# Ex. D District Hall of Fame Nomination Form

* Date:
* Candidate’s Name:
* Candidate’s Address:
* Candidate’s Phone #:
* Candidate’s Immediate
* Family:
* Family Addresses:
* Sponsor:
* Sponsor
* Contact
* Information:

CRITERIA:

* Date Candidate joined Lions:
* Candidate’s current Club:
* List of all clubs in which Candidate has held membership:
* List Past Club Offices held:
* List Current Club Offices:
* District positions held:
* LCI positions held:
* List all Lion’s awards and honors received:
* Is the candidate a Life Member of District37 or LCI? 
  * If so, how long?
* How many new members has the candidate sponsored?
* State reasons why you think this member is a worthy candidate for the\
  District 37 Hall of Fame:<br>
* List any other information that you feel may be applicable:
* Please feel free to include any news articles.

**Note:** This form/application must be filed with the District Governor at least\
30 days before the District Convention


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