Exit this survey 2016-17 Aktion Club 4th Quarter Report Information Hello, club advisors! Welcome to your quarterly report for Aktion Club. This report should be completed at the end of each quarter. Quarter #1: October, November DecemberQuarter #2: January, February, MarchQuarter #3: April, May, JuneQuarter #4: July, August, September Thank you in advance for your input! – Katie Griffin, Aktion Club Specialist Question Title * 1. District: Austria Alabama California-Nevada-Hawaiii Capital Carolinas Florida Georgia Illinois-Eastern Iowa Indiana Kansas Kentucky-Tennessee Louisiana-Mississippi-W. Tennessee Michigan Minnesota-Dakotas Missouri-Arkansas Montana Nebraska-Iowa New England New Jersey New York Ohio Eastern Canada The Caribbean Pacific Northwest Pennsylvania Rocky Mountain Southwest Texas-Oklahoma Utah-Idaho Western Canada West Virginia Wisconsin-Upper Michigan Andean and Central America Australia Iceland Malaysia Other (please specify) Question Title * 2. Name: Question Title * 3. E-mail: Question Title * 4. Aktion Club of: Question Title * 5. Sponsoring Kiwanis Club: Question Title * 6. How many members do you have in your club? Question Title * 7. Number of female Aktion Club members Question Title * 8. Number of male Aktion Club members Question Title * 9. Each club should be keeping track of service hours. What were the total service hours for your club this quarter? (Note: When totaling service hours, take the number of members who participated and multiply by the number of hours served for each project. For example, if 10 members worked for 5 hours on a project, the total number of service hours for that project would be 50.) 0-10 11-25 26-50 51-100 101-200 201-350 351-500 more than 500 Question Title * 10. How many Kiwanis Family or social events have you hosted or participated in during this quarter? zero one two three or more If you answered one or more, please describe. Question Title * 11. How many community service projects did your club do this quarter? zero one two three four or more Question Title * 12. Please describe all COMMUNITY SERVICE PROJECTS completed for this quarter, including the number of members who participated and how much money was spent. Question Title * 13. How many FUNDRAISING PROJECTS did your club complete this quarter? zero one two three four or more Question Title * 14. Please describe all FUNDRAISING PROJECTS complete for the quarter. Include the number of members who participated in each, how much money was raised, and where the funds were donated. Question Title * 15. Please list all donations that your club made during this quarter. $0-$100 $100-$250 $250-$500 Over $500 If you answered "over $500" please list amount donated. Question Title * 16. How much financial support has your club received from your sponsoring Kiwanis Club this quarter? $0 $1-$200 $200-$400 Over $400 If you responded, "over $400" please list amount received. Question Title * 17. Please list your biggest challenge of the quarter. Question Title * 18. What else is on your mind? Any other ways in which we could better assist you? Question Title * 19. Did anyone from your club attend the MI TLC this year or plan to attend the FL TLC next month? (Michigan TLC, September 15-17 or Florida TLC November 10-12)? Yes No Maybe Question Title * 20. If you answered yes to Q19, how many people attended MI or are planning on attending FL? Question Title * 21. What is your biggest obstacle to attending a TLC? Done