Club Award Nomination Form

Club Award Nomination Form

Deadline midnight on June 30th, 2026
Use this form to nominate a Club for a specific District 5810 Award. Use a separate form for each club award. Include applicable pictures with your nomination form.
Name of Club Nominated
Choose Club Award
Choose Club Size
Rotarian Making Nomination

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Nominator's Club
Explain Why This Club Should Receive This Honor
Photo Upload

Photos
Cancelof
Should be Empty: