# Ex. D: Nominating Committee Checklist District Governor Candidate

Name of Candidate: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Name of Candidate’s Lions Club:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Date of Nominating Committee Meeting:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Date of Election:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Candidate has submitted sufficient evidence showing that he/she has met the following Requirements:

* [ ]  Candidate is an active member in good standing of a chartered Lions Club in Good Standing\* in his/her single or sub-district. 
* [ ] Candidate endorsed by his/her Lions Club or a majority of the Lions Clubs in the District. 
* [ ] Candidate is currently serving as the first vice district governor within this district.

In the event the current first vice district governor does not stand for election as district governor, or if a vacancy in the position of first vice district governor exists at the time of the district convention, the candidate fulfills the following qualifications:

{% columns %}
{% column %}

* [ ] Club President
* [ ] Club Board of Directors
* [ ] District Cabinet (check one) 
* [ ] Zone or Region Chairperson Year Served 
* [ ] Cabinet Secretary and/or Treasurer) Year Served 
* [ ] One (1) additional year as a member of district cabinet \
  Position held: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ 
* [ ] With none of the above being accomplished concurrently.
  {% endcolumn %}

{% column %}

*  Year Served\_\_\_\_
* Two (2) Years Served  \_\_\_\_\_\_\_\_\_
*  
* Year Served\_\_\_\_
* Year Served\_\_\_\_
*  
*  
* Year Served\_\_\_\_
  {% endcolumn %}
  {% endcolumns %}

*\*Please note that if the club has any outstanding dues, the candidate should be notified and provided up until fifteen (15) days prior to the close of credential certification to ensure that his/her club pay outstanding dues.*

I have reviewed this checklist and certify that the candidate listed above has met the requirements for District Governor in accordance with the International By-Laws, Article IX, Section 4.

Nominating Committee Chairperson\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_      Date\_\_\_\_\_\_\_\_\_\_

Nominating Committee Member\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_             Date\_\_\_\_\_\_\_\_\_\_ 


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