New England & Bermuda District of Key Clubs

Club Officer Directory and Information Form

Please submit the below form once your Key Club has elected its 2018-2019 officers. This will allow the District Board to effectively communicate with your Key Club.

New England and Bermuda District of Key Club International

EmailMeForm

Please use this form to submit your 2018-2019 Key Club officer directory. This information is vital so that the New England District can reach out to your club officers and advisors and ensure that you receive updates about district events, projects, service ideas, and other resources. This form is due by June 15th. We appreciate your time.

If any of the required fields below do not apply to your club, you may enter "N/A" in those fields. Should you have any updates later in the year, please resubmit this form or contact your Lieutenant Governor.
Name of Key Club (School) *
Division Number *
If you don't know which division your school is in, please check www.newenglandkeyclub.org/club-list.html
Sponsoring Kiwanis Club *
School Mailing Address *

Street Address City State / Province / Region Postal / Zip Code
Mailing Instructions
Is there a special may that we should address District mailings to make sure that they reach your club? By default, we will mail them to:
Key Club of [Your High School]
c/o [Key Club President]
at your school mailing address.
School Phone Number
### - ### - ####
School Principal Name
First Last
Club President
Club President's Name *
First Last
Club President's Address *

Street Address City State / Province / Region Postal / Zip Code
Club President's Home Phone *
### - ### - ####
Club President's Cell Phone *
### - ### - ####
Club President's Email *
Club President's Preferred Method of Communication
Phone call
Email
Other
Club Vice President
Club Vice President's Name *
First Last
Club Vice President's Address

Street Address City State / Province / Region Postal / Zip Code
Club Vice President's Home Phone
### - ### - ####
Club Vice President's Cell Phone
### - ### - ####
Club Vice President's Email *
Club Secretary
Club Secretary's Name *
First Last
Club Secretary's Address

Street Address City State / Province / Region Postal / Zip Code
Club Secretary's Home Phone
### - ### - ####
Club Secretary's Cell Phone
### - ### - ####
Club Secretary's Email *
Club Treasurer
Club Treasurer's Name *
First Last
Club Treasurer's Address

Street Address City State / Province / Region Postal / Zip Code
Club Treasurer's Home Phone
### - ### - ####
Club Treasurer's Cell Phone
### - ### - ####
Club Treasurer's Email *
Club Bulletin Editor
Club Bulletin Editor's Name
First Last
Club Bulletin Editor's Address

Street Address City State / Province / Region Postal / Zip Code
Club Bulletin Editor's Home Phone
### - ### - ####
Club Bulletin Editor's Cell Phone
### - ### - ####
Club Bulletin Editor's Email
Kiwanis Advisor
Kiwanis Advisor's Name *
First Last
Kiwanis Advisor's Address

Street Address City State / Province / Region Postal / Zip Code
Kiwanis Advisor's Primary Phone
### - ### - ####
Kiwanis Advisor's Email *
Faculty Advisor
Faculty Advisor's Name *
First Last
Faculty Advisor's Address *

Street Address City State / Province / Region Postal / Zip Code
Faculty Advisor's Primary Phone *
### - ### - ####
Faculty Advisor's Email *
Faculty Advisor's Preferred Method of Contact
E-mail
Phone Call
Other
Alternate Advisor/Contact Person
A description of the section goes here.
Alternate Contact Person's Name
First Last
Alternate Contact Person's Address

Street Address City State / Province / Region Postal / Zip Code
Alternate Contact Person's Phone
### - ### - ####
Alternate Contact Person's Email
Club Meetings
Day of Week
Time
Location
Other Contact Information
Website and/or Social Media
Other Contact Information
Please include any additional officers here.

Club President

Club Vice President

Club Secretary

Club Treasurer

Club Bulletin Editor

Kiwanis Advisor

Faculty Advisor

Alternate Advisor/Contact Person

Club Meetings

Other Contact Information