This form is for the use of Kiwanis Club of Oroville, CA members only. Members please complete this form to report ANY possible project work you have completed. You do not need to wait, report the information below as soon a you can.
First Name: Required Last Name: Required Committee: Project:
Date Required Hours: Required (total hours of all involved) # of Members: Required (numbers of members involved)
Dollars Spend: Required (total dollars used) Email Address: Required
Enter Details Below: what you did - short and simple is fine
List other members involved for their attendance:
Select Case of Project: (not required) Community Service (just about anything that benefits others) Human Spiritual Values (humanitarian or religious) Young Children Priority One (benefits children under 5) Youth Service (sponsored youth events)
Any Children 5 Years of Less Benefited? YES NO If YES, how many?