District 14-R Monthly Membership and Activities Report

Report Generated:

Please enter the following and press the Submit M&A Report button at the bottom of the form:

Club Information:

Club Name: Month: Year:
Club Number: Region: Zone:

Secretary Information:

Secretary's Name:
Address:
City:State:Zip:

Secretary's Email Address:
Phone:

Secretary Information has changed since the last report: Yes No

Membership:
Please indicate below the number of members in each category.
Active:
Members at Large:
Honorary:
Life:
Privileged:
Affiliate:
Total Members
by Category:
 
Associate:
(Do not count
in member total)
Please enter number of members dropped for each reason listed. One reason only for each dropped name.
1Resigned in Good Standing
2Dropped for Non-Payment of Dues
3Dropped for Non-Attendance
4Dropped for Non-Attendance
and Non-Payment of Dues
5Transferred in Good Standing
6Moved
7Deceased
8Other (Specify Below)
9Total
Please enter number of members added for each category listed.
 Members from Last Report
ANew Members
(List Below)
BReinstated Members
CTransfer Members Accepted
(List Former Club Below)
 Total Before Deductions
DDropped from Membership
(List Below)
 Members at Close of Month

Club Statistics:

Average Monthly Attendance Percent (Active Members Only):%
Number of Completed Service Activities:
Number of Board Meetings Held:
Number of Branch Club Members:
Number of Leo Club Members:
Number of Scouting Organizations Sponsored:
Total Scouting Organization Members:

Club Meets (Select One):

Weekly
Semi-Monthly
Monthly
Other

Members Added:

Sponsor's
CategoryAdded Member's NameNameNumberFormer Club

Members Dropped:

Dropped Member's
ReasonNameNumberOther Specification

Activities:

Contributions (Recipient, Amount Donated, Medical Equipment Loaned ...):

Fund Raising (Event, Amount Raised, Hours Invested, Members Involved ...):

Club Administration (Dues Paid, Committee Meetings, Membership Activities ...):

Club Involvement (Visitations, Joint Meetings, Charter Nights ...):

Community Involvement (Parades, Easter Egg Hunts, Adopt-a-Highway ...):

District 14-R Involvement (Cabinet Meetings, Zone Meetings, Rally, Holiday Party, Convention ...):

Multiple District 14 Involvement (State Council Meetings, State Convention ...):

International Involvement (USA/Canada Forum, International Convention ...):

Awards (Melvin Jones Fellowships, Member Keys, Perfect Attendance ...):

For the good of Lionism (Other ...):