APPENDIX B

STATEMENT OF INTENT FORM - DISTRICT GOVERNOR

STATEMENT OF INTENT FORM - DISTRICT GOVERNOR-ELECT

STATEMENT OF INTENT FORM - LT. GOVERNOR

STATEMENT OF INTENT FORM - LT. GOVERNOR-ELECT

CHECK LIST FOR A SUCCESSFUL GOVERNOR'S VISIT

GOVERNOR'S VISIT INFORMATION SHEET

LIEUTENANT GOVERNOR'S CHECKLIST

CHARTER RESIGNATION WORKSHEET


STATEMENT OF INTENT FORM - DISTRICT GOVERNOR

KENTUCKY-TENNESSEE DISTRICT OF KIWANIS INTERNATIONAL

Office of District Governor, Year _________

Statement of Intent

I am aware of the importance of the office of District Governor to the K-T District of Kiwanis International. I hereby state that it will be possible for me to arrange my personal schedule so I can administer the duties of District Governor.

It will be my intent at all times to be a competent Chief Executive Officer of the District and to administer the programs of Kiwanis International and the K-T District goals.

I have read the Duties and Responsibilities of the office of District Governor and agree that I will faithfully execute all to the best of my ability if elected.

Signed ____________________________ Print Name ______________________________

Street Address ______________________________________________________________

City _______________________________ State _________ Zip Code _________________

Date ___________ Kiwanis Club of _____________________ Division ________________

Home Telephone No. ( ) ____________ Work Telephone No. ( ) ______________________

FAX No. ( ) _____________ E-Mail Address _____________________________________

"RETURN COMPLETED FORM TO DISTRICT SECRETARY-TREASURER"


STATEMENT OF INTENT FORM - DISTRICT GOVERNOR-ELECT

KENTUCKY-TENNESSEE DISTRICT OF KIWANIS INTERNATIONAL

Office of Governor-Elect, Year _____________

Statement of Intent

I am aware of the importance of the office of Governor-Elect to the K-T District of Kiwanis International. It will be possible for me to arrange my personal schedule so I can and will administer the duties of the office.

It will be my intent at all times to be a competent liaison officer between the Clubs and the K-T District, and to administer Kiwanis International programs and the K-T District Goals.

I have read the Duties and Responsibilities of the office of Governor-Elect and agree that I will faithfully execute all to the best of my ability.

I understand that, if elected Governor-Elect, I will be the sole candidate for District Governor the following year. I hereby agree to serve in the position of District Governor when elected.

Signed ____________________________ Print Name ______________________________

Street Address ______________________________________________________________

City _______________________________ State _________ Zip Code _________________

Date ___________ Kiwanis Club of _____________________ Division ________________

Home Telephone No. ( ) ____________ Work Telephone No. ( ) ______________________

FAX No. ( ) _____________ E-Mail Address _____________________________________

"RETURN COMPLETED FORM TO DISTRICT SECRETARY-TREASURER"


STATEMENT OF INTENT FORM - LT. GOVERNOR

KENTUCKY-TENNESSEE DISTRICT OF KIWANIS INTERNATIONAL

Office of District Governor, Year _________

Statement of Intent

I am aware of the importance of the office of Lt. Governor to the K-T District of Kiwanis International and I state that it will be possible for me to arrange my personal schedule so that I can and will administer the duties of this office.

It will be my intent, at all times, to be a competent liaison officer between the Division clubs and the K-T District, and to administer Kiwanis International programs and District Goals as set by the Governor and District Board of Trustees.

I have read the Duties and Responsibilities of the office of Lt. Governor and agree that I will faithfully execute all to the best of my ability.

Signed ____________________________ Print Name ______________________________

Street Address ______________________________________________________________

City _______________________________ State _________ Zip Code _________________

Date ___________ Kiwanis Club of _____________________ Division ________________

Home Telephone No. ( ) ____________ Work Telephone No. ( ) ______________________

FAX No. ( ) _____________ E-Mail Address _____________________________________

"RETURN COMPLETED FORM TO DISTRICT SECRETARY-TREASURER"


STATEMENT OF INTENT FORM - LT. GOVERNOR-ELECT

KENTUCKY-TENNESSEE DISTRICT OF KIWANIS INTERNATIONAL

Office of Lt. Governor-Elect, Year _____________

Statement of Intent

I am aware of the importance of the office of Lt. Governor-Elect to the K-T District of Kiwanis International and I state that it will be possible for me to arrange my personal schedule so that I can and will administer the duties of this office.

It will be my intent, at all times, to be a competent liaison between the Division clubs and the K-T District, and to administer Kiwanis International programs and District goals as set by the Governor and District Board of Trustees.

I have read the Duties and Responsibilities of the office of Lt. Governor-Elect and agree that I will faithfully execute all to the best of my ability.

I understand that, if elected Lt. Governor-Elect, I will be the sole candidate for Lt. Governor the following year. I hereby agree to serve in the position of Lt. Governor when elected.

Signed ____________________________ Print Name ______________________________

Street Address ______________________________________________________________

City _______________________________ State _________ Zip Code _________________

Date ___________ Kiwanis Club of _____________________ Division ________________

Home Telephone No. ( ) ____________ Work Telephone No. ( ) ______________________

FAX No. ( ) _____________ E-Mail Address _____________________________________

"RETURN COMPLETED FORM TO DISTRICT SECRETARY-TREASURER"


CHECK LIST FOR A SUCCESSFUL GOVERNOR'S VISIT

______Use the Governor's Visit Information Sheet. Keep the Governor informed. Let the Governor know if there are critical issues that you want covered with the Division Council during the visit.

