New Member Application Form
Thank you for your interest in becoming a Rotarian and joining our network of dedicated volunteers.

We're always happy to hear from individuals interested in taking action to create lasting change. The greatest gift you can give someone is your time because when you give your time you are giving a portion of your life that you will never get back.

Sunshine Coast Passport Rotary - Provisional wants its members to invest their time to create a wonderful experience for themselves and the community they are helping. Make sure you give your time effectively and make a difference.

IMPORTANT: Membership is NOT automatically granted. Your application will be submitted to the board of directors for approval.

Membership fee details are available at sunshinecoastpassportrotary.org/membership
Privacy Policy is available at sunshinecoastpassportrotary.org/privacy-policy
Email address *
Title *
First name *
Your first or preferred name
Last name *
Your last name
Date of Birth *
Your DOB
Telephone Number - Preferred *
Telephone Number - Home
Telephone Number - Mobile
Telephone Number - Business
Social Media details
Please list your Facebook. Instagram, LinkedIn, WhatsApp handles
Which platform do you prefer for communications?
Clear selection
Partner's First name
Your partner's first or preferred name
Your Partner's Last name
Your partner's last name
Your Partner's Date of Birth
Your Partner's DOB
Your Partner's Email Address
Your Partner's email address
Anniversary Date
You and your partner's Anniversary date (if applicable)
MM
/
DD
/
YYYY
Residential Address *
Your home address
Mailing Address (if different)
Your Mailing address
Employment Status *
Business Name *
Position or Title *
Business address *
Rotary History
Are you currently, or were previously a Rotarian or Rotaractor? *
Required
Have you participated in any volunteer, study, exchange or youth programs of Rotary (a Rotary Alumni) *
Required
If you checked either of the above questions, please elaborate on your past or current involvment with Rotary
What is your current or most recent club?
Please include (incl. from/to dates)
Do you know your Rotary ID number?
Do you have a letter from your current or former club confirming that you are or were in good standing? If not, please advise Club Secretary's contact details.
Tell us about yourself
We'd love to learn more about you. Please provide a brief biography below to allow us to learn some more about you. Details may include: your work experience, where you were raised, educational and family background, your hobbies and more.
Biography - About You
Occupation *
Biography *
Questions or comments?
Membership Interests
How did you hear about Sunshine Coast Passport Rotary? *
Areas of interest *
Required
Please give an indication of the roles you may be interested in *
Required
Formalities
Agreement subject to acceptance of this Application by the Board (please mark all boxes) *
Required
Sponsor - Sponsoring Rotarian must be a member in good standing of the Rotary Club of Sunshine Coast Passport, or a former Rotary Club member. If you do not have a sponsor, please leave blank and one will be assigned to you.
Sponsor's Name
Sponsor's agreement
Are you committed to ensuring that the applicant remains an engaged, active member of the club?
Membership Director's use
A copy of your responses will be emailed to the address you provided.
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