EC&C Distinguished Club Program

2022-2023 Application Form

Applications are accepted up to December 30, 2023

Please Click here to download 2022-2023 Distinguished Club Criteria

Critères en français

Please Note: the Pinnacle Program is administered by Kiwanis International; They will advise us early in 2024 which clubs have been successful.

CONFIRMATION: NOTE: the confirmation is not working. If you do not get an error after your 1st ‘submit’, it means we have the application, and you should not submit again.   Please print the page as your receipt. The last application received by a club submitted will be the application used for criteria. NOTE: If your browser has the popup/redirect blocked, you may not see the confirmation page. There is no need to resubmit unless you see an error message.

2022-2023 Distinguished Club Award Application

Date

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Kiwanis Club of *

Division

Example 23W

Name of Submitter *

Example John Smith

Position in Club

Current Position

Email *

Section 1 Membership & Engagement *

• a) Membership, shown by Kiwanis International October 2023, is 2 or more greater than shown October 1, 2022.
• b) Sponsored a new adult club.

Menbership October 1, 2022

Required if claiming growth

Official membership end of 2022-2023

Required if claiming growth

Name of New Club Sponsored

Required if a new club sponsored

Section 2 Community Impact

• Sponsored an existing Service Leadership Program (SLP) club
• Chartered a new SLP Club in 2022-2023
• Delivered a new service project for children that involved at lease 50% of our club members.

Name of SLP Club Sponsored or Chartered

Number of members in your club

Selected Value: 0

Number of members in your club.

Members involved in new project

Selected Value: 0

Number of members involved in new project?

Upload a brief description of the new project.

Click or drag a file to this area to upload.

PDF file preferred with less than three hundred words

3 Kiwanis Image *

• The Club entered a Signature Project in the 2023 District Signature Project Contest

Upload the KI Receipt of project submission

Click or drag a file to this area to upload.

This was emailed to you immediately after the submission

4 Financial Viability *

• All Dues invoiced were received by Kiwanis International by December 31, 2022

Amount Paid

Date shown on cheque or electronic payment

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5 Leadership and Education *

• The five key members of the Club’s Incoming Club Leadership Team completed Club Leadership Education Training in 2023

I certify the following completed Club Leadership Training in 2023 *

• President
• President Elect/Vice President
• Secretary
• Treasurer
• Membership Chair

All Five are required to obtain 25 points.

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