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We present you with this golden ticket and cordially invite you to the 61st Annual Ohio District Convention at Bowling Green
State University in Bowling Green, OH. This eventful weekend will incorporate fellowship, service, and leadership into fun-
filled events and entertainment.
In the whimsical words of Willy Wonka, there will be “Little surprises around every corner”. As the theme of Willy Wonka and the Chocolate Factory displays that those who are good
receive good in return, it reminds us to strive to fulfil the fellowship, service, and leadership duties as Ohio District of
Circle K members, and to dedicate our time to serve and assist the community. Therefore, we invite you to our Convention to experience this extraordinary time with us at Bowling Green
State University.
REGISTRATION FORM
Name: ________________________________ Email: __________
Address: ___________________________________________________
Phone: Home Club: _________________________
Office Held (if applicable): ___________________________
Gender: Male Female
Name of Roommates (up to 3)
1.)
2.)
3.)
If no roommates are listed, you will be roomed with members of the same gender.
Check here if you require a handicap accessible room. Check here if you are a graduating senior. Check here if you have special dietary needs (please list below)
2018 District Convention T-Shirt:
Circle One: Small Medium Large XL XXL
Early Bird Registration, postmarked by Monday December 18th, 2017 is $115.
Registration postmarked after Monday, December 18th, 2017 is $125.
Deadline for Registration is Monday, January 22nd, 2018
PAYMENT
Circle Payment Type: Check Visa MasterCard Discover
Card Number: _____________________________ Expiration Date: _________
Cardholder’s Billing Address: _________________________________________
3-Digit Security Code: __________
Signature on Card: _____________________________________________
Registration fee includes two nights at the Hampton Inn, Saturday Banquet, Sunday Lunch, Convention T-Shirt, and Convention Activities.
Breakfast is free from the hotel.
Payment should accompany this form, please do not mail cash.
All checks should be made payable to: Ohio District Circle Kand mailed, along with this form, to:
941 Chatham Ln, Suite 236, Columbus, OH 43221
Please direct questions to Sarah Roush at [email protected]
Refund Policy: All refund requests must be sent in writing to the District Office. A full refund will be given if requested prior to the registration deadline, January
22, 2018. A 50% refund will be given if requested during the time between January 22, 2018 and January 27, 2018. No refunds will be given after January 27, 2018.
Emergencies will be handled on a case-by-case basis and will need to be approved by District Administrator Jon Freeman. All approved refunds will be issued within
two weeks of the event’s completion.
Circle K InternationalCODE OF CONDUCT
The Ohio District Circle K International Board of Representatives hopes that every participant and guest will fully enjoy the 61st Annual Circle K International District Convention. The following Code of Conduct will be in effect during the Circle K International District Convention in Bowling Green, OH, from February 16
to February 18, 2018.
The following is the Code of Conduct as written in the International Policy Code, Section I: Conduct, and will be in effect at all Circle K International conventions and events.
1. No drugs of any nature, except for prescribed medication, will be permitted in the possession of anyone in attendance.
2. The Circle K International Sponsored Conventions and Events Alcohol Policy, prohibiting the possession, sale, and/or consumption of alcoholic beverages during any event or situation sponsored or promoted by Circle K, will be enforced at all times during the event.
3. Sexual harassment is defined as behavior marked by aggressive or harassing remarks, unwanted physical contact or sexual advances, requests for sexual favors or other verbal or physical conduct of a sexual nature which is unsolicited and offensive to the individual or otherwise creates an intimidating, hostile or offensive environment. Circle K International will not tolerate sexual harassment.
4. There is no curfew hour; however, in consideration of others, Circle K members must be in rooms, with closed doors, by 1:30AM and gatherings must be contained within the room. Loud noises and disruptive behavior will not be tolerated.
5. No campaign material will be allowed to be posted on any walls, windows, or doors in the hotel facility. The candidate will be responsible for restoring all surfaces to their original state should this occur.
6. Smoking is prohibited at all general sessions, contests, workshops and caucuses. Additionally, attendees must adhere to the smoking guidelines of the hotel and all host LSSP sites.
7. Care shall be taken not to deface or destroy any property. Any damages will be paid for by the individual responsible.
8. All Circle K members are expected to conduct themselves as responsible, professional men and women and are required to attend all sessions and activities.
9. Please see program for dress code. Appropriate clothing must be worn at all times. 10. Every attendee will respect the authority of the Director of Circle K International and the Sergeant-at-
Arms Committee. 11. Infractions of the code of conduct will be reported to the International Board of Representatives or the
Director of Circle K International. Appropriate action will be taken for any infraction, including the dismissal of any attendee from the event at the expense of the individual.
