Rotary International District 3810

Rotary Year 2010-2011

MONTHLY REPORT FORM For the Month of: ______

GLOBAL PRESIDENTS: Please complete this form at the end of the month and submit to your Assistant Governor and Area Secretary on or before the monthly Area Meeting.

SENIOR GOVERNOR: Add your feedback and please submit to the District Governor.

Please keep a copy for your files.

Rotary Club of: ______President: ______

Assistant Governor: ______Senior Deputy Governor: ______

Has the club implemented the Club Leadership Plan (CLP)? Yes __ No __ Partially __

Please fill in the appropriate answers:

A.  CLUB ADMINISTRATION

1.  Has the Semi-Annual Report (S.A.R.) been paid? Yes __ Date: ______20___ No __

2.  Has the Philippine Rotary Magazine (PRM) been paid? Yes __ No __

3.  Has the District Fund been paid? Yes __ No __

4.  How many club meetings this month? ______

5.  What is the average percentage of membership attendance to club meetings? ______

B.  MEMBERSHIP

A.  Number of active members on membership list received from Rotary International: ______

B.  Number of members on list received from RI that were terminated before 1st of July 2010: ______

C.  Members per corrected S.A.R. (A-B)

  1. How many new members have been inducted this month? ______
  2. Did the club implement new member’s orientation? Yes __ Date: ______, 20___ No __
  3. Have the new members been reported and paid for? Yes __ Date: ______, 20___ No __
  4. Has the club achieved its membership goal? Yes __ Date: ______, 20___ No __

C.  THE ROTARY FOUNDATION

1.  Has the club contributed to the Rotary Foundation? Yes __ No __

If yes, please indicate below:

  1. Name of contributor: ______
  2. Kind of contribution: ______

Please specify (RF Sustaining Member, Paul Harris Fellow, Major Gift Donor, PolioPlus, Benefactor or Bequest Society)

  1. Amount of contribution: US$______
  2. Date of payment: ______, 20____

2.  Has the club participated in any of the Rotary Foundation Program? Yes __ No __

List down activity/participation with corresponding dates and brief description

D.  SERVICE PROJECT (PARTNERS IN SERVICE)

1.  Rotary Community Corps Projects:

  1. Did the club form a new Rotary Community Corps? Yes __ No __

i.  Name of RCC: ______

ii. Location: ______Date Submitted to RI: ______, 20______

iii.  Total number of Charter members: ______

2.  New Generation Service Projects:

  1. Did the club form a new Rotaract/Interact/Earlyact Club? Yes __ No __

i.  Name of Rotaract/ Interact/Earlyact Club: ______

ii. Location: ______Date Submitted to RI: ______, 20______

iii.  Total number of Charter members: ______

E.  Please check the corresponding club committee and list down name of activity/project with brief description below:

CLUB ADMINISTRATION COMMITTEE

1.  Name of Activity/Project: ______

2.  Name of host/co-host clubs (if applicable):______

3.  Venue: ______Date: ______

4.  Total number of club members attended: ______Total cost of project/activity: Php______

5.  List of Partners in Service: ______

CLUB SERVICE PROJECTS COMMITTEE Vocational Service

6.  Name of Activity/Project: ______

7.  Name of host/co-host clubs (if applicable):______

8.  Venue: ______Date: ______

9.  Total number of club members attended: ______Total cost of project/activity: Php______

10.  List of Partners in Service: ______

Community Service

11.  Name of Activity/Project: ______

12.  Name of host/co-host clubs (if applicable):______

13.  Venue: ______Date: ______

14.  Total number of club members attended: ______Total cost of project/activity: Php______

15.  List of Partners in Service: ______

International Service

16.  Name of Activity/Project: ______

17.  Name of host/co-host clubs (if applicable):______

18.  Venue: ______Date: ______

19.  Total number of club members attended: ______Total cost of project/activity: Php______

20.  List of Partners in Service: ______

CLUB PUBLIC RELATIONS COMMITTEE

Tri-media: Newsprint Television Radio

Website: Site name: http://www.______

Humanity in Motion/Public Image

21.  Name of Activity/Project: ______

22.  Name of host/co-host clubs (if applicable):______

23.  Venue: ______Date: ______

24.  Total number of club members attended: ______Total cost of project/activity: Php______

25.  List of Partners in Service: ______

F.  Please attach one (1) best picture with caption for every project/activity:

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