INTER-CLUB COLLABORATION EXCELLENCE AWARD - 40 Members or Less

Please complete each question on this form. The submission deadline is September 18, 2026. Include your club's INTER-CLUB COLLABORATIONS 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. List the name(s) of other Rotary Clubs with whom your club participated in a Hands-On, Community Service or Social Event.

Club Name A

Club Name B

Club Name C

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3. Indicate type of activity.

	Fundraising	Hands-on Project	Social Activity
Club A	Club A Fundraising	Club A Hands-on Project	Club A Social Activity
Club B	Club B Fundraising	Club B Hands-on Project	Club B Social Activity
Club C	Club C Fundraising	Club C Hands-on Project	Club C Social Activity

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4. Please use the comment box below to provide a brief description of your activities with the other Rotary Club(s) and who benefited from the Inter-Club Activity.

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* 1. Rotary Club Contact Information (Required.)

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* 2. List the name(s) of other Rotary Clubs with whom your club participated in a Hands-On, Community Service or Social Event.

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* 3. Indicate type of activity.

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* 4. Please use the comment box below to provide a brief description of your activities with the other Rotary Club(s) and who benefited from the Inter-Club Activity.

1. Rotary Club Contact Information (Required.)

2. List the name(s) of other Rotary Clubs with whom your club participated in a Hands-On, Community Service or Social Event.

3. Indicate type of activity.

4. Please use the comment box below to provide a brief description of your activities with the other Rotary Club(s) and who benefited from the Inter-Club Activity.