Interest in Joining Facilitator Team supporting RLI, Club Visioning, other District events

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* 1. Your Name

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* 2. Your Club

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* 3. Your email address

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* 4. Your phone number

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* 5. I am most interested in:

Rotary Leadership Institute

Club Visioning

Other ( please specify below)

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* 6. I have had Facilitator Training within the last year.

Yes

No

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