DISTRICT GOVERNOR
DISTRICT CHAIRMAN
ORDER OF THE GOLDEN CHAIN AFFIDAVIT
(PLEASE PRINT)
CLUB:
President:
Secretary:
LION Basic Medal Tab Year _________
Eligibility: Any Lion who completes the following requirements
between January 1 and December 31 of the same calendar year may earn the Golden
Chain award each year the Lion meets the qualifications.
Requirements: The Order of the Golden Chain contains two equally
important parts. Part I includes five activities which are mandatory. Part II.
Lists twenty activities a Lion may participate in. To qualify a Lion must
complete all five mandatory activities in part I and complete eleven of the
twenty options in part II. Completion of Part I and Part II on or before
December 31 qualifies the Lion for the award. The completed Affidavits must be
mailed to the District Chairman of the Golden Chain Award Committee - POST MARK
DEADLINE, JANUARY 31 of the year following qualification.
PART I. MANDATORY
A. A Lion must attend a minimum of 75% of their regular meetings during the
qualified period.
Regular attendance rules are in effect. Attendance %
B. Sign up a NEW member in a Lions Club and help the Lion become an active
member.
Name:
Club:
Induction Date:
C. Attend a Board of Director's meeting for your club.
Date:
D. Be active as a committee member for your club Committee:
Date:
E. Attend a Zone, Cabinet or Council of Governor's meeting.
Meeting type:
Date:
PART II. MUST COMPLETE 11 OF 20
1. Serve as active Chairman of internal or external committee for your club.
Committee:
2. Submit a complete plan for a new project to the local Board of Directors.
Date:
3. Serve as an Officer or Director for your club or visit one of our four
Florida Eye Banks.
Office:
or Date of Visit:
4. Write an acceptable article for publication covering some phase of a project
activity for local or state publication. (Lions Magazine or for a newspaper or
radio or TV Station)
Article:
Date:
Publication:
5. Attend a Council of Governor's meeting in addition to required activities or
visit the Conklin Center.
Meeting/Visit:
Date:
6. Attend a Zone or Cabinet meeting in addition to required activities.
Meeting:
Date:
7. Send five eye wills to an eye bank. Eye Bank
Date(s)
8. Serve as a speaker at a non-lion meeting in support of a Lions project or
make a second official visitation to a regular meeting of another Club.
Activity:
Date:
9. Serve as a member of a successful extension team and make three (3)
visitations within the qualification period after club is chartered or visit the
FL Lions Camp for the Visually Handicapped. Activity:
Date:
10. Serve as a District Chairman, Co-Chairman, or Vice Chairman or attend a Zone
meeting in another Zone.
Position:
or Zone:
Date:
11. Serve as a cabinet officer or participate in an activity determined by your
Club in addition to options 19 and 20
Activity:
Date:
12. Reactivate a dropped member or have perfect attendance during qualifying
period. Make up rules effective.
Members Name: Date
Inducted:
or 100%Attendance
13. Introduce a prospect to a club; sign the person up and
help the Lion become an active Lion. Must be in addition to requirement B in
mandatory section). Members Name:
Date Inducted:
Club:
14. Visit a regular membership meeting of another club. Club Name:
Date:
15. Participate in the presentation of the orientation or outreach program.
Date:
16. Give invocation or benediction at a Lions meeting or lead the club in
singing or the Lions Toast. Date:
17. Contribute a pint of blood to the Lions Blood Bank or get someone else
to contribute or attend a second Board of Directors meeting. Activity:
Date:
18. Attend an Eye Bank meeting or Florida Lions Foundation for the Blind
Board of Directors meeting. Activity:
Date:
19. Participate in an activity determined by your club. Activity:
Date:
20. Participate in an activity determined by your club. Activity:
Date:
Secretary:
Date:
Membership Director:
Date:
MUST BE POSTMARKED ON OR BEFORE JANUARY 31ST.
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