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Program Recommendation or Request
Friday Morning Planning
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* Indicates required question
Name (first and last)
*
Rotarian submitting recommendation/request
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Email
*
Of the Rotarian submitting a recommendation/request
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Recommendation/Request
*
Name of organization and/or individual
Your answer
Type of Program
Update (from a past program)
Spotlight (something new/exciting)
Local Business
Non-profit / Cup Collection Recipient
Pause for a Cause
Other:
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Contact information for program speaker
If known, provide details for point of contact, including email address and phone number(s)
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Coordination
*
I have a personal/professional relationship (with individual and/or organization)
I can assist with scheduling
I am interested in this program but don't have a direct connection
Other:
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Notes
Optional. Additional context on this recommendation/request.
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