12. The code of conduct is in effect from the moment an attendee arrives at the event until the moment he or she departs.
__ By registering for this convention, I agree to abide by the Ohio CKI District Code of Conduct. I also acknowledge that I will provide an emergency medical form if I have a chronic medical condition that may require medical assistance. I am aware that the document will be kept confidential and will be removed from our records after this event.
Convention Site Information
Bowling Green State University
806 Ridge StreetBowling Green, OH 43403
Bowen Thompson Student Union
Parking: Parking on campus is free after 7:30pm on Friday. Parking on Saturday and
Sunday is FREE
Hotel Information
Hampton Inn Hotel142 Campbell Hill Road, Bowling Green, Ohio, 43402, USA
Check in: 3:00pm Check out: 11:00am
(Please plan accordingly )
Hotel Amenities: Free hot breakfast, Free internet access, Gym/fitness center use
**Please note that all reservations will be made by the Ohio District of CKI. Please do not book rooms as they are already included in your registration fee. **
Friday, February 16, 2018
8:00pm-8:30pm: Registration8:30pm-9:00pm: Introduction and Icebreaker9:00pm-11:30pm: Movie and FellowshipMidnight: Hotel (Quiet Hours)
Saturday, February 17, 2018
6:00 am - 8:00 am: Hotel Breakfast8:30 am - 8:55 am: Registration9:00 am - 9:30 am: Opening Session and Icebreaker 9:40 am - 10:10 am: First Round of Workshops10:20 am - 10:50 am: Second Round of Workshops 11:00 am - 11:40 am: Third Round of Workshops11:45 am - 1:15 pm: Lunch on Your Own1:00 pm - 1:15 pm: Candidate Meeting1:30 pm - 2:30 pm: First Round of Caucusing2:30 pm - 5:30 pm: Service Project 6:30 pm - 9:30 pm: Governor’s Banquet
Sunday, February 18, 2018
7:00am-9:30am: Breakfast (Hotel)10:00am-11:40am: Round 2 Divisional Caucusing 12:00pm-1:00pm: K-Family Luncheon1:15pm-2:45pm: House of Delegates3:00pm-4:00pm: Closing Session, Announcement of New District Board Officers4:10pm-5:00pm: 2018-2019 Ohio CKI District Board Meeting
*Please note the schedule is subject to change at the discretion of the District Board*
The official Ohio District of Circle K International dress code will be in effect during all official meetings of the convention as noted in the
convention program. All participants are expected to abide by the dress requirements.
Business Casual
Business casual attire consists of: slacks, collared shirts, non-athletic shoes, skirts, blouses, or collared shirts.
Business Casual is required to be worn during the following events:
Opening Session Divisional Caucuses House of Delegates Workshops
Semi-formal
Semi-formal attire consists of, dark suits and semi-formal or cocktail dresses
Semi-formal is required to be worn at the following events:
Governor’s Banquet Semiformal
Clothing
Business Casual attire:
Shirts Pants/Skirt/Dress Shoes Socks
Semi-Formal attire:
Dress Dress Shirt Jacket/Blazer Tie Slacks Socks
Casual attire:
CKI t-shirt Jeans Tennis Shoes Socks Winter Jacket
Pajamas
Undergarments
Toiletries
Body wash Shampoo/ Conditioner Toothbrush/toothpaste Hairbrush/Comb Deodorant Other personal items
Other Items
Medical Form and insurance information Club Scrapbook Club Shirt Phone Charger
PROGRAM ADVERTISEMENT FORM
Name (or Company Name): ____________________________________________
Address: ___________________________________________________________
City: _____________________ State: ___ Zip: _______
Phone Number: (____)_______________ Email: ______________________
__ Full Page Advertisements (8.5” X 5.5”) $50
__ Half Page Advertisements (4.25” X 5.5”) $30
__ Your name mentioned as a patron with an optional one line (100 characters) ad or message - $10
Message:____________________________________________________________________________________________________________________________________________________
__ Senior Gift Sponsorship (1 only) - $150 (includes full-page ad and label on gift)
Please include your copy-ready advertisement with your payment and send to the following address:
The Ohio District Circle K | 941 Chatham Ln, Suite 326, Columbus, OH 43221
All checks should be made payable to Ohio District Circle K. All payments and copy-ready advertisements must be received by Monday, January 22nd, 2018. If you would prefer to send an electronic copy of your advertisement, please email the advertisement in the form of a Microsoft Word, Microsoft PowerPoint, or Adobe Acrobat (PDF) document to Governor Bethany Sara at [email protected] no later than Monday, January 22nd, 2018.
If you do choose to email the advertisement, the payment for the advertisement must still be received by the Ohio District of Circle K no later than Monday, January 22nd, 2018!
