Rotaract Member Application 17/18
**Membership is not Valid until $25 dues have been paid**
Full Name *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Full Current Address (Street, City, Postal Code) *
Your answer
Date of Birth *
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Occupational Classification/Area of Study *
Your answer
Employer/School *
Your answer
Were you a member in good standing of the Rotaract Club of Ottawa during the 2016-2017 Rotaract Year? *
If recruited by a Rotaractor please enter their name.
Your answer
What committee(s) do you plan on joining? *
Required
How did you hear about the Rotaract Club of Ottawa? *
Will you take part in 60% of the club's meetings? *
Are you willing to pay membership dues? ($25) *
The Rotary Foundation offers opportunities to Rotaractors (who are not children or grandchildren of Rotarians) for study and travel abroad. Please indicate if you are a child or grandchild of a Rotarian. *
By filling out this form you understand and accept the principles of Rotaract as expressed in its purpose and objectives, and agree to comply with and be bound by the “Standard Rotaract Club Constitution”, “Rotaract Statement of Policy”, by-laws of the club and this document (membership application). *
Today's Date: *
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