______Secure date and location - think about alternatives since nothing can be pinned down until the Governor agrees to the date for the visit. Confirm date at the time of the Lt. Governors-Designate Operations Education Conference (May).

______If a restaurant is not selected, then contact caterers and get prices and available menu.

______Set a price to cover ALL expenses including a gift for the Governor. Prepare a budget for this event and make sure that the Division council agrees with the budget. Keep the cost per attendee as reasonable as possible.

 

______At times, Governors have requested that clubs make a donation to the Kiwanis International Foundation, the K-T Foundation, or an appropriate special
International or District project in lieu of a gift to the Governor. Every club in the Division should bear some of the cost of the Governor's give. It is recommended
that $25.00 per club is appropriate.

______A small token gift to the Governor and Spouse is appropriate. A prepared basket of goodies from the Division area is always a treat.

______Keep out of pocket expenses to a minimum.

______Door prizes add something to the festivities and people like to win something.

______Table favors can be gathered from local merchants and banks.

______The International store/catalogue has numerous items which are inexpensive. Shop at the Kiwanis International store at the International Convention for bargains.

______Do as much as possible early so you aren't feeling pressured as it draws nearer and enlist club members (from the Lt. Governor's club) to help with preparations.

______This is an important event for the Division and for the Governor. Treat it as a special event. This is a comparable event to the Governor's Banquet at the
District Convention.

______The Lt. Governor-Elect should be involved from the planning stages through the end of the governor's visit. This is the beginning of the Lt. Governor-Elect's
official education.


COPY TO BE SENT TO THE GOVERNOR FOR ANY VISIT

To: Governor _______________________________________

From: Lt. Governor ____________________________ Division ___________________

Event: ________________________Governor's Official Visit (Speech: 20 minutes) ____

New Club Charter ____Installation _____Other _________________________________

Date: __________ Location of Meeting: _______________________________________

City ___________ State____________________________________________________

Housing: Name of Hotel/Motel ______________________________________________

Address_________________________________________________________________

Telephone No. (____) ______-_______________________________________________

A map of directions is sketched on the reverse side, or enclosed is a local map. __________

The Governor will drive unless otherwise notified.

Presidents' Meeting: Time __________ Place ____________________________________

Governor's Spouse _________________________________________________________

Meeting with Spouses: Time __________ Place __________________________________

Receiving Line/Social: Time __________ Place ___________________________________

Meal/Program: Time __________Place _________________________________________

Dress: Ladies: ____ Formal Men: ____ Black Tie

____ Dress ____ Suit

____ Casual ____ Casual

____ Governor's Speech:

Request the following - any accomplishments by clubs or individuals to be recognized

in presentation or during speech. Attach summaries.

____ Enclose a copy of the agenda.

LIEUTENANT GOVERNOR'S CHECKLIST

1. ____ Governor's Information Sheet sent to Governor.

2. ____ Housing arrangements made for Governor and Spouse.

3. ____ Publicity provided to local mews media.

4. ____ Program prepared.

5. ____ Participants contacted and their responsibilities confirmed.

6. ____ Accommodations made for Presidents' meeting.

7. ____ Accommodations made for Spouse's meeting/.

8. ____ All matters pertaining to meal arranged.

9. ____ Invitations sent to all Kiwanians and spouses of the Division.

10._____Decorating Committee: flowers, table arrangements, etc.

11._____Presidents informed of meeting with the Governor and Spouses with Governor's Spouse.

(Must not interfere with receiving line/social time.)

12._____Name tags.

13._____Dress, ladies - men.

14._____Budget. (Gifts to Foundation, Mementos of visit, Acknowledgements to guests.)

 

KEEP PROGRAM SIMPLE, OTHERWISE IT BECOMES AN OVERLY LONG EVENT

WITH GOVERNOR'S SPEECH, INTRODUCTIONS, PRESENTATIONS, ETC.


CHARTER RESIGNATION

Kiwanis Club of ____________________________

A chartered club may resign from Kiwanis International provided there is no indebtedness. The following actions must be accomplished by the club to complete the
resignation process.

_______ a. The decision to resign from Kiwanis International must be approved by * of the members of the club.

_______ b. Dissolve corporate status with the Secretary of State. Forward a copy to the District Office and to Kiwanis International.

_______ c. File an IRS Form 990 for the year in which the Kiwanis Club resigns their Charter, if Club receipts for the final year exceeded $25,000 or the Club filed a
form 990 for the preceding year.

_______ d. Liquidate bank account by donating funds to a worthy cause.

_______ e. Return charter, club records including minutes of the meetings of the Board of Directors, etc. and other items to the District Office for proper storage or for
other disposition.

Return bells, podiums, gavels, etc. to the Division repository for future use with new clubs.

Banners, and other club-personalized items are to be sent to the District Office for disposition according to procedures outlined in the responsibilities of the District
Archives Committee.

Registration of this material becomes the responsibility of the District Office and the District Archives Committee.

______ f. Notify Kiwanis International of the action(s) to be taken by the club and the reasons for taking these actions. Copies of this notification are to be sent to the
Governor, District Secretary, and the K-T District Office.

The completion of each action, a.-f., must be noted with the initials of the Club President.

_______________________________, President Date ___________________

_______________________________, Lieutenant Governor, Division ______

 

After completion of all actions, this sheet is to be signed by the Club President and the Lieutenant Governor, and sent to the K-T District Office,1035 Strader Drive, Suite 150-1, Lexington, Kentucky 40505.


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