Rotarian Action Group For Peace
2013-2014 Board of Directors and
Committee Postion Nomination

Leadership Position Application

The Rotarian Action Group for Peace 2013-2014 Board of Directors and Committees need your talents!

This is a rolling application process - please feel free to nominate at any time.

Open positions will be posted on the Rotarian Action Group for Peace website.

Question Title

* 1. Rotary Status

Rotarian

Rotary Family Member

Rotaracter

Rotary Peace Fellow

Other Rotary program Participant

Other (please specify)

Question Title

* 2. Contact Information

Name: *

Address 1: *

Address 2:

City/Town: *

State/Province: *

ZIP/Postal Code: *

Country: *

Email Address: *

Phone Number (include country code): *

Question Title

* 3. Will you be at the Rotary International Convention in Lisbon?

Yes

Rotarian Action Group For Peace
2013-2014 Board of Directors and
Committee Postion Nomination

Leadership Position Application

Question Title

* 1. Rotary Status

Question Title

* 2. Contact Information

Question Title

* 3. Will you be at the Rotary International Convention in Lisbon?

Question Title

* 4. Rotary Club:

Question Title

* 5. Rotary District: