District Governor
Roger N. Messer
11172 SW Mirrorlake Cove
Port St. Lucie, FL 34986-2006
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
Transfers

  Date

1.            Visit the Florida Lions Camp or attend a lecture from a camp representative..

2.            Attend two Board of Directors meetings or your Club.

3.            Attend a Zone Meeting.

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

5.            Attend two other Club meetings, or the Multiple District Convention.

6.            Attend two (2) Club social functions.

7.            Visit Southeastern Guide Dogs School or attend a Council of Governors meeting.

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

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

10.            Visit the Millard Conklin Center, or attend a lecture from a Center representative..

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

NAME (Member):                                                                   Date transferred:                      
New Club Name:                                                   Old Club Name:                                     

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