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Lions Eye Institute for Transplant and Research
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ORDER OF THE GOLDEN CHAIN
AFFIDAVIT CLUB____________________________________ PRESIDENT ________________________________
SECRETARY _________________________________ LION ___________________________________
BASIC MEDAL________ TAB # ________
ELIGIBILITY: Every Lion who completes the following requirements between January 1st _____ and December 31st ______, shall earn the Golden Chain Award. The award may be earned each year the qualifications are met.
REQUIREMENTS: The Order of the Golden Chain contains two important parts. Part I includes five (5) activities that are mandatory. Part II lists twenty (20) activities a Lion may participate in. To qualify, a Lion must complete all five (5) mandatory activities in Part I and eleven (11) of the twenty (20) options in part II.
Completion of part I and part II before December 31st _______ qualified the Lion for the award. The completed affidavits must be mailed to the district chair of the Golden Chain award committee with post mark deadline of January 31st _______.
PART I - THE FOLLOWING ACTIVITIES ARE MANDATORY:
A. A Lion must attend a minimum of 75% of their regular club meetings during the period. Missed meetings may be made up by attendance at a local board of directors meeting or at meetings of other Lions Clubs. Attendance _________________
B. Sign up a new member and help them become an active member.
C. Attend a local board of directors meeting. Date ______________________
D. Be active as a local committee member. Committee _____________________________
E. Attend a Zone, Cabinet, or Council of Governors meetings.
PART II - THE FOLLOWING ACTIVITIES ARE OPTIONS - Must complete 11 of the 20 listed.
1. Serve as an active local chair of an internal or external committee.
2. Submit a complete plan for a new project to the local board of directors. Date ________________
3. Serve as a local officer or director OR visit one of Florida’s two Lions Eye Banks.
4. Write an acceptable article for publication covering some phase of a project activity for local or state publication, such as the Florida and Grand Bahama Island magazine, radio, TV, etc.
_________________________________________________________________________________________ 5. Attend a Council of Governors Conference in addition to required activities OR visit the Conklin Center.
Meeting/Visit ______________________________________________
6. Attend a Zone or Cabinet meeting in addition to required activities.
Meeting _____________________________________________ Date ______________________
7. Send five (5) eye wills to an eye bank. Date _______________ Eye Bank ___________________________
8. Serve as a speaker at a non-Lion meeting in support of a Lions project OR make a second official visitation to a regular meeting of another club.
9. Serve as a member of a successful expansion team and make three (3) visitations within the qualification period after the club is chartered, OR, visit the Florida Lions Camp for the Visually Handicapped.
10. Serve as a district chair, co-chair or vice chair OR attend a zone meeting in another zone. Date _____________
11. Serve as a cabinet
officer OR participate in an activity determined by the local club in addition
to other options.
12. Reactivate a dropped
member OR have perfect attendance for the period with make up rules effective.
13. Introduce a prospect to a club, sign them up, and help them become an active Lion. (This must be in addition to the mandatory section.) Date ______________________
Club _________________________ Members Name ___________________________
14. Visit a regular membership meeting of another club as part of an official visitation team.
Club ___________________________ Date _______________________
15. Participate in the presentation of an orientation program. Date ________________________
16. Give invocation or benediction at a Lions meeting or lead the club in singing “America” or the “Pledge of Allegiance” to the flag.
Date _________________ Activity _______________________________________
17. Contribute a pint of blood to a Lions blood bank or get some else to contribute OR attend a second board of directors meeting.
Date _________________ Activity _____________________________________________
18. Attend an eye bank
meeting or the Florida Lions Foundation board of directors meeting.
Activity_____________________________________________ Date_____________ 19. Participate in an activity determined by the local Lions Club.
20. Participate in an activity determined by the local Lions Club.
Activity _____________________________________________ Date ____________
Signature of the club secretary verifying all of the above: _____________________________________________________
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Register to Become an Organ, Tissue or Eye Donor Florida Lions Conklin Center for the Blind Florida Lions Foundation for the Blind Florida Dog Guides for the Deaf Lighthouse of Pinellas at Watson Center Lions Clubs International Foundation Lions Eye Institute for Transplant & Research Foundation Tampa Lighthouse for the Blind
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