Membership Activities

5. How many club social activities were held for all club members? _____6. How many joint meetings were held with other Circle K clubs?

_____7. How many interclubs did your club attend at other Circle K clubs?Membership Growth

_____8. What is the % increase in the number of dues paid members from February 1, 2016, to January 31, 2017? (If the number is zero or negative write - N/A for not applicable.)

_____

C. Leadership Development

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1. Did your club participate in or conduct a formal officer training? (SpOT 2016 is considered formal officer training.)

_____2. Did your Kiwanis sponsor(s) give financial assistance to send club officers to SpOT or did they hold a club training session for club officers themselves? _____3. Has your club conducted a club officer and/or member leadership retreat? _____4. Did your club attend Fall Rally? How many members attended?

_____5. Were the following committees active during the year? a. Service Project Committee

_____ b. Fundraising Committee

_____ c. Membership Development and Education

_____ d. Kiwanis Family Committee

_____6. What percentage of members have served in leadership positions including club officers, committee and project chairs, district and international officers/committee chairs during the past administrative year?

_____7. Has the club had one of the following during the past year? a. A candidate for District or International office

_____ b. A district officer or district committee chairperson

_____ c. An International officer

_____ d. A Circle K representative to student government8. Did the club sponsor a leadership program on campus

_____

D. Kiwanis Family Interaction1. How many Circle K meetings have the sponsoring Kiwanis club members attended?

_____

2. How many times did Circle K members attend the sponsoring Kiwanis club’s meetings?

_____

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3. How many joint service projects have the Circle K and sponsoring Kiwanis club conducted?

_____4. Has the Circle K jointly sponsored a Builders Club, K-Kids or Aktion Club, with its sponsoring Kiwanis club?

_____5. Has the Circle K club participated in at least one service project with: a. A Kiwanis club – other than its sponsor?

_____ b. A Key Club?

_____ c. Builders Club, K-Kids, or Aktion Club?

_____6. Has the Circle K club presented a program at a Builders club, K-Kids or Key Club meeting?

_____7. Has the Circle K club participated in at least one interclub with: a. A Kiwanis club – other than its sponsor?

_____ b. A Key Club

_____ c. Builders Club, K-Kids or Aktion Club?

_____

E. Service Projects List service projects (30 max) involving the greatest number of members and service hours the Circle K club has completed between February 1, 2016, and January 31, 2017. The projects should be organized by month. For a recurring project (for example, daily/weekly raising and lowering of school flags) treat the project as a single project for each month.

For each project, provide the month, name of project, number of members participating and number of service hours produced by Circle K members or number of hours completed during the month if the project is recurring.

The list must be a) typed or b) completed as a computer printed document. An example is provided below. Attach the list to this form using a separate sheet of paper.(Service Project Listing Example)

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Project Description Month # Members Service Hours1. Reading Buddies March 2016 12 482. School Trash Pick-up April 2016 17 443. Reading Buddies April 2016 18 364. Pen Pals with elem. Students May 2016 15 605. Bake Sale for United Way May 2016 12 48

F. Service Hours Total number of members in the club (Use the number calculated on the first page of this report, referenced as ‘total membership average’). Divide the total service hours by the number of members. Please round to nearest full point value. ______%

G. Service Fund-raising

Total the money raised (surplus) by the Circle K club for non-profit, education and other charitable purposes.

______Divide the $US figure by the number of dues paid members

______

PART II: SERVICE, LEADERSHIP, FELLOWSHIP AND KIWANIS-FAMILY

H. Service Projects

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In each of the categories under this section, please describe the project and be sure to include the number of members participating and the total number of service hours performed. No project can be listed under more than one category. These projects may be typed on a separate sheet of paper, titled, numbered and attached to the back of this award form. •Responses to section H are limited to 3 sides of a typed, 12 pt. font, double-spaced, 8.5x11” page.

1. Give a description of the best service project to the campus. 2. Give a description of the best service project to the community. 3. Give a description of the best joint service project held with your sponsoring Kiwanis club. 4. Give a description of the best joint service project held with any member of the Kiwanis-Family other than the sponsoring Kiwanis club. 5. Give a description of the best joint service project held with another Circle K club.

I. LeadershipExplain how the club developed the leadership potential of its members and club officers outside of district and international leadership events. •Responses to sections I, J, and K are limited to 1 side of a typed, 12 pt. font, double-spaced, 8.5x11” page. J. FellowshipDescribe how the club promoted fellowship among its members and other Kiwanis-Family members.

K. Kiwanis-Family RelationsDescribe how the club promoted good Kiwanis-Family relations. (Be sure to include any Key to College programs, Kiwanis Career Contacts and Kiwanis-Family events attended).

L. TestimonialAn essay describing how the service your club provided over the past year has impacted your campus and community.• Responses to section L are limited to 2 sides of a typed, 12 pt. font, double-spaced, 8.5x11” page AND SHOULD BE SIGNED BY THE SUBMITTER.

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Ken Kreasey Most Improved Club AwardDues Paid Members as of February 1, 2016 __________

Dues Paid Members as of January 31, 2017 __________

This award will be given to the Circle K Club that has improved the most over the last twelve-month period, based on improvement in type and number of activities (projects, meetings, interclubbing, etc.) Judging will be based on monthly report forms from the previous year, as well as the previous year’s Daniel J. Romanello Sr. Club Achievement Award application (if available).

If the Club Achievement Award application from the previous year is unavailable, the club president must submit a statement of the initial state of the club as of February 1, 2016. This

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statement must be signed by the club president, faculty advisor, Kiwanis advisor, and Lieutenant Governor of the club’s division. Monthly report forms from the year prior to the current award form application deadline must be included as well.

All ApplicantsPlease include a separate essay of no more than 800 words, double-spaced and typewritten by a club member, regarding why your club feels they should receive the Ken Creasey Most

Improved Club Award.

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Kiwanis Family AwardThe Kiwanis Family Award is an effort to promote

continued interaction between different Circle K clubs, as well as between Circle K clubs and other branches of the Kiwanis Family, both within the Ohio District and all of Circle K International.

