District 7010 Fellowship Application Form

District Fellowship Interest Form

In order to establish a Fellowship, we need a minimum of 7 members from 3 different clubs to express an interest in coming together to initiate the process. You will be assisted by Phyllis Winnington-Ingram and Liz McInnis..
Contact Information:
Name*

First NameLast Name
Rotary/Rotaract Club*
Email*
example@example.com
Fellowship(s) you are interested in helping to establish: *
Looking for some ideas...here is the list of the Rotary International Fellowships: (Scroll to view)
If you have any questions or require assistance please contact Phyllis Winnington-Ingram - phyllis@winnington-ingram.com or Liz McInnis - lizmcinnis61@gmail.com.
Date*
Visit our Rotary Fellowships page for more information.
Should be Empty:

District Fellowship Interest Form