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Rotary International — District 9112

Awards & Recognition
Assessment Form

Complete this assessment on behalf of your Rotary Club. Fill each section, attach your evidence (2–10 files), and submit. Entries will be reviewed by the Awards & Recognition Committee.

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Club & Contact Details

Tell us which club is submitting this assessment.

Evidence Attachments

Attach 2 to 10 files (JPG, PNG or PDF, max 5 MB each) — screenshots, receipts, reports and photos that support your answers. Add a short caption to each so reviewers know what it shows.

file(s) added — at least required

Review
· ·
question(s) answered · file(s) attached