Standard Monthly Report Form

Date Sent:

Date Due:

Full Club Name:

Director's Name:

Teen's Name (Teen submitting the form):

Sender's e-mail address (If none, type in "none"):

Monthly report forms are scored as follows:

1. 10 points - Report received by the 10th of the month.:

2. 5 points - Had at least 2 meetings during the month. (list dates):

3. 5 points - Had a staff meeting during the month. (List date):

4. 5 points - Did a Share Your Faith during the month. (Please describe):

5. 5 points - Had a club outing or field trip during the month. (Please describe):

6. 5 points - Taught at least one Honor during the month. (Please list):

7. 5 points - 80% attendance to all club functions during the month.:

8. 5 points - 80% in designated uniform during the month.:

9. Taught Class Work during the month. (Check which ones):

Please list any new Teen that has joined the club. Include full Name, Address, Phone #, E-mail, and Birthday. (If none, type in "none"):