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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