Dear Rotarian: In an effort to engage the many talents and passions of Rotarians throughout our District, we are interested in hearing from YOU about ways you would like to grow in service and leadership at a District level. Please complete this questionnaire by June 21, 2024. Thank you in advance for your willingness to share your time and talents with us!

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* 1. Name

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* 2. Email Address

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* 3. Club Name

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* 4. Professional Background

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* 5. Passions and Interests

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* 6. Besides Rotary what other volunteer organizations do you support financially or through your time?

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* 7. Name of Rotary Fellowship you are involved in if applicable (https://www.rotary.org/en/our-programs/more-fellowships)

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* 8. Name of Rotary Action Group you are involved in if applicable (https://my.rotary.org/en/take-action/empower-leaders/rotary-action-groups)

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* 9. What aspects of your community do you consider to be underserved or in need?

Causes, Committees, and events you might be interested in exploring or participating in (Check all that apply below)

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* 10. Foundation

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* 11. Peacebuilding

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* 12. Fundraising

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* 13. Youth Activities

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* 14. Education

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* 15. District Learning Committee

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* 16. Operations

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* 17. Other District Committees

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* 18. Environmental

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* 19. Public Image – This committee would increase the visibility of Rotary in the community through support of clubs and District Leadership.

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* 20. Membership

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* 21. Have a passion or interest that isn’t mentioned above? Let us know! We are open to new ideas and ways to serve our clubs.

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