District Governor’s Excellence Award - Zone Advisory Reporting 2018-2019
Complete the Zone Advisory form, entering your information below each applicable question. There is space for additional information at the end of the form.

MARK ONLY THOSE ITEMS PERTAINING TO THE REPORTING PERIOD.

Eligibility for the Governor's Excellence Award is based on
1. Monthly submission of membership reports to LCI
2. Monthly submission of service reports to LCI
3. Responses per the quarterly submission of this Zone Report

COMPLETING THE FORM
Print a copy for your records. (Click the three dots/bars in the upper right corner and choose the Print option)

Then, click the Submit button to send your report.

If you have questions or need assistance, contact PCC Sharon Parker at s_parker121@msn.com or 440-670-6251.

Email Address *
Your answer
Club Name *
Your answer
Zone *
Your answer
Report Period *
ADMINISTRATION
MEMBERSHIP AND EXTENSION
Any TWO
Check all that apply.
ATTENDANCE AND EXTENSION
Select which Zone Meeting you are reporting for and then check / list officers and members that attended. Award requires attendance at 2 of the 3 zone advisory meetings.
Attended Zone Advisory Meeting
Description of recent representation for Zone Advisory meeting - Who from your club attended?
Your answer
2018-2019 Officers’ Training School
TWO Club representatives must attend.
REPRESENTATION IN 2018-2019
Award requires at least TWO of the following.
Check all that apply
SERVICE ACTIVITIES
Award requires at least THREE of the following.
Check all that apply.
Description of service activities for Zone Advisory meeting, including activities not specifically listed above
Your answer
DONATIONS
Governor's Excellence Award requires donations to any TWO of the following made prior to the last Zone Advisory Meeting
Community and/or International, State & District Projects
Award requires at least FOUR of the following.
Description of donations for Zone Advisory meeting, especially "community donations" not detailed on list.
Your answer
PUBLIC RELATIONS
At least TWO of the following
Check all that apply
Total Service Hours
(This reporting period ONLY)
Your answer
ADDITIONAL INFORMATION
Use this space to list anything not reported elsewhere.
Your answer
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