ROTARIAN OF THE YEAR-OVERALL

For DISTRICT 5580 ROTARIAN OF THE YEAR-OVERALL. The deadline for submission of this form is September 18, 2026. Please complete all questions on this form. Include your Nominee's service ONLY FOR THE PERIOD OF July 1, 2025 through June 30, 2026.

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1. Rotary Club Contact Information (Required.)

Rotary Club Name: *

City/Town:

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2. Name of your Club's Nominee: (Required.)

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3. Rotarian's percentage of ATTENDANCE at all regular Club meetings.

0-25%

26%-50%

51%-75%

75%-99%

100%

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4. Rotarian's percentage of ATTENDANCE at all Club Social Activities.

0-25%

26%-50%

51%-75%

75%-99%

100%

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5. Rotarian's average percentage of participation in all Rotary COMMUNITY Service Activities.

0-25%

26%-50%

51%-75%

75%-99%

100%

Briefly describe Rotarian's Community Service Involvement.

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6. Rotarian's average percentage of participation in all Rotary VOCATIONAL Service Activities.

0-25%

26%-50%

51%-75%

75%-99%

100%

Briefly describe Rotarian's Vocational Service Involvement.

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7. Rotarian's average percentage of participation in all Rotary INTERNATIONAL Service Activities.

0-25%

26%-50%

51%-75%

75%-99%

100%

Briefly describe Rotarian's International Service Involvement.

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8. Rotarian's average percentage of participation in all Rotary CLUB Service Activities.

0-25%

26%-50%

51%-75%

75%-99%

100%

Briefly describe Rotarian's Club Service Involvement.

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9. Indicate the number of NEW CLUB MEMBERS your Nominee has sponsored during the period specified above.

5 or more

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10. Will your Nominee be attending this year's District Conference?

Yes

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11. Does the nominee support The Rotary Foundation either through personal giving or a club fundraising project?

Yes

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12. How many Club Programs/Speakers has your Nominee helped arrange for or present for the period specified above?

1-2

3-4

4-5

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13. Please state how Nominee has been exemplary in demonstrating Rotary's 4-Way Test at the Club AND District levels.

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14. Indicate your nominee's involvement in Rotary both within and outside the Club Level during this Rotary Year. Check all that apply.

Club President

Other Club Officer/Committee Chair

District Officer/Committee Chair

District Committee Member

Zone 28 Appointment

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15. Using only the period specified above: State concisely but accurately why you feel your club's Nominee is deserving of this most prestigeous Award of District Rotarian of the Year. This question requires an answer. (Required.)

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* 1. Rotary Club Contact Information (Required.)

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* 2. Name of your Club's Nominee: (Required.)

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* 3. Rotarian's percentage of ATTENDANCE at all regular Club meetings.

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* 4. Rotarian's percentage of ATTENDANCE at all Club Social Activities.

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* 5. Rotarian's average percentage of participation in all Rotary COMMUNITY Service Activities.

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* 6. Rotarian's average percentage of participation in all Rotary VOCATIONAL Service Activities.

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* 7. Rotarian's average percentage of participation in all Rotary INTERNATIONAL Service Activities.

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* 8. Rotarian's average percentage of participation in all Rotary CLUB Service Activities.

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* 9. Indicate the number of NEW CLUB MEMBERS your Nominee has sponsored during the period specified above.

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* 10. Will your Nominee be attending this year's District Conference?

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* 11. Does the nominee support The Rotary Foundation either through personal giving or a club fundraising project?

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* 12. How many Club Programs/Speakers has your Nominee helped arrange for or present for the period specified above?

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* 13. Please state how Nominee has been exemplary in demonstrating Rotary's 4-Way Test at the Club AND District levels.

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* 14. Indicate your nominee's involvement in Rotary both within and outside the Club Level during this Rotary Year. Check all that apply.

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* 15. Using only the period specified above: State concisely but accurately why you feel your club's Nominee is deserving of this most prestigeous Award of District Rotarian of the Year. This question requires an answer. (Required.)

1. Rotary Club Contact Information (Required.)

2. Name of your Club's Nominee: (Required.)

3. Rotarian's percentage of ATTENDANCE at all regular Club meetings.

4. Rotarian's percentage of ATTENDANCE at all Club Social Activities.

5. Rotarian's average percentage of participation in all Rotary COMMUNITY Service Activities.

6. Rotarian's average percentage of participation in all Rotary VOCATIONAL Service Activities.

7. Rotarian's average percentage of participation in all Rotary INTERNATIONAL Service Activities.

8. Rotarian's average percentage of participation in all Rotary CLUB Service Activities.

9. Indicate the number of NEW CLUB MEMBERS your Nominee has sponsored during the period specified above.

10. Will your Nominee be attending this year's District Conference?

11. Does the nominee support The Rotary Foundation either through personal giving or a club fundraising project?

12. How many Club Programs/Speakers has your Nominee helped arrange for or present for the period specified above?

13. Please state how Nominee has been exemplary in demonstrating Rotary's 4-Way Test at the Club AND District levels.

14. Indicate your nominee's involvement in Rotary both within and outside the Club Level during this Rotary Year. Check all that apply.

15. Using only the period specified above: State concisely but accurately why you feel your club's Nominee is deserving of this most prestigeous Award of District Rotarian of the Year. This question requires an answer. (Required.)