Tk 21A Form PDF Details

When it comes to fostering community engagement and facilitating membership in service-oriented clubs, structured yet flexible processes are crucial. The TK 21A form stands as a testament to this philosophy, serving a vital role in the charter membership registration within the Lions Clubs International (LCI). This form, available for submission online via the MyLCI platform or through direct submission to LCI, ensures that the foundational steps to establishing or expanding a club are both systematic and personalized. It collects essential information about each charter member, ranging from basic identification details to specific categorizations such as family and student memberships, thereby tailoring the membership to meet individual circumstances. The form takes into account various membership types, including transfer and family members, offering different dues arrangements and acknowledging the special status of former Leos and young adults through dues discounts or waivers. Additionally, it provides space for key codes that relate to verifying familial relationships and student status, which is indicative of LCI's commitment to a detailed and inclusive approach to membership categorization. This framework not only streamlines the process of adding new charter members but also highlights LCI's adaptive methodologies in growing its global community through tailored membership criteria, ensuring each member’s unique situation is recognized and accommodated.

QuestionAnswer
Form NameTk 21A Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other nameslions charter, charter lions codes, lions report members, report charter membership

Form Preview Example

R E P O R T O F C H A R T E R M E M B E R S H I P W O R K S H E E T

Submit online at MyLCI on the LCI website prior to charter approval or use to add additional charter members and submit to LCI.

NAME OF CLUB_________________________________________________DISTRICT _______________________COUNTRY ____________________

________________________________________________________________

 

FIRST NAME

 

LAST NAME

 

POSTAL ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

STATE/PROVINCE

ZIP/POSTAL CODE

COUNTRY

YEAR OF BIRTH

GENDER

 

 

 

 

 

 

 

(REQUIRED)

o Male

 

 

 

 

 

 

 

 

o Female

 

 

 

 

 

 

 

 

 

 

 

TELEPHONE NUMBER

EMAIL

 

FORMER MEMBER OR TRANSFER? IF YES, PROVIDE NAME OF CLUB

 

 

 

 

 

o YES o NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

o FAMILY MEMBER

 

 

 

 

o FORMER LEO/YOUNG ADULT: SUBMIT LL2

 

 

 

HEAD OF HOUSEHOLD NAME: __________________________________________________________________

o STUDENT MEMBER: KEY CODES 1. __________

2. ___________

 

 

KEY CODES: 1. __________ 2. __________ 3. __________

 

 

o GRADUATION YEAR: _________

 

 

 

 

 

 

 

 

 

 

 

 

 

FIRST NAME

 

LAST NAME

 

POSTAL ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

STATE/PROVINCE

ZIP/POSTAL CODE

COUNTRY

YEAR OF BIRTH

GENDER

 

 

 

 

 

 

 

(REQUIRED)

o Male

 

 

 

 

 

 

 

 

o Female

 

 

 

 

 

 

 

 

 

 

TELEPHONE NUMBER

EMAIL

 

FORMER MEMBER OR TRANSFER? IF YES, PROVIDE NAME OF CLUB

 

 

 

 

 

o YES o NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

o FAMILY MEMBER

 

 

 

 

o FORMER LEO/YOUNG ADULT: SUBMIT LL2

 

 

 

HEAD OF HOUSEHOLD NAME: __________________________________________________________________

o STUDENT MEMBER: KEY CODES 1. __________

2. ___________

 

 

KEY CODES: 1. __________ 2. __________ 3. __________

 

 

o GRADUATION YEAR: _________

 

 

 

 

 

 

 

 

 

 

 

 

 

FIRST NAME

 

LAST NAME

 

POSTAL ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

STATE/PROVINCE

ZIP/POSTAL CODE

COUNTRY

YEAR OF BIRTH

GENDER

 

 

 

 

 

 

 

(REQUIRED)

o Male

 

 

 

 

 

 

 

 

o Female

 

 

 

 

 

 

 

 

 

 

TELEPHONE NUMBER

EMAIL

 

FORMER MEMBER OR TRANSFER? IF YES, PROVIDE NAME OF CLUB

 

 

 

 

 

o YES o NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

o FAMILY MEMBER

 

 

 

 

o FORMER LEO/YOUNG ADULT: SUBMIT LL2

 

 

 

HEAD OF HOUSEHOLD NAME: __________________________________________________________________

o STUDENT MEMBER: KEY CODES 1. __________

2. ___________

 

 

KEY CODES: 1. __________ 2. __________ 3. __________

 

 

o GRADUATION YEAR: _________

 

 

 

 

 

 

 

 

 

 

 

 

 

FIRST NAME

 

LAST NAME

 

POSTAL ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

STATE/PROVINCE

ZIP/POSTAL CODE

COUNTRY

YEAR OF BIRTH

GENDER

 

 

 

 

 

 

 

(REQUIRED)

o Male

 

 

 

 

 

 

 

 

o Female

 

 

 

 

 

 

 

 

 

 

TELEPHONE NUMBER

EMAIL

 

FORMER MEMBER OR TRANSFER? IF YES, PROVIDE NAME OF CLUB

 

 

 

 

 

o YES o NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

o FAMILY MEMBER

 

 

 

 

o FORMER LEO/YOUNG ADULT: SUBMIT LL2

 

 

 

