Donald A. Adams Outstanding Rotarian Award

Donald A. Adams Outstanding Rotarian Award
Application

Background:
Donald A. Adams was a past District Governor (1922-23) from the New Haven Rotary Club. He became the 15th President of Rotary International in 1925-26. In 1975, the District established this award in his honor to recognize one outstanding Rotarian from a club in our District who is not a Past District Governor and who exemplifies exceptional contributions across the Five Avenues of Rotary Service.

Rotary clubs serve communities worldwide, addressing unique concerns and needs. Rotarians continuously adapt and enhance their approach to service, engaging in a broad range of impactful projects. The most successful and sustainable Rotary service initiatives align with one or more of the following seven Areas of Focus:

Peace and conflict prevention/resolution
Disease prevention and treatment
Water, sanitation, and hygiene
Maternal and child health
Basic education and literacy
Community economic development
Environmental sustainability

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Selection:
Consideration is given to the candidate’s outstanding service to their club and the District. Each club in the District may nominate one candidate by submitting this form to the selection committee no later than April 1st. Submit By Email: kevin.reich2020@gmail.com

The recipient is selected by a committee composed of the five most recent awardees, who can serve, with the most senior recipient serving as Chair. The award will be presented at the District Conference or Year-End Recognition event.
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Nominee Information:

Name of Nominee: (Full Name)

Rotary Club Name:

Year Joined Rotary:

Number of Paul Harris Fellow Recognitions

Date(s) of PHF Recognition: (MM/YYYY or N/A)

Submission Instructions:

Completed nomination forms must be submitted before April 1st.
Please submit this form to the selection committee via email at PLEASE SUBMIT THIS FORM BY EMAIL: kevin.reich2020@gmail.com. Contact Kevin Reich at (860) 754-8137 for inquiries.

Nomination Details:

Rotary's commitment to Service Above Self has been channeled through the Avenues of Service for years, forming the foundation of club activity. There are numerous ways Rotarians can address community and global needs.

1. Club Activities: (List all roles, offices held, committee involvement, and years of service.)

2. Avenues of Service Contributions:

Club Service: (Detail leadership roles and contributions within the club.)
Community Service: (Describe engagement in service projects benefiting the local community.)
Vocational Service: (Highlight efforts in promoting vocational ethics and supporting professional development.)
International Service: (Summarize participation in global service initiatives, partnerships, and international projects.)
Youth Service: (List contributions to youth-oriented Rotary programs, such as RYLA, Interact, and Rotary Youth Exchange.)

Provide your engagement to as many Avenues of Service as possible:

3. Foundation Contributions and Support: (Describe involvement with The Rotary Foundation, including donations, grants, and sponsored initiatives.)

4. Membership Development: (Detail contributions to recruitment, retention, and engagement of club members.)

5. Public Image Initiatives: (Explain efforts taken to enhance Rotary’s visibility and impact in the community.)

6. District-Level Service: (List offices held, committee participation, and years of service at the District level.)

7. Community Service Outside of Rotary: (Describe leadership roles and contributions to non-Rotary community initiatives.)

8. Special Recognition and Honors: (List notable recognition received from the club, District, Rotary International, or the broader community.)

Nominator's Name Full Name

Nominator's Position in Club TitleRole

Phone: (Phone Number)

Phone Number

Nominator's Email*

example@example.com

Endorsed by the Rotary Club of:*

Certification:
We certify that the information provided is accurate and reflects the values of the Four Way Test.

Date MMDDYYYY

MonthDayYear

Thank you for recognizing and celebrating an outstanding Rotarian in our District!

Please save the form before you submit it. When you submit the form, it will automatically be sent to the committee members.

Please check your Inbox and Spam folders for the confirmation email with the attached PDF. It can take up to 1 hour for the confirmation email to arrive.

If you have further questions, don't hesitate to get in touch with kevin.reich2020@gmail.com or (860) 754-8137