People of Action Award Nomination Form
Rotary is full of PEOPLE OF ACTION - people who see issues in their community and the world, and take action to resolve these issues.

At the 2018 District 7170 Conference - May 18-20, we will honor people of action from each club, Interact, Rotaract, or Rotary Community Corp.

Eligibility Requirements:
Each club is eligible to nominate ONE Rotarian (and clubs that sponsor an Interact, Rotaract, or Rotary Community Corp. may nominate a member of those groups as well.) Eligible nominees must be a registered attendee at the District Conference (clubs may wish to sponsor their registration costs) and 2017-18 club presidents may not be nominated. Nominations must be received by April 18, 2018.

Nominees meeting these eligibility requirements will be honored at the District Conference.

Your Name (first and last name) *
Your answer
Club Name *
Your answer
Your Preferred Email Address *
Your answer
Nominee Name (first and last name) *
Your answer
Nominee Club Name (if sponsored Interact, Rotaract or Rotary Community Corp)
Your answer
Nominee Club Position Held (note that 2017-18 club presidents are not eligible) *
Your answer
Nominee Years of Service *
Your answer
In one sentence, tell us how this person is a person of action *
Your answer
Has the nominee registered for the District Conference - May 18-20, 2018? *
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