Literacy Certification Form

Rotary Year 2016-2017
 
 
I,      , President of the Rotary Club of      , certify that our club has completed the minimum requirement of five literacy activities listed below to qualify for a Literacy Award:
 
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President’s Signature:  ______________________________________________________ Date: 
 
    
 
Please send this form by 1 May 2017 to either District Literacy Committee Co-Chair listed below.
 
Judy Casey                                                              
jdcasey1@centurylink.net                                         
2059 Glenhill Road, Colorado Springs, CO 80906   
 
Amy McBride 
321 Thistle Drive, Montrose, CO, 81403