THIS FORM IS FOR ROTARACT/INTERACT CLUBS ONLY.Please complete each question on this form. The submission deadline is April 1, 2018. Include your Rotaract/Interact Club's INTERNATIONAL 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 up to TEN (10) of your Club's International Service Projects, in the spaces provided. Examples: Project #1: Donation of Shelter Boxes. Project #2: Tuition for Mexico HS Student. Project #3: Purchased Stoves for Guatemala.

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

* 6. CONCISELY describe your club's MOST MEANINGFUL International Service Project and how do you feel this project made a difference to the area and those affected?