Combined Membership and Activity Report (M&A) and DG Contest (DG)
Lions year July 1, 2017 to June 30, 2018
 

This report is designed to make it easier and quicker for secretaries to file their monthly reports with District 14-N.  It may also encourage more clubs to participate in the DG Contest.  This report must be filed by the last day of the current month.

International's membership and activity reports must also be filed at www.lionsclubs.org.  Click here to go to the member login page:  https://mylci.lionsclubs.org/Login.aspx?l=EN

Membership reports must be filed each month with International and activity reports should be filed monthly, but can be filed quarterly, semi-annually or annually.

Participation in the DG Contest is voluntary, but if a club uses these points as a set of goals for their club, it will be an outstanding club.  Plaques will be awarded by the District Governor at the Passing of the Banner and will be awarded for each category:  Class A - over 35 members; Class B - 24 to 35 members; Class C - under 24 members and Class D - Lioness Clubs.  (Lioness Club category moved to Class D with the removal of the Campus Club category.)

Membership is based on International's data as of July 1, 2017

Secretary's Name                   Club             Club ID Number    
                   

Email address                                                                Month and Year              
Total Membership (all types of members)                   
Average monthly attendance/percent of active members only     Number of completed service activities this month  
Number of board meetings held this month                          Your club meets:    Weekly     Semi-Monthly     Other  

List below the number of members dropped for each reason.  Please use only one reason for each dropped member.

Resigned in good standing - Code 1     Non-Payment of Dues - Code 2     Non-attendance - Code 3    
Non-attendance, non-payment of dues - Code 4     Transferred in good standing - Code 5     Moved - dues unpaid - Code 6     Deceased - Code 7      Other - please specify - Code 8  

Please list all dropped member's names and the reason for the drop (see codes above).

Name 1:  
Name 2:  
Name 3:  

List below each new member.  Be sure he/she is in the proper category:  A, B or C

New Member (Category A):     Sponsor:   
New Member (Category A):     Sponsor:   
New Member (Category A):     Sponsor:   
New Member (Category A):     Sponsor:   
Reinstated Member (Category B):    
Transferred Member (Category C):     Member's former club:  
Number of Members from last report 

Total Members Dropped 

Total New Members  Members at this Month's End 
 
Please report service activities, fundraising activities and upcoming events in the box below (see #31, #42 and #44):

District Governor's Contest

Reporting

1.    For submission of each MADG report postmarked by the last day of the current month 100 points each month Your points  
 Membership
2.    For each new club member 100 points per member Your points   
3.    For each new female club member 50 extra points per member Your points   
4.    For each new family club member 25 extra points per member Your points   
5.    For each new club member who is a veteran 50 extra points per member Your points  
6.    For each club with a plus one or more members on June 30, 2018 100 points (one-time credit) Your points  

