Progress & Application Chart for District 5930 Exemplary Club Award for 2016-2017

Deadline for submission of completed application to District Governor is June 30, 2017.

Name of Club: ______

Club President: ______

Club President’s e-mail: ______

Club President’s cell with area code: ______

Goal Status Date Qualification Requirements:

1. In good standing with the IRS 2. Per Rotary International, club qualifications for the Rotary International Presidential Citation for 2016-17, with the required information submitted in Rotary Club Central. 3. Reported club officers for the upcoming Rotary year to [email protected] no later than the end of May 2017

Successfully complete any 5 of the 6 following requirements:

1. Completed qualifications as a Premier Club in the District 5930 2016-17 IGNITE Program, with FINAL completed scorecard submitted to Lieutenant Governor for Membership no later than June 10, 2017. 2. Sponsored (or co-sponsored) and completed a community service project that provides service in one of the six Rotary Foundation “Areas of Focus.” Describe Project, Completion Date, and Area of Focus:

(Name and Description of project)

Completion Date: ______

Area of Focus: ______

3. Participated as a sponsor, associate sponsor, or contributor in a Rotary Project that provides service in one of the six Rotary Foundation “Areas of Focus” in another country. (Club’s minimum financial participation is $10 per Club Member.)

(Name and Description of project and financial participation)

Area of Focus: ______

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1 Updated for District Assembly April 22, 2016 DG High Goal Status Date 4. Participated in at least two of the following District 5930 Youth Services Programs by sponsoring or co-sponsoring a: a. Four-Way Test Contest participant b. RYLA participant c. Early Act First Knight d. Rotaract Club e. Interact Club f. Youth Exchange Program g. Adoption Awareness Picnic h. Global Grant i. District Grant Scholar

Indicate which Programs and provide applicable names and dates: 1. 2.

5. Club President attended 2016 Lone Star PETS or a PETS Alliance Multi- District PETS make-up 6. At least 2 Club officers and/or Club members attended the April 22, 2016 District Assembly in Laredo. Provide names of 2: 1. 2.

Note: Please contact AG Juan Lira ([email protected]; 956-744-6039), if you have any questions or need additional information.

Name of Club: ______