HEAD OF HOUSEHOLD NAME: __________________________________________________________________

o STUDENT MEMBER: KEY CODES 1. __________

2. ___________

 

 

KEY CODES: 1. __________ 2. __________ 3. __________

 

 

o GRADUATION YEAR: _________

 

 

 

 

 

 

 

 

 

 

 

 

SPACE FOR OFFICE USE ONLY

CM/FM - $35 _____ TCM/TFM - $20 _____ STU - $0/$21.50 _____ LL/YA - $0 _____

TOTAL ____________

 

Page _____ of _____

M E M B E R S H I P T Y P E Q U A L I F I C A T I O N C R I T E R I A

TRANSFER MEMBERS

Members who transfer within 12 months from another club into the chartering club are considered transfer members and pay a transfer charter fee of US$20. Transfer charter members must be transferred in good standing from the former club to qualify for transfer member status.

FAMILY MEMBERS

The Family Membership Program provides families with the opportunity to receive a special dues discount when they join a Lions club together. The first family member (head of household) pays full international dues (US$43), and up to four additional family members pay only half the international dues (US$21.50). All family members pay the one-time charter fee of US$35.

The Family Membership Program is open to family members who are (1) eligible for Lions membership, (2) currently in or joining the same club, and (3) living in the same household and related by birth, marriage or other legal relationship. Common household family members include parents, children, spouses, aunts and uncles, cousins, grandparents, in-laws and legal dependents.

Family membership is limited to no more than five qualifying members per household, and new clubs must have a minimum of ten full-paying members. Same-household residency is not required for family members under age 26 if they are pursuing higher education or serving in their country’s military.

Please use the key codes, provided below, to report the (1) relationship to the head of household, (2) document used for relationship verification, and

(3) document used for address verification.

 

 

KEY CODES

 

1. Relationship to Head of Household

 

 

 

SP – Spouse/Partner

SB – Sibling

AT – Aunt

MS – In Military or School

CD – Child

GP – Grandparent

UC – Uncle

OL – Other Legal

PT – Parent

CN – Cousin

IN – In-Law

 

2. Verification of Relationship

ML – Marriage LicenseBC – Birth CertificateNT – NotaryOT – Other RS – Certificate of Religious Sacrament (Baptism, First Communion, Confirmation, Bar Mitzvah, Bat Mitzvah, Bris, Etc.)

3.Verification of Address

ST – Government Issued/State/Province Identification Card (showing common last name/address)

DL – Drivers License

BL – Bill

NT – Notary

OT – Other

PP – Passport

BS – Bank Statement

 

 

STUDENT MEMBERS

Students between the age of legal majority and through age 30 joining any type of Lions club qualify for the Student Member Program and pay no charter fee and half international dues. Students over age 30 and joining a Campus Lions club pay a US$10 charter fee and full international dues.

Students of new Campus Lions clubs, or clubs with a majority of students, must prepay one year of international dues at the student member rate.

Please use the key codes provided below to confirm proof of enrolment and verification of age. Please also specify the students anticipated graduation date.

 

 

KEY CODES

 

 

1.

Proof of Enrollment

 

 

 

 

ID – Student ID Card

TR – Transcript

BL – Bill

OT – Other

 

CS – Class Schedule

 

 

 

2.

Verification of Age

 

 

 

 

DR – Drivers License

SC – State Identification Card

BC – Birth Certificate

PP – Passport

LEO LIONS/FORMER LEOS

All former Leos receive a charter fee waiver. Former Leos between the age of legal majority and through age 30, who have been a leo for at least a year and a day, are are considered Leo Lions, and pay only half international dues. Submit the LEO TO LION CERTIfiCATION AND YEARS OF SERVICE TRANSFER FORM (LL-2).

YOUNG ADULTS

Young adults, through age 30, receive a charter fee waiver and pay half international dues when joining a Leo Lions club with at least 10 former Leos.

Submit the LEO TO LION CERTIfiCATION AND YEARS OF SERVICE TRANSFER FORM (LL-2).

TK-21A EN 11/17

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charter application lions writing process explained (part 1)

2. Right after performing the last section, head on to the subsequent step and fill in the essential details in all these blanks - o FAMILY MEMBER, o FORMER LEOYOUNG ADULT SUBMIT LL, HEAD OF HOUSEHOLD NAME o STUDENT, KEY CODES, o GRADUATION YEAR, FIRST NAME LAST NAME POSTAL ADDRESS, CITY STATEPROVINCE ZIPPOSTAL CODE, REQUIRED, GENDER o Male o Female, TELEPHONE NUMBER, EMAIL, FORMER MEMBER OR TRANSFER IF YES, o FAMILY MEMBER, o FORMER LEOYOUNG ADULT SUBMIT LL, and HEAD OF HOUSEHOLD NAME o STUDENT.

charter application lions conclusion process detailed (step 2)

3. Through this part, look at FORMER MEMBER OR TRANSFER IF YES, o FAMILY MEMBER, o FORMER LEOYOUNG ADULT SUBMIT LL, HEAD OF HOUSEHOLD NAME o STUDENT, KEY CODES, o GRADUATION YEAR, SPACE FOR OFFICE USE ONLY, CMFM TCMTFM STU LLYA, TOTAL, and Page of. Each of these should be taken care of with utmost precision.

Filling out part 3 in charter application lions

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