Because the award is intended to promote continued interaction, each Circle K Club is encouraged to repeat objectives as often as possible, and fulfilling certain requirements will result in additional incentives. Repeating objectives will earn the points over again and foster Kiwanis Family interaction.

The Kiwanis Family Award is based on a point system, with each requirement assigned a specific value. Each club should strive to complete as many objectives as possible by January 5, 2017. The clubs with the top three total points will be recognized with awards at District Convention.

In order for an activity to be counted towards completion of the Kiwanis Family Award, at least 3 members from each of

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the involved clubs must have been present. Clubs with 1-2 members present shall receive half the allotted points.

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ObjectivesCategory 1 (20 points each)

1. Hold a Kiwanis Family service project, incorporating at least one other Circle K club and one club from another branch of the Kiwanis Family

2. Hold a Kiwanis Family social, incorporating at least one other Circle K club and one club from another branch of the Kiwanis Family

3. Attend Fall Rally, SpOT, and District Convention4. Attend a Builders Club, K-Kids, or Aktion club meeting or

project5. Attend Kiwanis District Convention or Key Club District

Leadership Conference

Category 2 (10 points each)6. Interclub with a Circle K Club outside of your division7. Attend a Key Club divisional meeting8. Attend a Kiwanis divisional meeting9. Attend all divisional rallies in your division10. Attend at least 10 meetings of your sponsoring

Kiwanis Club (only 2 Circle K members need be present at each meeting to fulfill this)

11. Attend a meeting or project of a Kiwanis Club not in your division

12. Attend a project of your sponsoring Kiwanis Club13. Hold a Kiwanis appreciation function for your

sponsoring Kiwanis Club

Category 3 (5 points each)** Must complete all objectives in this category to qualify for the

Kiwanis Family Award**14. Interclub with a Circle K Club in your division (other

than at a divisional function)15. Participate in a Key Club project or meeting in your

division16. Interclub with a Kiwanis Club other than your

sponsoring club

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If your club fulfills all objectives in two (2) categories, you will receive an additional 25 points toward your total score. Please fill in your responses to the objectives above on the spreadsheet located on the following page.

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SUBMISSION OF THIS FORM IS REQUIRED FOR AWARD CONSIDERATION

Use additional sheets if necessary.

Objective #Date

Completed

Description of Activity# of

Circle K members

# of members from other

branches of K-Family

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Outstanding Scrapbook AwardClub Permanent Mailing Address:

Official Number of Club Members: __________

Rules: Each Circle K Club may enter a scrapbook containing pictures,

souvenirs, examples, newspaper clippings, etc. of its activities (both service and social) between the period of the 2016 and 2017 District Conventions.

The size, be it width or length, is limited to 18x27 inches. In the case of round scrapbooks, the dimensions of the cover are not to exceed 482 square inches. The maximum amount that can be spent on the scrapbook is $300.

Content and general format of the scrapbook are left to the discretion of the individual club. If a video scrapbook is submitted, notify the Convention Chairperson at least one month prior to District Convention. Scrapbooks may be submitted on DVD.

The submitted scrapbook must include the following categories and must be tabbed accordingly and included in the table of contents with page numbers:

o Service to Campuso Service to Communityo Fundraising Projectso Involvement with Kiwanis Family Projectso Involvement with the Preferred Charities/Service Partners

(including Eliminate)o Miscellaneous

Judging of the scrapbook will be based on quality, with regard to:o General Content (40%)o Originality (20%)o Clarity (20%)o Appearance (10%)o Form (10%)

ENTRIES FOR THIS AWARD MUST BE SUBMITTED TO THE CONVENTION CHAIRPERSON BY NO LATER THAN MIDNIGHT OF THE FIRST DAY OF

DISTRICT CONVENTION

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Single Service AwardPermanent Mailing Address _______________________________________________________________

The Single Service Award is given to the Circle K Club that, through dedication and unselfish efforts, has produced the best single project or service during the year. Each club is urged to enter its most outstanding single service activity. Only one service activity per club is allowed in this competition. The nominated activity must have been officially recorded on at least one of your club’s monthly report forms and submitted to the District Secretary-Treasurer before January 5. Each club in good standing with Circle K International and the Ohio District will have an opportunity to compete for this award if they meet all the criteria described below. Do not mark on the scoring section of this award form. Any such marks could result in disqualification from this awards competition.Single Service Information

1. Project Name/Description ________________________________________________________

2. Number of club members participating __________

3. Hours of actual service per member _______ Total service hours_____

4. Hours of preparation _______ Hours of reflection _______

5. Name of the official interclubbing clubs (2 or more members) present, if any ________________________________________________________

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6. List the goal of this project (what you wanted to accomplish, who you wanted to help, why you decided to do this project, etc.

Essay InformationThe activity described must have been a program of

service performed during the period between the 2016 Ohio District Convention and 2017 Ohio District Convention. The essay must be typed and double-spaced in Times New Roman 12 pt. font and no more than 4 pages in length. Propaganda materials such as newspaper clippings, promotional flyers, substantiating photographs, and any other project materials may be included. Please submit no more than 5 pieces of propaganda from the project and only one of each type (i.e. do not submit 5 newspaper clippings).

Essay Topic:Please cover the following material as factually as you

can. Hard facts will be judged easier than opinion-based comments, so try and prove what you can. Additional information that may be included in this essay includes, but is not limited to, project benefits to club; project’s promotion and exemplification of the Circle K ideals, themes, and objectives; community benefit from project; club involvement; and anything else you feel is important.

A. Project need (briefly describe why the project was necessary)

B. PlanningC. Club participationD. Money raised (and where it went)E. Evaluation of project’s merit to community or campus

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Lanton Lee Outstanding Club President Award

Name of Nominee ________________________________________________

This award is given to the Outstanding President who has fulfilled their duties to the highest capacity. The president shall have been the chief executive officer and shall have exercised general supervision over the club. They shall have worked to maintain a healthy and active club and good public relations between the Kiwanis Family and general public. They shall have exemplified the word “leader.”

