COMMUNITY PARTNERSHIP EXELLENCE AWARD - More than 40 Members

Please complete each question on this form. The submission deadline is September 18, 2026. Include your club's COMMUNITY PARTNERSHIP Projects for the period of JULY 1, 2025 through June 30, 2026

Question Title

1. Rotary Club Contact Information (Required.)

Rotary Club Name: *

City/Town:

Question Title

2. List the name(s) of other civic and service organizations with whom your club participated.

Organization Name A

Organization Name B

Organization Name C

Question Title

3. Indicate type of activity.

	Community Service	Social Activity	Other
Club A	Club A Community Service	Club A Social Activity	Club A Other
Club B	Club B Community Service	Club B Social Activity	Club B Other
Club C	Club C Community Service	Club C Social Activity	Club C Other

Question Title

4. Please use the comment box below to provide a brief description of your activities with the other civic and service organization(s) and who benefited from the Inter-Organizational Service.

Question Title

* 1. Rotary Club Contact Information (Required.)

Question Title

* 2. List the name(s) of other civic and service organizations with whom your club participated.

Question Title

* 3. Indicate type of activity.

Question Title

* 4. Please use the comment box below to provide a brief description of your activities with the other civic and service organization(s) and who benefited from the Inter-Organizational Service.

1. Rotary Club Contact Information (Required.)

2. List the name(s) of other civic and service organizations with whom your club participated.

3. Indicate type of activity.

4. Please use the comment box below to provide a brief description of your activities with the other civic and service organization(s) and who benefited from the Inter-Organizational Service.