Combined Membership and Activity

Combined Membership and Activity Report (M&A) and DG Contest (MADG)
Lions year July 1, 2010 to June 30, 2011

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 22nd 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://www3.lionsclubs.org/EN/RegisterLogin/HomeLogin.aspx. 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.

Membership is based on International's data as of July 1, 2010

Secretary's Name Club

Email address Month and Year

Total Membership (all types of members)

If membership has not changed since last month's report, check the box to the right and skip to the DG Contest if you participate

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:

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:

District Governor's Contest

If you do not participate in the DG Contest, complete only the blue highlighted lines below.

Membership

For each new member

750 per member

Your points

For each new female member

500 extra per member

Your points

For each new family member (same household)

300 extra per member

Your points

For each new member who attends a District, Region or Zone meeting

200 per member

Your points

For each new member who attains a "Proud Lion" award

500 per member

Your points

For each club with a net plus two (2) as of June 30, 2011

2,000

Your points

Community Service

White Cane Days held Dates: Amount collected:

DG Points for White Cane Days

300 per event

Your points

Eyeglasses recycled Number of pairs:

DG points for eyeglass recycling

100 per month

Your points

MTI event screening

500 each event

Your points

Sponsoring a Beacon Lodge Camper

500 per camper

Your points

Sponsoring any camper to a youth or adult camp

500 per camper

Your points

Sponsoring a youth ball team or a Scout troop, etc.

500 (one time credit)

Your points

Sponsoring the Drug Awareness or Peace Poster Contest

200 (one time credit per contest)

Your points

Student of the Month recognition

200 per student

Your points

Little Ivy Jug participation

Amount collected

DG points for Little Ivy Jug participation

200 each month

Your points

Participation in community events (parade, highway pick-up, etc.)

200 each event

Your points

Explanation of community events:

Extension

Sponsoring a new Lions or Branch Club

1,000 each event

Your points

Sponsoring and chartering a new Leo Club

1,000 each event

Your points

Retention

Each club that appoints a Retention Chairperson

250 (one time credit)

Your points

Each club that does not drop a member, other than for death, as of June 30, 2011

1,500 (one time credit)

Your points

Leadership

Each club officer who attends the District Leadership Training or completes LCI Leadership Training online

500 per club officer

Your points

Each club president who receives a President's Excellence Award

500 (one time credit)

Your points

Each club secretary who receives a DG's Secretary's Award

500 (one time credit)

Your points

Orientation

Each club that appoints a club Orientation Chairperson

250 (one time credit)

Your points

Each club that orients new members using the District Orientation Guide

500 each new member

Your points

Each club that has a District Committee Chairperson as a program for a meeting

500 each event

Your points

Awareness

Each club that holds a Friendship Night

750 each event

Your points

Public Relations

Each club that appoints a Public Relations Chairperson

250 (one time credit)

Your points

Each club that has a brochure for public distribution. A copy must be sent to the DG and the VDGs.

500 (one time credit)

Your points

For each newspaper article that is printed and a copy is sent to the DG and the VDGs

100 per article

Your points

Financial

100% donation to District Projects at the time of the DG's visit, but no later than December 31, 2010

1,500 (one time credit)

Your points

100% donation to District Projects by May 31, 2011

750 (one time credit)

Your points

Donations to Beacon Lodge Challenge and the 500 Club

400 each

Your points

Other charitable donations, excluding District Projects, per donation. These donations must be listed below. Minimum donation is $50.00

200 each donation

Your points

To whom donated:

Donation amount

To whom donated:

Donation amount

To whom donated:

Donation amount

To whom donated:

Donation amount

To whom donated:

Donation amount

To whom donated:

Donation amount

Attendance at Functions

Each Lion who attends a Region or Zone meeting

200 per Lion

Your points

Each Lion who attends a Cabinet meeting

400 per Lion

Your points

Each Lion who attends the Passing of the Banner

400 per Lion

Your points

Each Lion who attends the Fall Rally or Spring Convention

600 per Lion

Your points

Each Lion who attends a State Council meeting or a State Convention

700 per Lion

Your points

Each Lion who attends the International Convention

800 per Lion

Your points

Each Lion who attends the USA/Canada Forum

800 per Lion

Your points

Each Lion who attends a Beacon Lodge work weekend or Lions Appreciation Day

200 per Lion

Your points

Miscellaneous

Each club newsletter sent to the DG and VDGs

100 each month

Your points

Each MADG report filed by the 22nd of the month

100 each month

Your points

Each District newsletter that is copied and distributed to the club members

100 points (maximum) each month

Your points

Each Melvin Jones Award given by a club

1,000 per award

Your points

Each Pennsylvania Fellow Award given by a club

500 per award

Your points

Each club that appoints a Visitation Chairperson

250 (one time credit)

Your points

Each club visitation, minimum of three (3) Lions. District Committee chairs visiting for a presentation do not count.

400 each visit

Your points

Initiation of a club webpage

1,000 (one time credit)

Your points

Working with another Lions club on a project

400 each project

Your points

List below what projects you worked on and with whom you shared the projects, meetings attended and other statements to document the points you claimed above. Undocumented points will not be counted.

DG Points from your last report DG Points from this report DG Points to Date

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