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CLUB BUILDER AWARD

ORDER FORM FOR DISTRICT GOVERNORS
The Club Builder Award recognizes Rotarians who have made a significant impact in supporting and strengthening
their Rotary clubs. Current district governors may request up to 10 award certificates to grant to deserving
Rotarians in their districts.

CRITERIA AND ELIGIBILITY

The nominee must be an active Rotarian in good standing, with at least five years of membership.
The following officers are ineligible for this award:
Current club presidents
Current, incoming, or immediate past district governors
Current, incoming, or past RI directors
Candidates must have done the following:
o Recruited at least five members who are active Rotarians at the time of nomination
o Participated in Rotary training in their club
o Participated in at least one meaningful club-level vocational service project
o Attended at least two district meetings in the three years immediately preceding nomination

Eligible candidates must be recommended by three past presidents of their own club (or of a past club if they have
belonged to their current club for less than three years). District governors should form a selection committee of
three past governors to select the district recipients. After an award has been made, the name of the winner should
be published in the governors monthly communication.

ORDER INFORMATION
Number of Certificates A4 Size Letter Size
Certificate Language (maximum of 10) (210 x 297 mm) (8.5 x 11 in)
English
French
Italian
Japanese Not available
Korean
Portuguese
Spanish
Publication # 401 Publication # 402

DELIVERY INFORMATION

District Governors Name District Governors Member ID Rotary District Number

Address City, State, Postal Code Country

Phone Email Address

Submit this order form to RIs Distribution Center: Email: shop.rotary@rotary.org

Fax: +1-847-866-3276
Phone: +1-847-866-4600