Distinguished Member Award Entry

Kiwanis International gives “distinguished” awards to individual Kiwanians and clubs that meet established criteria demonstrating special dedication to service, membership strength and Kiwanis education. Distinguished members receive a lapel pin. Distinguished clubs receive lapel pins for the president and secretary, along with a patch for the club’s banner.

Distinguished Member Award

Name of Person Completing this form.

First Last

Your Email

Are you submitting this form for yourself or someone else?

Myself

Another member of my club

Name of Person who is being nominated.

First Last

Email of Person who is being nominated

Who did this person sponsor as a new member?

Name of First New Kiwanian

Name of Second New Kiwanian

What Projects did this person participate in?

Name of first Project

Date of first project

Name of second Project

Date of second project

What Conventions did this person attend?

District Convention

Regional Convention

International Convention

Select all that apply.

Kids Need Kiwanis

Distinguished Member Award Entry