The Outstanding President should be nominated by their home club. The Ohio District Board will base their decision on the following criteria:

1. Club and district involvement/attendance at club events2. District and international events3. Club activity level based on club size4. Improvements made in club during administrative year5. Promotion and exemplification of Circle K ideals, themes, and

objectives6. Other information you feel makes your club president

outstanding

Part OneA.Club Meeting and Event Attendance

Club Meetings1. How many regular club meetings were held beginning with the

_____ (A)president’s term in office and concluding with this award submission?a. How many meetings did the club president attend?

_____ (B)b. Divide blank (B) by blank (A) to get the percentage of

meetings attended. (Please round to the nearest tenth.)_____ %

2. How many club board meetings were held during the club president’s

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term to date? _____ (A)a. How many board meetings did the club president attend?

_____ (B)

b. Divide blank (B) by blank (A) to get the percentage of board meetings attended. (Please round to the nearest tenth.)_____ %

Club Service Projects3. How many service projects did the club hold from April 1, 2016,

to the current date?_____ (A)

a. How many projects did the president attend?_____ (B)

b. Divide blank (B) by blank (A) to get the percentage of projects

attended. (Please round to the nearest tenth.)_____ %

4. Did the president promote the service initiative and explain it to members? _____ YES _____ NOIf yes, please explain how he/she did this.

5. Was the club president actively involved in club _____ YES _____ NOcommittees?If yes, please explain how he/she did this.

Club Event Attendance

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2. How many interclub events has the club participated in during the current year, to date?

_____ (A)a. How many interclub events did the president attend?

_____ (B)

b. Divide blank (B) by blank (A) to get the percentage of interclub events attended. (Please round to the nearest tenth.)_____ %

3. How many social events has the club participated in during the current _____ (A)year, to date?a. How many social events did the club president attend?

_____ (B)b. Divide blank (B) by blank (A) to get the percentage of socials

attended. (Please round to the nearest tenth.)_____ %

4. How many Kiwanis Family events has the club participated in during the current year to date?

_____ (A)a. How many Kiwanis Family events did the club president

attend?_____ (B)

b. Divide blank (B) by blank (A) to get the percentage of Kiwanis Family events attended. (Please round to the nearest tenth.)

_____ %5. Did the club president ensure the education of new members?

_____ YES _____ NO

If yes, please explain how he/she did this.

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6. Did the club president ensure proper education and training of club officers and committee chairs? _____ YES _____ NO

If yes, please explain how he/she did this.

B.District and International Events1. Did the club president attend SpOT?

_____

2. Did the club president attend Fall Rally?_____

3. Will the club president attend District Convention?_____

4. Did the president submit any articles for the district newsletter?_____

5. Did the club president attend the Circle K International Convention? _____

6. Did the club have two (2) voting delegates present at the Circle K

International Convention?_____

7. Did the president submit any articles to the Circle K Magazine?_____

8. Did the club president attend Leadership Academy this past year? _____

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C.Other Administration1. How many board meetings have been held from April 1, 2016, to

date? _____

2. What was the club’s membership at the end of the 2015-2016 year? _____ (A)

a. What is the club’s current membership?_____ (B)

b. What is the net gain (or loss) of membership over the past year? _____ (C)

c. Divide the number in blank (C) by the number in blank (A) to_____ %

get the percent increase (or decrease) in membership over the past year. (Please round to the nearest tenth.)

3. Were monthly report forms submitted on time?_____

4. Were dues turned in on time?_____

Part TwoEssayEssay is limited to 2 typed, double-spaced, 12 pt. font, 8.5x11” pages.

Please submit an essay describing how the president promoted and exemplified Circle K International ideas, themes, and objectives. Include any other information you feel demonstrates why the president is outstanding.

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Outstanding Club Vice President AwardName of Nominee ________________________________________________

This award is given to the Outstanding Vice President who has fulfilled their duties to the highest capacity. The vice president shall have been part of the executive team and shall have exercised general supervision and guidance amongst the committees. They shall have worked to maintain a healthy and active club and good public relations between the Kiwanis Family and general public.

The Outstanding Vice President should be nominated by their home club. The Ohio District Board will base their decision on the following criteria:

1. Club involvement2. Committee structure3. Contributions to the club above and beyond their written duties4. Promotion and exemplification of Circle K ideals, themes, and

objectives5. Attendance at club and Kiwanis Family projects

Part OneA.Club Meeting and Event AttendanceClub Meetings

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

vice president’s term in office and concluding with this award submission?a. How many meetings did the club vice president attend?

_____ (B)

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b. Divide blank (B) by blank (A) to get the percentage of meetings attended. (Please round to the nearest tenth.)_____ %

2. How many club board meetings were held during the club vice president’s term to date?

_____ (A)a. How many board meetings did the club vice president attend?

_____ (B)

b. Divide blank (B) by blank (A) to get the percentage of board meetings attended. (Please round to the nearest tenth.)_____ %

Club Service Projects3. How many service projects did the club hold from April 1, 2016,

to the current date?_____ (A)

a. How many projects did the club vice president attend?_____ (B)

b. Divide blank (B) by blank (A) to get the percentage of projects

attended. (Please round to the nearest tenth.)_____ %

Club Event Attendance4. How many interclub events has the club participated in during

the current year, to date?

_____ (A)a. How many interclub events did the club vice president attend?

_____ (B)

b. Divide blank (B) by blank (A) to get the percentage of interclub events attended. (Please round to the nearest tenth.)_____ %

5. How many social events has the club participated in during the currentyear, to date? _____ (A)a. How many social events did the club vice president attend?

_____ (B)

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b. Divide blank (B) by blank (A) to get the percentage of socials attended. (Please round to the nearest tenth.)_____ %

6. How many Kiwanis Family events has the club participated in during the current year to date?

_____ (A)a. How many Kiwanis Family events did the club vice president

attend?_____ (B)

b. Divide blank (B) by blank (A) to get the percentage of Kiwanis Family events attended. (Please round to the nearest tenth.)

