District Convention Election Reporting Form

District Convention Election Reporting Form
Please complete this form, along with submitting the convention meeting minutes, to officially record the district’s convention results. Any questions about this process should be directed to districtadministration@lionsclubs.org.
Lion year
Submitter information
First name*
Last name*
Lion title*
District*
Member ID*
Email address (on file with Lions International)*
example@example.com
Convention start date*

MonthDayYear
Date
Convention end date*

MonthDayYear
Date
Elected district governor
YesNo
First name*
Last name*
Member ID*
Phone Number*
Please enter a valid phone number.
Email address (on file with Lions International)*
example@example.com
Elected first vice district governor
YesNo
First name*
Last name*
Member ID*
Phone Number*
Please enter a valid phone number.
Email address (on file with Lions International)*
example@example.com
Elected second vice district governor
YesNo
First name*
Last name*
Member ID*
Phone Number*
Please enter a valid phone number.
Email address (on file with Lions International)*
example@example.com
Attach the convention’s meeting minutes.*

Cancelof
I have confirmed the above contact information is updated and accurate within the Lion Portal. If you need help updating this information, please contact Member Services at memberservicecenter@lionsclubs.org.
Signature of Lion submitting form *

Clear
Today's date*

MonthDayYear
Should be Empty:

Submitter information