D33 Club Ambassador Program (CAP) Form
Dear Club Ambassadors,
Please give us your feedback about the Club you visited between November 1, 2017 and April 30, 2018
Email address *
Your Name *
Enter Both First and Last Name Please
Your answer
Your Home Club Name and/or Number *
Your answer
Name and/or Number of the Club You Visited *
Your answer
Date of Your Visit *
MM
/
DD
/
YYYY
Name of the Presiding Officer at the Club *
Enter Both First and Last Name Please
Your answer
Function/Role Performed during visit *
Required
What did you admire most about this clubs practices? *
Your answer
What best practice would you take back to your club? *
Describe any practice that you observed which could help your club.
Your answer
What one thing do you think would have made this meeting experience even better?
Your answer
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