Lions International District 4-L4

LIONS District 4-L4
Orange County &
Parts of Los Angeles &
San Bernardino Counties

"Answer the Call to Serve" Recognition Award


  1. Requirements
    1. Submit at least 9 of the 12 monthly reports to the required officers.
    2. Submit this form to the District Governor and Cabinet Secretary by a receipt deadline of April 5, 2015. Mark an X next to the achievement and add a several word description.
XAchievement (Minimum 4 Items)Brief Description
3 or + at June New Officers Training
Completion of at least three online classes or webinars See "Lions Course Categories" "Webinars for Lions"
2 or + at the District Leadership Academies, the MD-4 Leadership Institute, USA-Canada Leadership Forum
2 or + at zone, region & district meetings
Submission of yearly action plan with goals & steps
Guiding Lion or CEP facilitator Training
Creation of a new Leo &/or Lions Club
Completion of the CEP process
Active membership committee (3 or + members which meets monthly)
Orientation of new members &/or existing members
Proud Lions program for new Lions
Net positive growth over July 1st base
4 or + visitations to other Lions clubs
Publicizing club through at least 2 of these: membership brochures, websites, social media, news articles
Community networking &/or visibility to connect with potential new Lions
3 or + hands-on service projects in the community
Charitable donations
Participation in Student Speakers, Peace Poster, Flag Day, etc. (at least 2)
New/Used Eyeglasses & hearing aids donations
LCIF projects & donations

I verify that our club has accomplished the above achievements.
Secretary _____________________________________ Date __________