Consent and Assurance

Prior to election to the office of Lieutenant Governor of the Division of the Pacific Northwest District of Kiwanis International indicated in the form below, I have been informed of the Duties and Responsibilities of that office and I understand them to be as follows:

  • As Lieutenant Governor-designate, I will attend the District Convention held during the current year (August 25-28, 2022 in Kennewick, Washington), Lt. Governor Training, and will also attend the Club Leadership Education Training in my area, Training Sessions, and Board Meetings held before and after the convention.
  • As Lieutenant Governor-designate, I will arrange and conduct a Training Conference for Club Officers following the District Club Leadership Education (CLE) Training and prior to October 1, 2022.
  • As the Lieutenant Governor-designate, I will make a minimum of one EDUCATION & CONTACT VISIT to each club in the Division. The EDUCATION & CONTACT VISIT will be made prior to October 1, 2022.
  • In addition to the EDUCATION & CONTACT VISIT, I will make and report one OFFICIAL CLUB VISIT and one OFFICIAL BOARD VISIT to each club in the Division during my tenure. This will constitute a minimum of three visitations to each and every club in the Division, either personally or electronically, as part of the Lieutenant Governor’s duties.
  • The required EDUCATION & CONTACT VISIT REPORT will be completed and the report filed by December 1, 2022. The required CLUB VISIT REPORT will be filed by March 15, 2023. The OFFICIAL BOARD VISIT REPORT will be filed by May 31, 2023. I shall also file such other reports as may be requested by Kiwanis International, the Governor, and/or District Secretary.
  • As the Lieutenant Governor, I will attend Club Leadership Education (CLE) Training in my area, the Fall Conference and District Board Meeting (if any – not currently scheduled), the Winter Conference and District Board Meeting (February 17-19, 2023 in Portland, OR), the 2023 District Convention (August 17-20 in Portland, OR), and any other training afforded by the District.
  • Attendance at the International Convention is a highlight of the Lieutenant Governor’s year in office. I will attend if it is at all possible. (June 21-24, 2023 in Minneapolis, MN)
  • As Lieutenant Governor, I shall promote the International, District, and Divisional Programs of Services; and District and Division Goals as set forth by, and under the direction of, the District Governor.
  • As Lieutenant Governor, I will issue a monthly bulletin to the clubs of the Division, the Governor, and the District Secretary.
  • As Lieutenant Governor, I will secure a successor in the manner provided in ARTICLE VII, Section 5 of the District Bylaws. In no event shall the election of a successor be delayed beyond the limits specified in the Bylaws. At the same time, I will secure a qualified individual to serve as Lieutenant Governor-elect for the succeeding year.

LTG Consent and Assurance Form

Contact Information

Indicate the Division you will represent as Lt. Governor.

Response, Signature, and Date

I agree to the duties and responsibilities of Lt. Governor.(Required)
MM slash DD slash YYYY