PeaceBuilder Club Application

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If you need a paper application, you can download one here.

  • The Rotary Club of:
  • hereby submits this application to be recognized as a District 5100 Peacebuilder Club on this date
  • Today's Date:
    Date Format: MM slash DD slash YYYY
  • We hereby agree to adhere to the criteria specified by Rotary District 5100 to maintain designation as a Peacebuilder Club.

    Our inaugural committee is comprised of the following members:

  • Chair (required)
  • Member (required)
  • Additional Members

Reach Out

Mike Caruso

Mike Caruso

Peace Fellow Selection Chair

Birol Yesilada

Birol Yesilada