ROTARY - a global network of business and professional leaders who volunteer their time and talents to serve their communities and the world.                             ROTARY - a global network of business and professional leaders who volunteer their time and talents to serve their communities and the world.                            ROTARY - a global network of business and professional leaders who volunteer their time and talents to serve their communities and the world.
                           
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Section 1 to be completed by the applicant
 
Section 2 to be completed by the nominating Rotary Club.


Section One.

Surname
Given Name
Preferred Name:
Address:
Suburb:
Post Code:
Phone Business Hours
Phone After Hours:
Mobile:
Email:
Date of birth:
Employer:
Place of study:

Please describe any community activities, qualifications, awards and positions held in clubs or other organisations


Please describe your hobbies and interests:

Please list your reasons for wishing to attend a Rotary Youth Leadership Award seminar


  Please list any special health or dietary requirements.

 


 


 
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Special thanks to Tord Elfwendahl of the Stockholm Strand Rotaryklub (Sweden) for
his incredible Rotary graphic images which we have used throughout this web site.

Material on this site is Copyright
Rotary International; Rotary International District 9790 Inc; Tony Ladgove and Robin Chapple
and may not be reproduced without permission

 
Many images are used for illustration purposes only and do not represent the subject matter
 
Last modified: 8 Nov 2007 08:15