Indiana Distinguished Lion Award

The Indiana Lions Foundation, Inc. is again sponsoring the Indiana Distinguished Lion Award to recognize an outstanding member of the Lions of Indiana. The award will be presented at the 2019 State Convention. The award is a standing Lion replica for the recipient's desk and their name will be placed on a plaque in the Lions State Office.

The qualifications for this prestigious award are:

  1. The nominee must be a member of a Lions Club in Multiple District 25 (Indiana)

  2. The nominee has been a Lion in good standing for at least 25 years prior to the nomination.


Nominations may be submitted by a Lions Club, the sub-district cabinet with the approval of the sitting District Governor, or the Council of Governors with the approval of the Council Chair

The Nomination Application form must provide as much information as possible concerning the nominee's service. Nominations must be received by January 31, 2019. Only one applicant per club per year.

Nomination From: (check one)

Lions Club      Sub-District Cabinet      Council of Governors

Nominee Information:

Title   Last Name   First Name   Middle

Address

City    State    Zip

Phone    Mobile

Lions Club    District

Number of years in good standing in local Lions Club    Number of years in good standing in Indiana

Please provide a narrative of the service that the nominated Lion has given to:

His/Her Lions Club

His/Her District

The Lions of Indiana-Multiple District 25 (State Organization):

Lions Club International:

Other Organizations and/or the community:

Select file(s) to attach with any additional informantion (optional):

By typing my name below, I acknowledge that I have actual knowledge of the contents of this form and I understand the requirements and further agree that this is valid and can be used as my signature.

Signature    Title   Club Name