District Governor's Meeting/Club Visitation Report

District Governor:
State or Country:
Date of Visit:
District:
Must submit for each meeting/visit being charged to LCI and attach it to your monthly Travel and Office Expense claim.

Lions Club of:
State or Country:
Club Identification number:
Purpose of visit:
Annual
Multiple District Meeting (Explain below under comments)
New Club Organization
District Convention/Cabinet Meeting
Charter Presentation
Did Another District Officer Represent You?
Special (Explain below under comments)
Address of Club or District Meeting:
Answer All Questions For Each Visitation
YES NO
Would you consider this to be an active club?
Did you discuss club concerns with its board of directors?
Does club secretary keep accurate records?
Does club secretary report club activities annually?
Do club committees appear to be functioning?
Do new members receive proper orientation and a new member kit?
Does club conduct a new member/induction ceremony?
Did you suggest methods to maintain or increase membership?
Does this club participate in district activities?
Comments:

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