Attendance

7.    For each club member (excluding the club secretary) who attends a Zone meeting 100 points per member per Zone meeting Your points   
8.    For each club secretary who attends a Zone meeting 1,000 points per Zone meeting Your points  
9.    For each club member who attends a District cabinet meeting 1,000 points per member per cabinet meeting Your points   
10.  For each club member who attends a State Council meeting 1,000 points per member per council meeting Your points   
11.  For each club member who attends a State Convention 2,000 points per member Your points  
12.  For each club member who attends an International Convention and/or the USA/Canada Lions Leadership Forum 3,000 points per member per event Your points   
13.  For each club member who attends a Beacon Lodge Work Weekend or Lions Appreciation Day 100 points per member per event Your points  
14.  For each club member who attends a District-sponsored training program 1,500 points per member Your points  
15.  For each club member who attends a District-sponsored orientation session 1,500 points per member Your points  
16.  For each club that attends the Passing of the Banner ceremony on August 8, 2017 2,000 points per club Your points   
17.  For each club member who attends the Fall Rally 200 points per member Your points   
18.  For each club member who attends the Spring Convention 200 points per member Your points  
Poster Contests
19.  For participation in the Peace Poster Contest 50 (maximum) points per contest Your points  
20.  For participation in the Drug and Alcohol Awareness Poster Contest 50 (maximum) points per contest Your points  
Heart of a Lion Award
21.  For each time a club awards a Heart of a Lion award (points awarded after verification by the committee chair).  If the recipient becomes a Lion after receiving the Heart of a Lion award, 5,000 additional points (one time only). 500 points per award Your points  
Leadership
22.  For each club member serving on the District Cabinet 500 points per member, one-time credit Your points  
23.  For each club member serving on a District Committee 500 points per member, one-time credit Your points  
24.  For each club member serving on a State Committee 750 points per member, one-time credit Your points  
25.  For each club member serving as a Zone Chairperson 1,000 points per member, one-time credit Your points  
Club Visitation
26.  For each club's visitation to a regular meeting of another club (a minimum of two (2) Lions), excluding District chairs and officers on official business 100 points per Lion, per visit Your points  
Community Service
27.  For each club that holds White Cane Days 100 points per event (not per day) Your points  
28.  For each club that sponsors a camper to Beacon Lodge 250  points per camper Your points  
29.  For each club that holds an eye-screening event 500 points per event (not per day) Your points  
30.  For each club that honors a Student of the Month or awards a scholarship 100 points per student Your points  
31.  For participation in community events (parade, highway pick-up, Easter egg hunt, etc.) (Show details in white box above.) 500 points per event Your points  
Awards/Honorary
32.  For each club that receives a Club Excellence Award for the 2016-2017 year 2,000 points, one-time credit Your points  
33.  For each club secretary who receives a 100% secretary's award for the 2016-2017 year 5,000 points, one-time credit Your points  
34.  For each Melvin Jones, Progressive Melvin Jones, PA Fellowship, Progressive PA Fellowship or Carl Shoemaker award given by the club in the 2017-2018 year 5,000 points per award Your points  
35.  For each club member who receives a Melvin Jones, Progressive Melvin Jones, PA Fellowship, Progressive PA Fellowship, PIP Wroblewski, PA Counsellor's or Carl Shoemaker Award from the District in the 2017-2018 year 5,000 points per award Your points  
Financial
36.  For each club that participates in the Li'l Ivy Jug program 100 points per month of participation Your points  
37.  For payment of International dues no later than August 31, 2017 (1st half) and February 28, 2018 (2nd half) 150 points semi-annually (300 points total per Lions' year) Your points  
38.  For payment of Pennsylvania state dues no later than August 31, 2017 (1st half) and February 28, 2018 (2nd half) 150 points semi-annually (300 points total per Lions' year) Your points  
39.  For payment of District 14-N dues no later than December 31, 2017 750  points, one-time credit Your points  
40.  For 100% donation to the District Governor's projects at the time of the DG's visit, but no later than December 31, 2017 750 points, one-time credit Your points  
41.  For 100% donation to the District Governor's projects by May 31, 2018 (use only if #40 does not apply) 750 points, one-time credit Your points  
42.  For other monetary donations (food cupboard, Salvation Army, etc.)  Minimum donation - $50 (Show details in white box above) 200 points per donation Your points  
43.  For each club participating in the Reading Action Program 500 points per month of participation Your points  
44.  For each club participating in the World Diabetes Day project, Helen Keller Day, World Sight Day or other Lions sight/hearing events in the community (Show details in white box above) 500 points per event Your points  
45.  For each club utilizing a District committee chairperson as a program at a club meeting 500 points per event Your points  
46.  For the club's submission of the PU-101 form to International and the District by May 15, 2018 10,000 points per submission (20,000 points possible) Your points  

Contest Points from your last report  

 Contest Points from this report         

        Contest Points to Date 

                  

Thank you for submitting this form.  This is for the District only.  See the top of this form for instructions on submitting forms to Lions Clubs International.

Please click the submit button only once.  It may take a few minutes to transmit the data, depending on your internet connection speed. 
Copies of the report are forwarded to the District officials who are to receive a copy.

When the data has been entered, a confirmation screen will appear that shows what was entered. 
A copy of the record can be printed by clicking "print" at the top of the web browser screen or by right clicking the mouse button and choosing "print."

If you have a problem, please contact the webmaster.

Back to Home