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貴社及社員,在本扶輪年度將為扶輪基金會根除小兒麻痺等
                                                       疾病計畫基金捐獻多少 ( 美元 ) ?
                   根除小兒麻痺基金捐獻
              11                                       How much money (USD) will be contributed to The Rotary
                   PolioPlus Fund contributions
                                                       Foundation PolioPlus Fund by your club and its members
                                                       during the Rotary year?
                                                       在本扶輪年度,一次單筆捐獻 10,000 美元或以上的貴社社員
                                                       (或與貴社有關的個人)人數
                   巨額捐獻
              12                                       How many single outright donations of US$10,000 or more
                   Major gifts
                                                       will be made by individuals associated with your club
                                                       during the Rotary year?
                                                       在本扶輪年度,貴社將接待的入境扶輪青少年交換學生的人
                                                       數
                                                       How many Rotary Youth Exchange students will your club
                   入境青少年交換學生
              13                                       host during the Rotary year?
                   Inbound Youth Exchange students:
                                                       * 任何參與扶輪青年交流的扶輪社都必須遵守扶輪社的政策和
                                                       扶輪青年交流認證標準,並且必須在地區扶輪青年交流計劃
                                                       的直接監督下運作
                                                       在本扶輪年度,將 10,000 美元或以上的資產以遺贈計畫捐獻
                                                       基金會的個人或夫妻之數
                   遺贈會會員                               During the Rotary year, how many individuals or couples
              14
                   Bequest Society members             will inform The Rotary Foundation of their plans to leave
                                                       US$10,000 or more to The Rotary Foundation through
                                                       their estate?

                                                       在本扶輪年度,貴社將派遣的扶輪青少年交換學生人數
                                                       How many Rotary Youth Exchange students will your club
                   出境青少年交換學生                           sponsor during the Rotary year?
              15
                   Outbound Youth Exchange students    * 任何參與扶輪青年交流的扶輪社都必須遵守扶輪社的政策和
                                                       扶輪青年交流認證標準,並且必須在地區扶輪青年交流計劃
                                                       的直接監督下運作
                                                       在本扶輪年度中,將指定基金會的永久基金為資產計畫受益
                                                       者的信息通知扶輪基金會的個人或夫妻,或者以一次捐獻
                                                       1,000 美元或以上給永久基金的個人或夫妻
                   永久基金捐助人                             During the Rotary year, how many individuals or couples
              16
                   Benefactors                         will inform The Rotary Foundation of their estate plans to
                                                       include the Endowment Fund as a beneficiary or will make
                                                       an outright gift of US$1,000 or more to the Endowment
                                                       Fund?
                                             Expand Our Reach 擴展我們的觸及
                                                       在本扶輪年度,貴社輔導的新成立或已成立的扶青社數
                   扶青社
              17                                       How many new and existing Rotaract clubs will your club
                   Rotaract clubs
                                                       sponsor during the Rotary year?
                                                       本扶輪年度結束時,貴社所期望的社員人數
                   社員人數
              18                                       How many total members does your club want by the end
                   Club membership
                                                       of the Rotary year?


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