District Governor
Roger N. Messer
11172 SW Mirrorlake Cove
Port St. Lucie, FL 34986-2006
Res: 772-340-4670
rogrm6@aol.com
District Chairman
Phyllis Kennerk
9855 Holly Street
Sebastian, FL 32976-3101
772-664-1839
erkjpkennerk@msn.com

GOVERNOR'S ACHIEVEMENT AWARD

  Date
1.            Read the Lions manual (new member kit) and serve as a Lion Greeter at four meetings.

2.            Attend two Board of Directors meetings.

3.            Attend a Zone Meeting.

4.            Actively participate in two (2) Club projects.

5.            Attend two other Club meetings, or visit the Florida Lions Camp or Conklin Center.

6.            Attend two (2) Club social functions.

7.            Obtain one (1) eye will.

8.           % Attend 75% or better of the Club meetings.

9.            Attend one (1) District Cabinet meeting or Eye Bank meeting.

10.            Invite one guest to a Lions Club meeting.

The Membership Chairman will date and initial each item of achievement as accomplished and secure the certification by the Club Secretary.

NAME (Member):                                                                   Date Inducted:                      

We certify that Lion has met all of the requirements for the Governor's Achievement Award.

Secretary of Club Signature                                                      Date:                  

Membership Chairman Signature                                               Date:                 

RETURN COMPLETED FORM TO THE DISTRICT CHAIRMAN

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Last updated: 01/29/2008 20:10