Please direct any questions to: Bethany Sara, District Governor Phone: (440) 665-9540 | Email: [email protected]
The 61st Annual Ohio District Circle K Convention will be held from February 16 - February 18 in Bowling Green, OH. If you are interested in attending this event, registration forms are
available on the Ohio Circle K website at www.ohiocki.org.
Dear Kiwanian,
Circle K International (CKI) is the largest collegiate community service and leadership development organization in the world. The Ohio District of Circle K brings service and leadership opportunities to over 400 members in 20 clubs throughout the state. The members of the Ohio District are dedicated to serving their campuses and communities year-round, completing over 15,000 hours of service last year alone.
This year the 61st Annual Ohio District Circle K Convention will be held in Bowling Green, Ohio from February 16 to February 18, 2018 at Bowling Green State University The weekend will be a time for members across the state to gather to elect new district officers, attend various skill building workshops, meet members from other clubs, and participate in service.
You can help make the convention a success by placing an advertisement in the convention program. These advertisements are limited only by your imagination, but provide an ideal opportunity to congratulate people, recognize individual Circle K clubs, advertise your business or place of work, and give thanks to your supporters. Ordering your advertisement is very simple. All you need to do is choose the size you want, create your advertisement, and mail a copy of the completed advertisement to the address below. The sizes and prices are:
Full Page Advertisements (8.5” X 5.5”) - $50
Half Page Advertisements (4.25” X 5.5”) - $30
Back again this year, you have the option of becoming a patron! For $10, you can have your name mentioned in the program, along with an optional message of up to 100 characters.
Make checks payable to Ohio District Circle K and fill out the attached advertising form. Please return the advertising form, copy-ready advertisement (if applicable), and check to the address below by Monday, January 22nd, 2018.
Thank you for your support of the 61st Annual Ohio District Circle K Convention. I am looking forward to an exciting event! Please feel free to contact Governor Bethany Sara at [email protected] if you have any questions or concerns.
In Service,
Ohio District Circle K Board of OfficersThe Ohio District Circle K 941 Chatham Ln, Suite 326
Columbus, OH 43221
District Governor: Similar duties to club president, but on a larger scale. Assist officers in clubs across the state with event planning, recruiting, etc. Lead the district board in planning for the year and planning the district events.
District Secretary-Treasurer: Similar duties to club secretary and treasurer. Takes notes at district board meetings. Reads secretary MRFs and calculates service hours, interclubs, and Kiwanis family relations each month. Helps create budget for the year, collect and disburse district’s money and manage dues process.
Lieutenant Governors: Serve as a liaison between clubs and the district. Visit the division's clubs and help them become better. Provide help in planning events, recruiting, and other general questions from club officers. The Lieutenant Governor also will help people who are trying to start new clubs.
Committee Chairs (selections made by application which will be released after DCON):
Laws, Regulations & Awards: Update and manage the district’s bylaws and policy codes. Prepare amendments for district convention, serve as elections chair at convention, and educate the membership on district and international amendments.
Technology: Update the district's website and social media sites. Maintain the website as a marketing tool and as an archive of past events and communications.
Public Relations: Help clubs market their open houses, events, and their clubs in general.
Member Development and Education: Help clubs reach their membership goals and retain members.
K-Family Chair*: Help clubs work with other branches of the Kiwanis family throughout the year.
Service Chair*: Responsible for promotion of international service partners and events and providing clubs with any necessary service information/resources.
Event Chairs: Plan and promote district events. Fall Rally | DCON | SpOT
Questions? Speak to any District Board Member (or email [email protected]) on how to apply and run for any of these positions! Or, visit the Ohio District website at www.OhioCKI.org for
application forms.
OHIO DISTRICT CIRCLE K SCHOLARSHIPS
The Ohio District Circle K created this scholarship to provide recognition and financial assistance toward education for members of Circle K clubs in the Ohio District. Recipients should demonstrate excellence in all areas of their college experience. The successful applicant will have achieved academic success, leadership abilities, and provided service to others. Financial need is not a factor in this award.
The scholarship will be presented at the Ohio Circle K District Convention February 16th to February 18, 2018.
Qualifications
Be a member in good standing with his/her home club, the Ohio District, and Circle K International.
Have full-time status the academic year the scholarship is awarded and the semester following.
Be enrolled in good standing with said college or university and have a cumulative grade point average of 3.0 or better on a 4.0 scale.
Current elected District Board members of the Ohio District of Circle K International or International Board members are not eligible.
