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:

• 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