Free Rotary Club Membership Application Form Template

Rotary Club Membership Application Form

Please fill out this form to apply for membership.

Personal Information

Name

    Date of Birth

      Gender

        • Male

        • Female

        Address

          Phone Number

            Email

              Occupation

                Employer

                  Are you currently involved in any other community or service organizations?

                  If yes, please list

                    Are you available to attend regular meetings and events?

                    Acknowledgement

                    I acknowledge that by joining the Rotary Club, I am committing to participate in club activities, attend meetings when possible, and uphold the values of the Rotary Club.

                    Name:

                    Date:

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                    Your application has been received!

                    We will review the details and contact you soon.

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