GENEVA LAKE WEST ROTARY CLUB
 
SERVICE ABOVE SELF AWARD NOMINATIONS
 
 
Annually, our Club presents a Service Above Self Award to a candidate*
who has demonstrated exemplary community service.
The award is in the form of a Paul Harris Fellowship, in the recipient’s name.
 
Please submit your nomination and brief description of their community service by April 12, 2021.
 
*please note:  the candidate cannot be a current Rotarian
 
 
            Nomination: 
 
            Briefly describe service:     
 
            Nominated by: 
            Date:
 
 
Please return forms walworthfontanarotary@gmail.com, turn in at a meeting or
you can also mail to:
GENEVA LAKE WEST a.k.a Walworth-Fontana Rotary Foundation
PO BOX 368
Walworth, WI 53184
 
The Board will review the nominations and make the selection.
The Award Ceremony is ________________________