_____ %

B.District and International Events1. Did the club vice president attend SpOT?_____

2. Did the club vice president attend Fall Rally?_____

3. Will the club vice president attend District Convention?_____

4. Did the vice president submit any articles for the district newsletter? _____

5. Did the vice president attend International Convention?_____

6. Did the vice president attend Leadership Academy this past year? _____

C.Committee Structure1. Has the club created and or made use of the following

committees during the year?a. Kiwanis Family Relations

_____b. Membership Development & Education

_____c. Publicity _____d. Service _____e. Social _____

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f. Other(s), please list _________________________________________

2. Was the vice president actively involved in club committees?_____

If yes, please describe how he/she did this,

3. How many committee meetings were held during the vice president’s _____ (A) term to date?

a. How many meetings did the vice president attend?_____ (B)

b. Divide blank (B) by blank (A) to get the percentage of meetings attended (please round to the nearest tenth.)

_____ %

Part TwoEssayEssay is limited to 2 typed, double-spaced, 12 pt. font, 8.5x11” pages.

Please submit an essay describing how the vice president promoted and exemplified Circle K International ideas, themes, and objectives. Also include ways their work with committees has positively impacted the club, ways in which they supported the president, and include any other information you feel demonstrates why the vice president is outstanding.

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Linda M. Stiegler Outstanding Secretary AwardName of Nominee ________________________________________________

This award is given to the Outstanding Secretary who has fulfilled their duties to the highest capacity. The secretary shall have recorded the minutes of all official meetings of the club and board. They shall have served as the official representative of the club at such functions as the president may determine and shall have performed additional responsibilities as assigned by the president. They must have remained active in club activities.

The Outstanding Secretary should be nominated by their home club. The Ohio District Board will base their decision on the following criteria:

Club involvement/attendance at club and Kiwanis Family projects (43 points)

Representation at district and international events (18 points) Performance of secretarial duties (30 points)

*Please submit at most three (3) examples excluding monthly report forms

Contributions to the club, above and beyond their written duties (20 points)

Promotion and exemplification of Circle K ideals, themes, and objectives

Other information you feel makes the secretary outstandingPart One

A.Club Meeting and Event AttendanceClub Meetings

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

secretary’s term in office and concluding with this award submission?

a. How many meetings did the club secretary attend?_____ (B)

b. Divide blank (B) by blank (A) to get the percentage of meetings attended. (Please round to the nearest tenth.)_____ %

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7. How many club board meetings were held during the club secretary’s term to date? _____ (A)a. How many board meetings did the club secretary attend?

_____ (B)

b. Divide blank (B) by blank (A) to get the percentage of board meetings attended. (Please round to the nearest tenth.)_____ %

Club Service Projects8. How many service projects did the club hold from April 1, 2016,

to the current date?_____ (A)

a. How many projects did the club secretary attend?_____ (B)

b. Divide blank (B) by blank (A) to get the percentage of projects

attended. (Please round to the nearest tenth.)_____ %

Club Event Attendance9. How many interclub events has the club participated in during

the current year, to date?

_____ (A)a. How many interclub events did the club secretary attend?

_____ (B)

b. Divide blank (B) by blank (A) to get the percentage of interclub events attended. (Please round to the nearest tenth.)_____ %

10. How many social events has the club participated in during the currentyear, to date? _____ (A)a. How many social events did the club secretary attend?

_____ (B)

b. Divide blank (B) by blank (A) to get the percentage of socials attended. (Please round to the nearest tenth.)_____ %

11. How many Kiwanis Family events has the club participated in during

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the current year to date?_____ (A)

a. How many Kiwanis Family events did the club secretary attend?

_____ (B)b. Divide blank (B) by blank (A) to get the percentage of Kiwanis

Family events attended. (Please round to the nearest tenth.)_____ %

B.District and International Events1. Did the club secretary attend SpOT?

_____

2. Did the club secretary attend Fall Rally?_____

3. Will the club secretary attend District Convention?_____

4. Did the secretary submit any articles for the district newsletter?_____

5. Did the secretary attend International Convention?_____

6. Did the secretary attend Leadership Academy this past year?_____

C.Performance of Secretarial Duties1. How many club reports has the secretary submitted to the

District _____Secretary-Treasurer ON TIME (by the fifth of every month)?

2. Did the secretary provide minutes from the meetings to club members? _____

3. Was attendance taken at every meeting?_____

Part TwoEssay

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Essay is limited to 2 typed, double-spaced, 12 pt. font, 8.5x11” pages. Nine monthly report forms must be submitted to the District Secretary/Treasurer by January 5, 2017, in order to be eligible for this award.

Please submit an essay describing how the secretary promoted and exemplified Circle K International ideas, themes, and objectives. Include any other information you feel demonstrates why the secretary is outstanding.

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Andrew Littlefield Outstanding Treasurer AwardName of Nominee ________________________________________________

This award is given to the Outstanding Treasurer who has fulfilled their duties to the highest capacity. The treasurer shall have recorded the club budget, dues invoices, organized fundraisers, and constantly been aware of the club’s financial status. They shall have served as the financial representative of the club at such functions as the president may determine and shall have performed additional responsibilities as assigned by the president. They must have remained active in club activities.

The Outstanding Treasurer should be nominated by their home club. The Ohio District Board will base their decision on the following criteria:

Club involvement Fundraising efforts Contributions to the club, above and beyond their written duties Attendance at club and Kiwanis Family projects

Part OneA.Club Meeting and Event Attendance

Club Meetings1. How many regular club meetings were held beginning with the

_____ (A)treasurer’s term in office and concluding with this award submission?a. How many meetings did the club treasurer attend?

_____ (B)b. Divide blank (B) by blank (A) to get the percentage of

meetings attended. (Please round to the nearest tenth.)_____ %

2. How many club board meetings were held during the club treasurer’sterm to date? _____ (A)a. How many board meetings did the club treasurer attend?

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_____ (B)

b. Divide blank (B) by blank (A) to get the percentage of board meetings attended. (Please round to the nearest tenth.)______ %

Club Service Projects3. How many service projects did the club hold from April 1, 2016,

_____ (A) and the current date?a. How many projects did the club treasurer attend?

_____ (B)b. Divide blank (B) by blank (A) to get the percentage of projects

attended. (Please round to the nearest tenth.)_____ %

Club Event Attendance4. How many interclub events has the club participated in during

the current year, to date?

