Lions MD201 Leo of the Year Information and Entry Form

Lions MD201 Leo of the Year Information and Entry Form

MD201 Leo of the Year Quest

Aims of the Quest

1. To develop and encourage the qualities of Leadership, Experience and Opportunity
2. To select a fine ambassador for the Leos of Australia and PNG(Multiple District 201)

Qualifications for entry

The entrant must be a financial member of a Leo Club in good standing, and should:

1. Show a genuine commitment to the ideals of community service
2. Be actively involved in the activities of his/her Leo Club and the wider community
3. Demonstrate a high level of leadership skills within Leos and the community
4. Contribute to the development and growth of the Leo Club Program
5. Have a knowledge and appreciation of the Leo Program and Lions International
6. Have a knowledge and appreciation of Australian/PNG and world affairs
7. Have good communication skills and personal presentation

Judging procedures

Leos wishing to enter the competition must complete the Entry Form and submit it to the District Leo Chairman who will arrange the first level of judging. Please check with your district Chairman for the closing date, as it will vary between Districts.

The District winners will proceed to State judging and State winners progress to national finals at the MD Lions Convention (usually held in early May).Where possible, there should be four clear weeks between the various levels of judging. Entry Forms forMultiple Districtjudging must be submitted to the MD Leo Chairman by 1 April each year.

Judging consists of a 20-30 minute interview with a panel of Lions and community members, plus delivery of a 5 minute speech to an audience of Lions and interested community members.

Judging panel

For District and State judging, there will be three judges. The panel will be of mixed gender and consist of two members of the Lions family and one community member.

At the National final, there will be five judges. The panel will be of mixed gender and consist of four members of the Lions family (including one Leo) and a prominent member of the community.

Judging criteria

Contestants will be judged on their Entry Form, Interview and Public Speaking. Points will be allocated as follows:

Community service involvement 25

Leadership& contribution to development of Leos25

Knowledge of Leos and Lions10

Knowledge of local and world affairs10

Impact during interview10

Public speaking 20

TOTAL100

Prize – National winner

The Multiple District Leo of the Year is funded up to $1500 to travel within Australia to promote the Leo program OR if the winner is under 18 years of age, he/she will join the Lions Youth of the Year winners at an International Youth Camp in New Zealand in December/January.The winner will also receive up to $2000 for personal study or travel, as negotiated with the MD Leo Chairman.

The MD Leo of the Year winner will be required to promote the Leo program and the Leo of the Year Quest throughout the Multiple District, and attend the following MD Convention to assist the MD Leo Committee with the LOTY judging and other Leo activities. The MD Leo of the Year will also be required to submit a report on his/her experiences, opportunities and points of view as a result of holding this position for 12 months.

Best Public Speaker

At the Multiple District final, there is a Public Speaking prize of $500 for the entrant who gains the highest score in the Public Speaking section of the judging.

Prizes – National finalists

All State winners who compete in the National Final will be funded to attend a Lions International Youth Camp within Australia in the year following the National Final.

Prizes – District and State judging

Prizes at District and State judging are at the discretion of the individual Districts/States.They may or may not include a Public Speaking prize.

Privacy

Lions Australia respects your privacy. Information collected in this form and throughout the Leo of the Year Quest will be used in accordance with the Lions Australia Privacy Policy, which can be found at

Further Information

See the Leo section of the Lions Australia website or contact your local Leo Club Chairman, State Leo Coordinator or MD Leo Chairman.

Leo of the Year Entry Form

Please type your responses into this form, then print it and have it signed by appropriate people as directed on the form. It should then be submitted to your Leo Advisor or District Leo Chairman in preparation for the first level of judging. Please ask them for the due date for each level of judging.

Surname ______Given name ______

Date of birth ______Gender Male / Female

Address ______

______

Telephone (home) ______Telephone (mobile) ______

Email address ______

Leo Club ______Member of Leos since ______

Sponsoring Lions club ______

Terms and conditions

1. I am a member of a Leo Club in good standing.
2. I agree to abide by the rules and procedures of the Leo of the Year program.
3. I accept that I will be contacted by the Lion/s organising the Quest to arrange the interview and public speaking judging.
4. I agree to attend all judging levels as required, including those which require me to travel. I understand that reasonable travel and accommodation expenses will be reimbursed by Lions.
5. I agree to cooperate with the Lions organisation and follow all reasonable requests of me in my role as a representative of the Leos of Australia.
6. I agree to my name and/or photograph being used in media reports relating to the Leo of the Year Quest, and accept that these may be published in the media, the Australian Lion magazine and/or any Lions website.
7. I submit this application on the basis that the information provided is correct, and the views expressed are mine.

Signature of entrant

In signing this agreement, I consent to the Terms and Conditions of entry as listed above.

Signed ______Date ______

Signature of parent/guardian (required if entrant is under 18 years of age)

In signing this agreement, I/we consent to the Terms and Condition of entry as listed above.

Name ______Relationship ______

Signed ______Date ______

Telephone (home) ______Telephone (mobile) ______

Email address ______

Contestant information

1. Leo membership

Name of Leo Club ______District ______

Date joined ______Have you changed Leo clubs?Yes/No

Previous Leo Club ______Dates of membership ______

1. Leadership

List the positions you have held in your Leo club/s.

Position / Year / Major initiatives

List the positions you have held at District, State or Multiple District level.

Position / Year / Major initiatives

Explain how you have demonstrated your leadership ability in Leos.

1. Leo development

List examples of your contribution to the development and growth of the Leo club program (e.g. publicity and promotion of Leos, new members invited, new clubs formed)

1. Service record

List the major service activities of your current Leo club in the past year, and indicate your role in each activity.

Service Activity / Date / My involvement

Give a brief description of the project that you have found must fulfilling.

1. Achievements and impact

What do you see as your major achievements in Leos? How have you benefited from Leo membership?

1. Education & employment

Education level attained ______Year ______

Future education goals ______

Current employment ______Full time /part time

Previous employment ______Full time /part time

1. Activities outside Leos

Other community involvement

Leadership in other organisations (e.g. school, sporting teams, clubs)

Interests and hobbies

8. Knowledge of Lions and Leos

In your own words, please provide a brief outline of the formation and purposes of Lions and Leo Clubs and discuss the impact of Lions and Leos’ service projects in your local community and around the world.

(Limit your response to 500 words and attach it as Item 8 to your entry form)

1. Photo

Please attach a high quality photo of yourself (head & shoulders only). If submitting your form electronically, please send the photo as a separate attachment in jpg format, approximately 2mb in size.

Please note that your photograph may be used in program brochures, media coverage and on the Lions/Leos website and Facebook page.

1. Speech

Please prepare a 5-minute speechon a topic of your own choice. It is suggested that you choose a topic that reveals something of your own life experiences, or something you are passionate about.

This speech will be presented to an audience of Lions and interested guests at each level of judging for which you qualify.

Endorsements

I/we endorse this entry in the Leo of the Year Quest for 2016, and will support this entrant to participate in all levels of judging as eligible (including financial support where necessary).

I consent to being named in any media publicity that is generated by the Quest.

1. Sponsoring Lions Club– for District LOTY judging

Name______Leo Club Advisor/ Lions Club President

Signature ______Date ______

1. District Leo Chairman – for State judging

Name______District 201 _____

Signature ______Date ______

1. State Leo Coordinator- for Multiple District judging – submit by 1 April

Name______State ______

Signature ______Date ______