DISTRICT 5810 AWARDS NOMINATION

 

 

 

 
 
This form can be used to nominate a Club or an Individual Rotarian for an Award.
You can nominate either a Club or an Individual for an Award.
If you have a nomination for both a Club and an Individual Award, or multiple Awards, in either or both categories, please enter and submit each one separately.
NOTE: Nominations for Rotary Club Of The Year require a special nomination form.
Click for a printable Rotary Club Of The Year Nomination form.
Please select either a Club Award or an Individual Award.
Name of District Award:  
Club Award:
Individual Award::
If this a Club Award, select the Club you are nominating.
Name of Club being nominated:                     
If this is an Individual Award, enter the Rotarian's name and his Club.
Name of Rotarian being nominated:                  
Nominated Rotarian's Club:
Rotarian making the nomination.
Name of Rotarian making the nomination: 
Name of your Club:                                      
Your telephone Number:            
Your Cell Number:
Indicate the reasons why the Club or Rotarian you nomionated should be honored.
Reasons supporting the nomination:
Please click the Submit Button to send your nomination to the Awards Committee.
 
If you have additional documentation supporting the nomination read the statement below!

 

Submit any supporting documentation that may be helpful to  the Awards Committee.
Return by July 5, 2008 to:
  
Al Lewis
  
Fax: 214-275-0504 
 
Mail to: 6202 Anita St. Dallas, TX 75214
  
Phone: 214-275-0503