_____ (A)a. How many interclub events did the club treasurer attend?

_____ (B)

b. Divide blank (B) by blank (A) to get the percentage of interclub events attended. (Please round to the nearest tenth.)_____ %

5. How many social events has the club participated in during the currentyear, to date? _____ (A)

a. How many social events did the club treasurer attend?_____ (B)

b. Divide blank (B) by blank (A) to get the percentage of socials attended. (Please round to the nearest tenth.)_____ %

6. How many Kiwanis Family events has the club participated in during the current year to date?

_____ (A)a. How many Kiwanis Family events did the club treasurer

attend?_____ (B)

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b. Divide blank (B) by blank (A) to get the percentage of Kiwanis Family events attended. (Please round to the nearest tenth.)

_____ %

B.District and International Events1. Did the club treasurer attend SpOT?_____

2. Did the club treasurer attend Fall Rally?_____

3. Will the club treasurer attend District Convention?_____

4. Did the treasurer submit any articles for the district newsletter?_____

5. Did the treasurer attend International Convention?_____

6. Did the treasurer attend Leadership Academy this past year? _____

C.Financial Administration1. On what date were dues postmarked

__________________

2. Did the treasurer prepare a budget for club funds and make it _____

available to the club board of officers?If yes, please explain how he/she did this:

3. Did the club treasurer report to the club on its financial standing at _____least one time per month?If yes, please explain how he/she did this:

Part Two

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EssayEssay is limited to 2 typed, double-spaced, 12 pt. font, 8.5x11” pages. Nine monthly report forms must be submitted to the District Secretary-Treasurer by January 5, 2017, in order to be eligible for this award.

Please submit an essay describing how the treasurer promoted and exemplified Circle K International ideas, themes, and objectives. Include examples of executed fundraisers (please comment if your club had a fundraising chair, and if not, if your treasurer executed the fundraiser), budget preparation, monthly reporting, and any other information you feel demonstrates why the treasurer is outstanding.

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P.A.C.E. Setter AwardName of Nominee ________________________________________________

The goal of the P.A.C.E. Setter Award is to increase communication within the club and to the district, and to reward a club’s participation in the promotion of communication within the Ohio District. The P.A.C.E. Setter Award will be given to the publisher in the Ohio District with the most effective newsletter printed and distributed. This award will be judged with regard to:

Newsletter:1. Editorial content (variety of information, originality,

clarity, etc.), general appearance (layout, head design, typography, etc.), and value to members and to the club as a whole.

2. Promotion of district/international events, inclusion of Circle K International programs (eliminate, Service Initiative, etc.), and articles submitted to the district newsletter and Circle K Magazine.

3. Distribution of newsletter (club members, Kiwanis and faculty advisor, District Governor, Division Lieutenant Governor, International Trustee, etc.) – Please list on a separate sheet.

Publisher:1. Club involvement2. Contributions to the club above and beyond their written

duties3. Attendance at club and Kiwanis Family events4. Other information you feel demonstrates why editor is

outstanding

The District Board will review newsletters received by the District Governor by the award forms deadline. Newsletters must be included with this award.

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A. Club Involvement1. How many regular club meetings were held beginning with the

editor’s _____ (A)term in office and concluding with this award submission?a. How many meetings did the club editor attend?

_____ (B)b. Divide blank (B) by blank (A) to get the percentage of

meetings attended. (Please round to the nearest tenth.)_____ %

2. How many service projects did the club hold from April 1, 2016, to _____ (A)the current date?a. How many service projects did the editor attend?

_____ (B)b. Divide blank (B) by blank (A) to get the percentage of

projects attended. (Please round to the nearest tenth.)

_____ %

3. How many social events has the club participated in during the _____ (A)

current year, to date?a. How many social events did the club editor attend?

_____ (B)b. Divide blank (B) by blank (A) to get the percentage of social

events attended. (Please round to the nearest tenth.)

_____ %

4. How many Kiwanis Family events did the club participate in during _____ (A)the current year, to date?a. How many Kiwanis Family events did the editor attend?

_____ (B)b. Divide blank (B) by blank (A) to get the percentage of Kiwanis

Family events attended. (Please round to the nearest tenth.)_____ %

5. How many newsletters did the editor publish during the year?_____

6. How many non-board members contributed articles to your newsletter? _____

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B. District and International Involvement1. Did the club editor attend SpOT?

_____

2. Did the club editor attend Fall Rally?_____

3. Will the club editor attend District Convention?_____

4. Did the club editor submit any articles for the district newsletter? _____

a. How many articles were submitted for the district newsletter?_____

5. Did the club editor attend the Circle K International Convention?_____

6. Did the club editor submit any articles to the Circle K Magazine?_____

a. How many articles were submitted to the Circle K Magazine?_____

7. Did the club editor attend Leadership Academy this past year?_____

C. EssayExplain how the club editor made contributions to the club above and beyond their written duties. Include any other information you feel demonstrates why the editor is outstanding. Please include details about the distribution of the newsletter in this essay (who it was distributed to and in what forms). The portion of the 20-point total your entry receives is a judgment decision made by the Ohio District Board based on the qualifications of the nominee as conveyed through your essay submission. Essays are limited to 2 sides of a double-spaced, 12 pt. font, typed, 8.5x11” page.

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Please use specific examples, dates when possible, and the author’s objective and factual

account of the nominee’s involvement.

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Brian Ritchie Outstanding Club Committee Chairperson Award

Name of Nominee ________________________________________________

This award is given to the outstanding club committee chairperson who has fulfilled their duties to the highest capacity. This club committee chairperson must have overseen the formation and implementation of the tasks and duties of their committee position. They must have performed any additional responsibilities as assigned and remained active in club activities. The outstanding club committee chairperson should be nominated by their home club. The Ohio District Board will base their decision on the following criteria:

Part One1. Club involvement/attendance at club and Kiwanis Family

projects (43 points)2. Representation at district and international events (18 points)

Part Twoa. Description of duties of the committee chairperson and/or

committee (15 points)b. Description of contributions (service projects, social events,

Kiwanis Family events, publicity, information sheets, etc.) [15 points]

Part Three (20 points)1. Contributions to the club above and beyond their written duties2. Promotion and exemplification of Circle K ideals, themes, and

objectives3. Other information you feel demonstrates why the committee

chairperson is outstanding

Part OneA.Club Involvement

Club Meetings1. How many regular club meetings were held beginning with the

_____ (A)committee chair’s term in office, and concluding with this report’s submission?a. How many meetings did the committee chair attend?

