Election Certification

Division Election Form

This field is for validation purposes and should be left unchanged.

The following Kiwanian was elected as Lt. Governor for the division and year indicated below:

Year Serving(Required)

From the drop down menu choose the Kiwanis year the elected Lt. Governor will serve.

Division Name(Required)

Date Elected(Required)

Club Name(Required)

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)

Email(Required)

Did you also elect a Lt. Governor-Elect?(Required)

Yes

The following Kiwanian was elected as Lt. Governor-elect for the Division and year indicated below:

Year Serving(Required)

From the drop down menu choose the Kiwanis year the elected Lt. Governor will serve.

Division Name(Required)

Date Elected(Required)

Club Name(Required)

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)

Email(Required)

I certify the election for the Lt. Governor and/or Lt. Governor-elect as submitted.

Name(Required)

First Last

Email(Required)

	November 2025
Mon	Tue	Wed	Thu	Fri	Sat	Sun
					1	2
3	4	5	6	7	8	9
10 Monthly Club Reports Due Monthly Club Reports Due November 10, 2025 See more details •	11	12	13	14	15	16
17	18	19	20	21	22	23
24	25	26	27	28	29	30