I express a preference to serve on the committee, or committees, CHECKLIST FOR CLUB SECRETARY checked below: ❑ Keep each completed application form (one that is approved ADMINISTRATIVE COMMITTEES: ACTIVITIES COMMITTEES: and signed by all necessary persons) for the club’s files. ❑ Diabetes Awareness Do not send it to Lions Clubs International. ❑ Attendance ❑ Constitution and By-Laws ❑ Sight Conservation and ❑ When the dues and entrance fees have been collected and ❑ Finance Work with the Blind the new member has been provided with a membership card, ❑ Greeter ❑ Hearing Conservation and turn money over to the club treasurer. ❑ Leadership Development Work with the Deaf ❑ Include member’s name and address on the Monthly Member- ❑ Lions Information ❑ Environmental Services ship Report. Send the report to Lions Clubs International. ❑ Membership ❑ International Relations ❑ Add the new member’s name and address to the club roster ❑ Program ❑ Leo Club Programs and mailing list. ❑ Public Relations- ❑ Youth Exchange ❑ See that the new member gets a Lions emblem lapel pin, per- Bulletin Editor ❑ Youth Outreach sonalized badge and updated club roster. These materials are to be presented at the new member’s induction ceremony. For Club Use I realize that membership in my Lions club is attained by INITIAL RECORD OF NEW MEMBER invitation only. I realize that invitation standards are high and that invitation is to be limited to persons of good moral INDUCTION CEREMONY Lions Clubs International character and reputation. Date Conducted _____________________________________ In proposing this candidate for membership, I attest that they By Whom___________________________________________ MEMBERSHIP APPLICATION are morally, socially and financially responsible, and that, in my (By Invitation) estimation, will become an active member, in support of our COMMITTEE ASSIGNMENT objects and ethics. Date of Assignment __________________________________ What Committee_____________________________________ I have known the prospective member for ___________________ months/years. If candidate is approved, I will extend an invita- ORIENTATION SESSION Mission Statement tion to join our club, and if accepted, I pledge my personal Date of Session ______________________________________ interest in this Lion’s development and progress in the principles To empower of Lions Clubs International. Conducted by Whom_________________________________ volunteers to ____________________________________ __________________ BOARD MEETING Signature of Sponsoring Lion Date Date Attended _______________________________________ serve their communities, ____________________________________ __________________ Signature of Secretary Date CLUB PROJECT meet humanitarian needs, Date of Project ______________________________________ Project Name _______________________________________ encourage peace Approved By: VISITED ANOTHER CLUB and promote ____________________________________ __________________ Date of Visit_________________________________________ Chairman, Membership Committee Date international understanding Name of Club _______________________________________ ____________________________________ __________________ Board of Directors Date SPONSORED A MEMBER through Lions clubs. Date _______________________________________________ If not approved, other action_______________________________ Whom _____________________________________________ ________________________________________________________ The Lions motto is “We Serve.” ________________________________________________________ Information sent to District Governor on _____________________ ________________________________________________________ by _________________________________________________ ________________________________________________________ www.lionsclubs.org ________________________________________________________ INITIATE SOLEMNLY…EDUCATE COMPLETELY…INVOLVE IMMEDIATELY ________________________________________________________ ME6B 02/08 EN INTERNATIONAL ASSOCIATION OF LIONS CLUBS INVITATION-APPLICATION FOR MEMBERSHIP Lions Code of Ethics Cottonwood, Idaho IN THE LIONS CLUB OF:____________________________________________________________________________________________________ TO SHOW my faith in the worthiness of my vocation by industrious application to the end that I PLEASE PRINT: ❑ MR. ❑ MRS. ❑ MISS ❑ MS. may merit a reputation for quality of service. __________________________________________________________________________________________________________________________ First Name MI Last Name Suffix Nickname TO SEEK success and to demand all fair remuneration or profit as my just due, but to accept ________________________________________________________ ________________________________________________________ Spouse’s Name Candidate’s Employer no profit or success at the price of my own self- respect lost because of unfair advantage taken or ________________________________________________________ ________________________________________________________ because of questionable acts on my part. Spouse’s Occupation Candidate’s Occupation/Title ________________________________________________________ ________________________________________________________ TO REMEMBER that in building up my business it is Home Address Business Address not necessary to tear down another’s; to be loyal to my clients or customers and true to myself. ________________________________________________________ ________________________________________________________ Home City, State/Province, Zip Code Business City, State/Province, Zip Code WHENEVER a doubt arises as to the right or ethics ________________________________________________________ ________________________________________________________ of my position or action towards others, to resolve Home Country Business Country such doubt against myself. ________________________________________________________ ________________________________________________________ Home Telephone No. Business Telephone No. TO HOLD friendship as an end and not a means. To hold that true friendship exists not on account of ________________________________________________________ ________________________________________________________ the service performed by one to another, but that Home Fax No. Business Fax No. true friendship demands nothing but accepts ________________________________________________________ ________________________________________________________ service in the spirit in which it is given. Home E-mail: Business E-mail ALWAYS to bear in mind my obligations as a Date of Birth:___________________________________ ________________________________________________________ citizen to my nation, my state and my community, Send Mail: ❑ Home ❑ Business Cell Phone No. and to give them my unswerving loyalty in word, How long in present occupation?____________ act and deed. To give them freely of my time, I am a former Lion. ❑ Yes ❑ No labor, and means. Reason for Leaving: ________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________ TO AID others by giving my sympathy to those in distress, my aid to the weak, and my substance to I am a member of another service organization. ❑ Yes ❑ No the needy. If yes, which ones? _________________________________________________________________________________________________________ Enclosed is $_____________as entrance fee, semi-annual dues, semi-annual international per capita tax and convention fee. $2.375 U.S. TO BE CAREFUL with my criticism and liberal with or its equivalent of the above amount is for a six months subscription to THE LION Magazine. my praise; to build up and not destroy. I accept membership into Lions Clubs International. I recognize the importance of rendering personal service to my community in cooperation with other civic-minded persons. I appreciate the opportunity for membership offered to me by Lions Clubs International. Signature______________________________________________________________________________ Date ____________________________
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