THIS FORM IS FOR ROTARACT AND INTERACT CLUBS ONLY. Please complete each question on this form. The submission deadline is April 1, 2018. Include your Rotaract/Interact Club's Community Service Projects for the period of April 1, 2017 through March 31, 2018.

* 1. Please indicate whether you are a Rotaract or Interact Club.

* 2. Rotaract/Interact Club Contact Information

* 3. How many members in your Rotaract/Interact Club?

* 4. 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

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

* 6. 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 First-Time Project or an Annual Project.