There are 78 days until Conference 2009                                                                             There are 78 days until Conference 2009                                                                             There are 78 days until Conference 2009                                                                             There are 78 days until Conference 2009
Calendar Clubs Index Committees Conference Contact Us Forms Information Index Main Index Member Pages   Search here "What's New?" Webmaster

 
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.

 


 


 
Search only this site
 
Google
WWW Search this site
Top of Page
 

The Rotary name and logo are the exclusive property of Rotary International
and are used here under Rotary International Internet Policy Guidelines.

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

 

Best viewed in 1024 x 768 / 16 bpp (64000 colours) or more
Optimised for Microsoft Explorer 4.0 or higher..
 
Last modified: 8 Nov 2007 09:15