Leo October Membership Growth Award Nomination Form

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

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

MonthDayYear
Only Leos reported during the month of October qualify.

Recipient Information