Rotary District 7750 Membership Event Grant Reimbursement Request & Completion Report
Please complete this form to request reimbursement for your Membership Event  
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Email *
Name *
Club Name *
Title of Event *
Date of Event *
MM
/
DD
/
YYYY
Location/Venue *
Number of Prospects Present *
Number of "Potential Members" entered in DACdb *
Status/Quality of Prospects
Please enter quantities of prospects in each category below - should add to total number of prospects present (above)
Application Completed and Likely Member
Strong Prospect in next 3 months
Prospect over Next Year
Longer Term Prospect
Not Interested (any time soon)
Summary of Event -- Assess its value and success in membership growth.  Would you do another similar event?  When?
Follow-up -- Describe intentional follow-up strategies with prospects not yet committed
Event Feedback
Please let us know your opinions about the Membership Event Grants program overall, and ways it could be improved
How effective is the D7750 Membership Grant program for stimulating potential new members?
Clear selection
For your club, how effective was an intentional membership event, compared to other strategies?
Clear selection
What suggestions to you have to improve the Membership Event Grants program overall?  
A copy of your responses will be emailed to the address you provided.
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