CLUB LEVEL:

Has served in the office of ____________________________ this year.

Has secured _______________________________ eye wills this contest period.

Has sponsored _____________ new members into Lionism this contest period.

Has reactivated ___________ Lions who had dropped out for various reasons.

Has worked faithfully on the following committees, doing outstanding work especially in the area of:

____ Club Improvement _____ Public Relations

 _____ SightFirst/Conservation

_____ Youth Work _____ Convention _____ Program

_____ Membership _____ Leo Club _____ Hearing & Speech

_____ Greeter _____ Bulletin _____ Specify Other

_____ Talked on Lionism to outside group 

_____ Wrote a published article on Lionism

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Each committee activity should be in a separate paragraph, preferably on attached enclosure. (With man hours and money raised or spent). Put any other pertinent activity that should be brought to the attention of this committee in this nominees behalf in attached enclosure.

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DISTRICT LEVEL:

Has served on __________________________district committee(s) (with resume’)

Has attended _____Zone Meetings _____ Candy Day

_____Cabinet Meetings_____ White Cane Day

 _____ Council Meetings _____ Lions World Service Day

_____ MD Convention _____ District Convention

_____ International Convention _____ USA/Canada Forum

Has worked on the following activities or projects of the district:

_____ Eye Bank _____ Youth Exchange 

_____ Inter-club Relations_____ Extension 

_____ Leader Dog for the Blind _____ Lions or Leo Clubs

_____ Golden Chain _____ Lions Camp 

_____ Hearing Aid/Blood Bank_____ L.C.I.F. _____ Care

 _____ Conklin Center_____ Florida Lions Foundation 

_____ Southeastern Guide Dog _____ Other

Specify any others__________________________________

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Please give details of work in separate paragraphs on attached enclosures with man hours and money raised or spent. Any other activity that may be pertinent to this committee in this Lions behalf should be noted on the attached enclosures.

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____________________________________   ___________

Signed by Sub-District Committee Chair            Date