Page 28 - District 20-K1 Kings & Queens February 2022 E-Newsletter
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DISTRICT 20-K1 PDG
ASSOCIATION
Leo Award Application
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(Must be received by May 1 , 2022)
Mail to: PDG Audrey P. Doorn
Chair of Leo Award Committee
690 E 48 Street, Brooklyn, NY 11203
th
LEO NAME________________________________________________ AGE ________
ADDRESS______________________________________________________________
TELEPHONE NUMBER________________________________
LEO CLUB_______________________________NUMBERS OF YEARS IN LEO CLUB____
LEO ADVISOR________________________________________
SCHOOL_____________________________________________
ON A SEPARATE SHEET OF PAPER PROVIDE THE FOLLOWING:( Must be typewritten)
A ONE PAGE ESSAY ON “THE WORLD IS FULL OF PEOPLE WE LOOK UP TO AND ADMIRE
BECAUSE OF THEIR COURAGE, SERVICE OR STATUS IN THE COMMUNITY OR
NATION. WHAT PERSON, PRESENT OR PAST DO YO U ADMIRE AND WHY?
IN ADDITION TO THE ESSAY PROVIDE INFORMATION ON THE FOUR AREAS BELOW.
1. List the Leo Club positions held.
2. List Club sponsored activities you are/were involved in.
3. List school organizations and activities you are/were involved in.
4. List other community service involvement. (Church, Clubs, etc.)
st
* A Leo who won 1 place previously need not apply.
* Contest for essay is open to All Leos. There is no limit to the number of Applicants per
Club.
LEO SIGNATURE________________________________________________________________
LEO CLUB ADVISOR SIGNATURE______________________________________________
SPONSORING LIONS CLUB PRESIDENT OR SECRETARY SIGNATURE
___________________________________________________________________________________