All applicants must submit ALL the following and have all signatures needed to be eligible. Official application form One (1) letter of recommendation from one of the following: Kiwanis advisor, Faculty
advisor or professor One (1) letter of recommendation from a fellow Circle K member An official college or university transcript A letter of verification indicating full time status from the Office of the Registrar or the
Office of the Dean of Students A typed, double spaced essay written by the applicant (shall not exceed 3 pages). Please
remember the quality of the essay is more important than the number of pages you write. The topic is as follows:
Circle K is an organization dedicated to the ideals of service, leadership, and fellowship; Community service is the most visible of the three ideals. How does the ideal of leadership serve the members of Circle K International? What benefit does it provide to the individual member, and how has it affected you personally?
All application materials must be postmarked by Monday, January 22nd, 2018. All application materials received by the Ohio District Circle K will not be returned.
All materials must be mailed to: Ohio District of Circle K
941 Chatham Ln. Suite 326, Columbus, Ohio 43221Please direct questions to Sarah Roush at [email protected]
THE OHIO DISTRICT CIRCLE K SCHOLARSHIP APPLICATION FORM
(PLEASE PRINT)
Name___________________________________ Circle K Club __________________________
School Address_________________________________________________________________
Permanent Address______________________________________________________________
E-mail Address _________________________________________________________________
Please provide the name, address and phone number to your school’s Bursar Office: ______________________________________________________________________________
Will you be in Circle K next year? (Please circle one) Yes or No
If no, please explain: ________________________________________________________
Year in school _________ Graduation Date _________
Semester/Quarter and year joined Circle K __________
Club Involvement - Check the percentage of the following which you attended or participated in during this academic year
0-24% 25-49% 50-74% 75-100%
Club Meetings
Club Service ProjectsClub Fundraisers
Club Socials
List all activities and organizations other than Circle K that you are involved with including leadership positions (use additional paper as necessary) Organization Dates of Service Leadership Positions
How many new/prospective members did you bring to CKI events this academic year? ______
List all Circle K officer and committee positions you have held (include the dates served) Leadership Position Dates of Service Comments
List all division, district and international events you have attended over the past year (i.e. division rallies, board meetings, conferences, conventions, LSSP, etc.) Event Date Event Date
How many Circle K District Conventions have you attended? ________
How many Circle K International Conventions have you attended? _______
I hereby certify that the information included with this application is correct to the best of my knowledge and the applicant has written the enclosed essay.
______________________________________________________________ Applicant’s Signature Date ______________________________________________________________ Circle K Club President Signature Date ______________________________________________________________ Kiwanis Advisor Signature Date ______________________________________________________________ Faculty Advisor Signature Date
GUEST REGISTRATION FORM
Name: _______________________________________
Additional Guests: ____________________________________
Address: ______________________________________________________________
Phone: ( _ ) __________ Email:_______________________________
I am a(n):
__ Alumnus __ Past District Board Member; Year and Position: __________________
__ Guest __ Past International Board Member; Year and Position: _____________
__ Key Clubber; Chaperone and their phone_________________
__ Kiwanian; Kiwanis club: ________________
Number of Guests Price/Guest Total
Guests stopping by sometime during the weekend ______ x $ 45.00 = $______
Friday Night Hotel Room ______ x$100.00 = $ ______
Saturday Night Hotel Room ______ x$100.00 = $______
Saturday Dinner Banquet ______ x $ 25.00 = $______
Sunday K Family Lunch ______ x $ 20.00 = $______
Ohio District T-Shirt: Please select size and how many ______ x $ 10.00 = $______
Donation to Ohio District Circle K $______
TOTAL $ _____
Note: Donations to Ohio District Circle K are NOT Tax-Deductible.
ADDITIONAL INFORMATION
__ Please check here if you have any dietary restrictions: _______________________________
__ Please check here if you require a handicap accessible hotel room.
Circle Payment Type: Check Visa MasterCard Discover
Credit Card Number: ________________________________ Expiration Date: ________
Billing Address: ________________________________________________________________
3 Digit Security Code: _______ Signature on Card: ____________________________________
Forms must be postmarked by Wednesday, January 1, 2018.
Payment must accompany this form.
All checks should be made payable to Ohio District Circle K and mailed, along with forms, to:
The Ohio District Circle K
941 Chatham Lane, Suite 326
Columbus, OH 43221
Please direct questions to Sarah Roush at [email protected]
Refund Policy: All refund requests must be sent in writing to the District Office. A full refund will be given if requested prior to the registration deadline, January 22, 2018. A 50% refund will be given if requested during the time between January 22, 2018 and January 29, 2018. No refunds will be given after January 29, 2018. Emergencies will be handled on a case-by-case basis and must be approved by Administrator Jon Freeman. All approved refunds will be issued within two weeks of the event’s completion.