_____ (B)

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b. Divide blank (B) by blank (A) to get the percentage of meetings attended. (Please round to the nearest tenth.)

_____ %

2. How many committee chair/club board meetings were held during _____ (A) the committee chair’s term to date?a. How many meetings did the committee chair attend?

_____ (B)b. Divide blank (B) by blank (A) to get the percentage of

meetings attended. (Please round to the nearest tenth.)

_____ %Club Service Projects

3. How many service projects did the club hold from April 1, 2016, to _____ (A)the current date?a. How many projects did the committee chair attend?

_____ (B)b. Divide blank (B) by blank (A) to get the percentage of

projects attended. (Please round to the nearest tenth.)

_____ %Club Event Attendance

4. How many interclub events has the club participated in during the _____ (A)current year to date?a. How many interclub events did the club committee chair

attend? _____ (B)b. Divide blank (B) by blank (A) to get the percentage of

interclub events attended. (Please round to the nearest tenth.)

_____ %

5. How many social events has the club participated in during the current _____ (A)year to date?a. How many social events did the club committee chair attend?

_____ (B)b. Divide blank (B) by blank (A) to get the percentage of social

events attended. (Please round to the nearest tenth.)

_____ %

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6. How many Kiwanis Family events has the club participated in this _____ (A)year, to date?a. How many Kiwanis Family events did the club committee

chair _____ (B)attend?

b. Divide blank (B) by blank (A) to get the percentage of Kiwanis _____ %

Family events attended. (Please round to the nearest tenth.)

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B.District and International Events1. Did the committee chair attend SpOT?

_____

2. Did the committee chair attend Fall Rally?_____

3. Did the committee chair attend District Convention?_____

4. Did the committee chair submit any articles for the district newsletter? _____

5. Did the committee chair attend the Circle K International Convention? _____

6. Did the committee chair submit any articles to the Circle K Magazine? _____

7. Did the committee chair attend Leadership Academy this past year? _____

Part TwoShort AnswerPart two of this award consists of a short essay of no more than 100 words and up to three (3) examples to be judged by the Ohio District Board based on the committee chairperson’s qualifications and work. Please submit a variety of examples, if possible

Describe the duties of the committee chairperson and/or committee. Submit, at most, three examples of contributions that the committee chairperson was responsible for, such as descriptions of service projects, social events, Kiwanis Family events, publicity, information sheets, etc.

Part ThreeEssaySubmissions must be in the form of one short answer essay written by a Kiwanian, Kiwanis or faculty advisor, or Circle K club member.Essays are limited to 2 typed, double-spaced, 12 pt. font, 8.5x11” pages

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Please submit an essay describing how the committee chairperson promotes and exemplifies Circle K ideals, themes, and objectives. Include any other information you feel demonstrates why the committee chairperson is outstanding.

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David Mathias Outstanding Kiwanis Family Achievement AwardName of Nominee ________________________________________________

The recipient of this award will have tried to promote an understanding of and involvement with the different branches of the Kiwanis Family throughout the current administrative year. Any Circle K member within the Ohio District, in good standing with Circle K International and excluding current District Board members, is eligible for this award. The Ohio District Board will base their decision on the following criteria:

How this individual increased communication between the branches of the Kiwanis Family

How this individual increased awareness of the objectives and achievements of the other branches of the Kiwanis Family

Divisional, district, and international Kiwanis Family events attended

Any other information that you believe demonstrates why this individual is outstanding and deserves this award

Please use events from February 1, 2016 – January 5, 2017 to complete this application.

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Part OneA.Club Meetings and Attendance

Club Meetings1. How many regular club meetings were held from February 1,

2016, _____ (A)to the current date?a. How many meetings did the member attend?

_____ (B)b. Divide blank (B) by blank (A) to get the percentage of

meetings attended. (Please round to the nearest tenth.)

_____ %Club Service Projects

2. How many service projects has the club participated in from February 1, _____ (A)2016, to the current date?a. How many service projects did the member attend?

_____ (B)b. Divide blank (B) by blank (A) to get the percentage of

projects attended. (Please round to the nearest tenth.)

_____ %Kiwanis Family Events

3. How many interclub events has the club participated in from February 1, _____ (A)2016, to the current date?a. How many interclub events did the club member attend?

_____ (B)b. Divide blank (B) by blank (A) to get the percentage of

interclub events attended. (Please round to the nearest tenth.)

_____ %

4. How many Kiwanis Family events has the club participated in from _____ (A)February 1, 2016, to the current date?a. How many Kiwanis Family events did the member attend?

_____ (B)b. Divide blank (B) by blank (A) to get the percentage of Kiwanis

Family events attended. (Please round to the nearest tenth.)_____ %

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5. How many Key Club events has the club participated in from February 1, _____ (A)2016, to the current date?a. How many Key Club events did the member attend?

_____ (B)b. Divide blank (B) by blank (A) to get the percentage of Key

Club events attended. (Please round to the nearest tenth.)

_____ %

6. How many events of other branches of the Kiwanis Family has the club _____ (A) participated in from February 1, 2016, to the current date?a. How many events of other branches of the Kiwanis Family did

the _____ (B)member attend?

b. Divide blank (B) by blank (A) to get the percentage of events of _____ %other branches of the Kiwanis Family attended. (Please round to the nearest tenth.)

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B.District and International Events1. Did the nominee attend SpOT?

_____

2. Did the nominee attend Fall Rally?_____

3. Will the nominee attend District Convention?_____

4. Did the nominee submit any articles for the district newsletter?_____

5. Did the nominee attend Circle K International Convention?_____

6. Did the nominee attend Leadership Academy this past year?_____

Part TwoEssay

The essay must be written by a Kiwanis member, Circle K member, or club advisor to a club in the Kiwanis Family.

Submit an essay describing how the nominee promoted and exemplified Circle K ideals, themes, and objectives. Show how the nominee has worked within the Kiwanis Family. Use the criteria previously listed. Essays are limited to 2 typed, double-spaced, 12 pt. font, 8.5x11” pages.

