Member of the Month Nomination

Do you have a member of your club that is going above and beyond?

Consider filling out this form! We are checking the responses often and want to be able to recognize Key Clubbers around the District that are devoted to service!

Your Name

First Name

Last Name

Your Email

Nominee Name

Please let your nominee know that you are nominating them, so that if selected, they can watch for an email from the District Bulletin Editor.

Nominee Email

Nominee's School

Nominee's Home Club

What has your nominee done that has stuck out to you?

Any additional comments?

Member of the Month Nomination

Do you have a member of your club that is going above and beyond?

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