MEM_OctoberMembershipGrowthAwardNominationForm

Leo October Membership Growth Award Nomination Form

This award may be presented to any Leo who recruits and reports three or more new members during October. Leo club advisors must submit by November 15.
Are you a Leo Club Advisor?*

YesNo
Thank you for your interest in filling out the Leo October Membership Growth Award Nomination Form.

Please note that this form should only be completed by Leo Club Advisors. If you have any questions, please reach out to us at leo@lionsclubs.org.

Recipient Information
Leo Member Name:*
Leo Member Name as requested for certificate:
Lions International Member ID:*
Leo Club Name:*
Leo Club Number: *
Number of New Leo Members Recruited:*
Language for certificate:*
Newly recruited Leo club members must be added to the Leo club roster in the Lion Portal in the month of October.
Newly recruited Leo Club Member #1
New Leo Member Name:*
Leo Member ID: *
Date reported in the Lion Portal:*

MonthDayYear
Only Leos reported during the month of October qualify.
Newly recruited Leo Club Member #2
New Leo Member Name:*
Leo Member ID: *
Date reported in the Lion Portal:*

MonthDayYear
Only Leos reported during the month of October qualify.
Newly recruited Leo Club Member #3
New Leo Member Name:*
Leo Member ID: *
Date reported in the Lion Portal:*

MonthDayYear
Only Leos reported during the month of October qualify.
If the recipient recruited more than three Leos, you do not need to submit an additional report. Duplicate applications for the same recipient will not be accepted.

Leo October Membership Growth Award Nomination Form