This award is for Clubs of 40 MEMBERS OR LESS. Please complete each question on this form. The submission deadline is September 18, 2026. Include your club's COMMUNITY SERVICE Projects for the period of July 1, 2025 through June 30, 2026.

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1. Rotary Club Contact Information (Required.)

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2. CONCISELY list NO MORE THAN 15 of your Club's Community Service Projects USING ONLY THE SPACE PROVIDED.

Example: Highway Cleanup
Example: Served at Local Soup Kitchen
Example: Holiday Gift Baskets to Families

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3. Give the AVERAGE percentage of your members involved in the TOTAL number of your projects.

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4. Please use the comment box below to provide a brief description of your club's MOST MEANINGFUL Community Service Project. How did this affect your Club Members and your Community? Indicate if this was a Signature Project , Collaborative Project(Project with more than 1 Rotary Club) or a One Time Project.

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