District Administrator Contact Information Request Form

District Administrator Contact Information Request Form

Thank you for requesting district administrator contact information for those serving as administrators during the 2021-22 year. We also want to gather data about your skills and experience to share with the rest of the group. By sharing this information we hope to encourage peer mentoring and increase the success of the groups effort to grow clubs. Completing the form only takes a few minutes. Thank you for all you do for Kiwanis Service Leadership Programs.

Which Kiwanis Service Leadership Program(s) do you support?

K-Kids Builders Club K-Kids & Builders Club Aktion Club

District

Name

First Name

Last Name

Email

Mailing address

Address Line 1

Address Line 2

City

State

ZIP Code

Country

Number of years serving as district administrator:

Here's something I tried in my district that was successful. Feel free to try this in your district.

Thank you for completing this form.