District Governor's Quarterly Report

Instructions: Complete report quarterly, in months of September, December, March and June.

* indicates a required field

* Name

* State

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* Email Address

* Quarter

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* District

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* Year

* Year

* Date Submitted

Goals: Increase Membership

Total members in district:

Total members in district:

Meeting Dates and Attendance:

(separate with commas)

Chapter and number of Monthly Reports submitted this quarter: # out of /3

District Governor Attendance at National Meeting

Date and Location:

National Convention

Mid-Western Regional

Eastern Regional

Eastern Regional

Western Regional

Regional DG

Regional DG

Regional DG

Regional DG

National Board

Deputy/Alternate Deputy District Governor

National Meeting Attendance

Deputy/Alternate Deputy District Governor

National Meeting Attendance

Names

Names

Meeting(s)

Date(s)

Date(s)

Location(s)

Minutes of Meetings

Describe:

Challenges

Describe:

How UNICO can Provide Assistance

Describe:

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for PDF version

Click on icon

for PDF version

To obtain a copy of your submission for your records, please print this page from your browser before clicking Submit Form

To obtain a copy of your submission for your records, please print this page from your browser before clicking Submit Form

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