“The Heart of Key Club”2010-2011 District Project Completion Form
Club ID Number:___________________ High School:_____________________________ Division:________ Region:________ Faculty Advisor: ____________________ President: ________________________ Phone: ___________________________ Phone: ____________________ Email: _____________________________ Email: ______________________ Number of Members in Club: _______
Please fill out page two for each of the categories in “The Heart of Key Club”District Project.
Please remember to submit ALL proof with your completed application. In addition,please submit any pictures of your club participating in the project with your application. Please submit these with a CD or email them to Megan Iselin atLTGDiv3N@tokeyclub.comby March 1, with your club information (name of club, shortpicture synopsis, faculty advisor name). Thank you very much for participating in this year’s project! The Texas-Oklahoma DistrictBoard is so glad to see so many of the district’s Key Clubbers participating in efforts tohelp the Heart of Key Club! In Service,Megan IselinLt. Governor Division 3N / Chairwoman District Project Committee Signatures: I hereby declare that all information above and attached is correct andthat everything above is what our club did to participate in the 2010-2011 T-O Key ClubDistrict Project “The Heart of Key Club.” Faculty Advisor _________________________________________ Date _________________ Club President _____________________________________________ Date _________________
be postmarked by March 1, 2011 to:
Megan Iselin15211 Wisteria Springs Dr.Cypress TX 77433