Rotary District 5520 Assistant Governor Club Visit Report     (Minimum Visits Required = 1 per club per quarter)   Click Here to download report form to fill out after finishing final club visit of the year— DUE TO DISTRICT GOVERNOR BY MAY 1st!

Please fill in the form below and click the "submit" button to report your most recent club visit. Note that after your final visit of the year you should download and complete the form at the top right of the page. Visited Club Name: Your (AG) Name: Your Email Address: Your Lt. Governor's Name: Your Lt. Governor's Email Address: Date of Visit: Club's biggest success since last visit: Club's biggest challenge since last visit: Any new club PR activities?: Successful actions to increase membership?: How is board of directors functioning?: Your sense of the club during your visit: How were you received by the club?:   Check all that apply:   Visited Weekly Meeting   Visited Board Meeting   Visited Other Club Activity (Describe Below)    Briefly Describe Activity: Overall Comments on Visit: Type the following numbers:                                         If you need additional assistance, please call Loren Kuehne at 575-522-3763