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Erin M. Dillon Outstanding New Member AwardName of Nominee ________________________________________________

This award is presented annually to Circle K members in the Ohio District that have most significantly influenced their campuses, communities, and the lives of their fellow Circle K members within the past year. Each nominee must embody the three tenants of Circle K, as well as illustrate the spirit and dedication of a leader and community servant throughout the year. Nominees must be dues-paid members for no more than one year. Each Circle K club may nominate one (1) of its members for this award. The Ohio District Board will base their decision on the following criteria:

Club participation and event attendance District and international events Explanation of committee participation of project

organization Promotion and exemplification of Circle K ideals, themes,

and objectives Please include any other information you feel

demonstrates why this nominee is an outstanding member

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Part OneA.Club Meetings and Attendance

Club Meetings1. How many regular club meetings were held from February 1,

2016, _____ (A)to the current date?a. How many meetings did the nominee attend?

_____ (B)b. Divide blank (B) by blank (A) to get the percentage of

meetings attended. (Please round to the nearest tenth.)

_____ %Club Service Projects

2. How many service projects did the club hold from February 1, 2016, _____ (A)to the current date?a. How many service projects did the nominee attend?

_____ (B)b. Divide blank (B) by blank (A) to get the percentage of service

projects attended. (Please round to the nearest tenth.)_____ %

Club Event Attendance3. How many interclub events did the club participate in from

February 1, _____ (A)2016, to the current date?a. How many interclub events did the nominee attend?

_____ (B)b. Divide blank (B) by blank (A) to get the percentage of

interclub events attended. (Please round to the nearest tenth.)

_____ %

4. How many social events did the club participate in from February 1, _____ (A)2016, to the current date?a. How many social events did the nominee attend?

_____ (B)b. Divide blank (B) by blank (A) to get the percentage of social

events attended. (Please round to the nearest tenth.)

_____ %

5. How many Kiwanis Family events did the club participate in from _____ (A)

February 1, 2016, to the current date?

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a. How many Kiwanis Family events did the nominee attend?_____ (B)

b. Divide blank (B) by blank (A) to get the percentage of Kiwanis

Family events attended. (Please round to the nearest tenth.)_____ %

B.District and International Events1. Did the nominee attend SpOT?

_____

2. Did the nominee attend Fall Rally?_____

3. Will the nominee attend District Convention?_____

4. Did the nominee attend the Circle K International Convention?_____

5. Did the nominee attend Leadership Academy this past year?_____

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Part TwoEssay

Submissions must be in the form of an essay, and written by a Kiwanian, Kiwanis or faculty advisor, or Circle K club member.

Submit and essay describing how the nominee promotes and exemplifies Circle K ideals, themes, and objectives. Please include any other information you feel describes why the member is outstanding. Essays are limited to 2 typed, double-spaced, 12 pt. font, 8.5x11” pages.

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Jason Stewart Outstanding Member AwardName of Nominee ________________________________________________

This award will be given to the Circle K member who most exemplified and practiced outstanding membership throughout the Circle K year. An outstanding member is a role model. They are dedicated to the organization, its members, and its purpose. An outstanding member possesses a willingness to take risks. They are a leader by example, venturing outside their comfort zone to step up to new challenges. An outstanding member appreciates the company of all members and embraces friendship in everyday life. The nominee should be nominated by their home club. The Ohio District Board will base their decision on the following criteria:

Club and district involvement Exemplification of Outstanding Member definition

A. Club Meetings and AttendanceClub Meetings

1. How many regular club meetings were held from February 1, 2016, _____ (A)to the current date?a. How many meetings did the nominee attend?

_____ (B)b. Divide blank (B) by blank (A) to get the percentage of

meetings attended. (Please round to the nearest tenth.)

_____ %Club Service Projects

2. How many service projects did the club hold from February 1, 2016, _____ (A)to the current date?a. How many service projects did the nominee attend?

_____ (B)b. Divide blank (B) by blank (A) to get the percentage of service

projects attended. (Please round to the nearest tenth.)_____ %

Club Event Attendance

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3. How many interclub events did the club participate in from February 1, _____ (A)2016, to the current date?a. How many interclub events did the nominee attend?

_____ (B)b. Divide blank (B) by blank (A) to get the percentage of

interclub events attended. (Please round to the nearest tenth.)

_____ %

4. How many social events did the club participate in from February 1, _____ (A)2016, to the current date?a. How many social events did the nominee attend?

_____ (B)b. Divide blank (B) by blank (A) to get the percentage of social

events attended. (Please round to the nearest tenth.)

_____ %

5. How many Kiwanis Family events did the club participate in from _____ (A)

February 1, 2016, to the current date?a. How many Kiwanis Family events did the nominee attend?

_____ (B)b. Divide blank (B) by blank (A) to get the percentage of Kiwanis

Family events attended. (Please round to the nearest tenth.)_____ %

B.District and International Events1. Did the nominee attend SpOT?

_____

2. Did the nominee attend Fall Rally?_____

3. Will the nominee attend District Convention?_____

4. Did the nominee submit any articles for the district newsletter?_____

5. Did the nominee attend the Circle K International Convention?_____

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6. Did the nominee attend Leadership Academy this past year?_____

Part TwoEssayIn 500 words or less, submit an essay describing how the nominee exemplifies the definition of a quality member (defined above).

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Tom Andrews Award for LeadershipName of Nominee ________________________________________________

Years in Circle K _______ Submitted by ___________________________

This award will be given to the Circle K member who most exemplified and practiced leadership skills during their years in Circle K. The recipient of this distinguished leader award must be a member of a Circle K Club in good standing in the Ohio District. They must be or have been involved in a leadership capacity, excluding current District Board members. By virtue of this individual’s efforts and influence, they will be recognized as a guide and example for other Circle K members and awarded this honor. The recipient will be determined based on the following criteria:

1. History of Circle K involvement2. Officer and chairperson position(s) held3. Club involvement

a. Overall commitment to membership recruitment/development, service, and involvement with the Kiwanis Family

4. Contributions to building leadership at the club and/or district level through attendance and/or facilitation of training seminars

5. Promotion and exemplification of the Circle K ideals, mission, and objectives

Please write a separate essay each for criteria sections 1, 2, and 3. Each essay should be no longer than 800 words, and should include specific examples, dates when possible, and the author’s objective and factual account of the nominee’s involvement. Each essay should be written by a Kiwanian, Kiwanis or faculty advisor, or Circle K club member. However, no one individual may write more than one essay for this award.

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James F. Kneisel Outstanding Kiwanis Sponsor Award

Kiwanis Club of __________________________________________________

Number of Members _____

This award is to recognize the Kiwanis Club that has excelled in its sponsorship of a Circle K club through the following:

Financial assistance Fellowship Manpower in service projects Leadership

*Please use events from February 1, 2016 – January 5, 2017, to complete the following information.

Part OneA.Financial Assistance

1. Total finances budgeted to the Circle K cluba. Divide blank (B) by blank (A) to get the percentage of budget

allocated. (Please round to the nearest tenth.) _____ (A)

b. Total budget of the sponsoring Kiwanis Club_____ (B)

_____ %2. List and assistance above and beyond what was budgeted to the

club

B.Fellowship3. How many regular Circle K club meetings were held from

February 1, _____ (A)2016, to the current date?

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a. How many meetings were attended by sponsoring Kiwanians?_____ (B)

b. Divide blank (B) by blank (A) to get the percentage of meetings attended. (Please round to the nearest tenth.)

_____ %

4. How many members are in the sponsoring Kiwanis club?_____ (A)

a. On average, how many sponsoring Kiwanians were present at a Circle K club meeting?

_____ (B)b. Divide blank (B) by blank (A) to get the percentage of

members attending. (Please round to the nearest tenth.)

_____ %5. List any joint activities held in commemoration of Circle K Week.

6. List all joint activities other than service projects.

C.Manpower in Service Projects1. How many service projects did the Circle K club hold from

February 1, _____ (A)2016, to the current date?a. How many service projects did sponsoring Kiwanians attend?

_____ (B)b. Divide blank (B) by blank (A) to get the percentage of service

_____ %projects attended. (Please round to the nearest tenth.)

2. How many members are in the sponsoring Kiwanis club?_____ (A)

a. On average, how many sponsoring Kiwanians were present at a Circle K club service project?

_____ (B)

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b. Divide blank (B) by blank (A) to get the percentage of members attending. (Please round to the nearest tenth.)

_____ %3. Please list the projects and type of support received from the

Kiwanis Club. You may use a separate sheet if necessary.

DATE EVENT SUPPORT RECEIVED

D.Kiwanis Leadership1. Were the Circle K officers trained by the sponsoring Kiwanis club?

___ YES ___ NO(This includes if the Kiwanis club paid for officers to attend SpOT)

a. If so, when did this take place? _____________________________________

2. Please give an example of a display of leadership from the Kiwanis Club.

Part TwoEssayLimited to 2 typed, double-spaced, 12 pt. font, 8.5x11” pagesPlease submit an essay describing how the Kiwanis club assisted the Circle K club throughout the year by serving as outstanding role models. Include any other information you feel describes why the Kiwanis club is outstanding.

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Kenneth H. Weeks Outstanding Kiwanian AwardName of Nominee ________________________________________________

Kiwanis Club of __________________________________________________

This award is given to the Kiwanian who has contributed the most growth, achievement, and ideals of Circle K. The Kiwanian should be nominated by his/her home club. Please include events from February 1, 2016, to January 5, 2017, to complete this award form. The Ohio District Board will base their decision on the following criteria:

Number of Circle K functions attended on the club, district, and international level

Relationship to the nominating Circle K club Accomplishment in increasing Circle K – Kiwanis relations

Part OneA.Club Attendance

1. How many regular club meetings were held between February1, 2016, _____ (A)and the current date?a. How many meetings did the Kiwanian attend?

_____ (B)b. Divide blank (B) by blank (A) to get the percentage of

meetings attended (Please round to the nearest tenth.)

_____ %

2. How many service projects did the club hold from February 1, 2016, _____ (A)to the current date?a. How many service projects did the Kiwanian attend?

_____ (B)b. Divide blank (B) by blank (A) to get the percentage of service

projects attended. (Please round to the nearest tenth.)_____ %

3. How many interclub events did the club participate in between _____ (A)

February 1, 2016, and the current date?

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a. How many interclub events did the Kiwanian attend?_____ (B)

b. Divide blank (B) by blank (A) to get the percentage of interclub events attended. (Please round to the nearest tenth.)

_____ %

4. How many Kiwanis Family events did the club participate in between _____ (A)February 1, 2016, and the current date?a. How many Kiwanis Family events did the Kiwanian attend?

_____ (B)b. Divide blank (B) by blank (A) to get the percentage of Kiwanis

Family events attended. (Please round to the nearest tenth.)_____ %

B.District and International Events1. Did the Kiwanian attend SpOT?

_____

2. Did the Kiwanian attend Fall Rally?_____

3. Did the Kiwanian attend the 2016 District Convention?_____

4. Will the Kiwanian attend the 2017 District Convention?_____

5. Did the Kiwanian attend the Circle K International Convention?_____

Part TwoEssayEssays are limited to 2 typed, double-spaced, 12 pt. font, 8.5x11” pages.Submit an essay describing what the Kiwanian accomplished by promoting and exemplifying Circle K ideals, themes, and objectives. How did the Kiwanian increase the relations between Circle K and Kiwanis? Include any other information you feel demonstrates how the Kiwanian is outstanding.

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Wayne and Laura Enders Ohio Circle of Service Award

This award was created to annually recognize and honor that individual within the Ohio District of Kiwanis who has made the most outstanding contribution to the entire Ohio District of Circle K. Rules governing this award are as follows:

Those individuals, who are neither salaried Kiwanis Officials nor Circle K members, shall be eligible for this award.

Individuals may not be recognized with this award more than once.

Individuals may be nominated by members of the Ohio District of Circle K District Board or any Ohio Circle K club president.

Recipients will be selected by the Ohio District Board for announcement at District Convention.

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If, in determination by the Ohio District Board, no qualified nominees have been submitted, then the award shall not be given that year.

Nominations should be submitted in writing to the Ohio District Office by January 4, 2017.

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