Rotary Club of Dallas-Uptown
Membership Interest Form

Thank you for your interest in the Rotary Club of Dallas-Uptown. Please provide information below to begin your membership process. We encourage you to attend a couple of our meetings to determine if the club is a good fit for you.

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Our membership process includes:

1. After your interest form is received, you will have a brief casual intake by our membership chair or member of the committee. Your application will be submitted to the Club's Board of Directors for review and approval.
2. Once the Board has approved your membership, you will be listed to the Club for ten days (per Rotary membership procedures). After the ten day waiting period, should no objection arise, you will be considered approved for membership.
3. You will be notified immediately once you are approved and your new member induction will be scheduled. You are welcome to ask friends, family, and business contacts to attend your induction.
4. Once you are inducted, please consider a committee or leadership role that would lbe a good fit.
5. Dues are $120 per quarter.
6. Lunch expenses are not included in membership dues.
7. We have social events and fundraisers throughout the year with small costs.
8. Members are encouraged to contribute at least $100 annually to the Rotary International Foundation.

First Name *
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Last Name *
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Street Address (preferred mailing address) *
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City *
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State *
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Zip *
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Preferred phone number *
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Email address *
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Employer name *
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Position title or description *
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Have you been a Rotarian before?
If a previous Rotarian, please include club name.
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If previous Rotarian, please note years of membership.
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If previous Rotarian, please provide membership number (if known).
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Please tell us some vocational and personal background details that will enhance your activities as a Rotarian: *
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How did you learn about the Rotary Club of Dallas-Uptown? *
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Why do you want to be a Rotarian? *
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Current member sponsor (if known, not required).
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Birth Date *
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Education, Degrees, Professional Affiliations *
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Hobbies *
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Family (including pets!) *
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Favorite Sports
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Favorite Pen (& color)
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Favorite Music Genre
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Favorite Restuarants
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Favorite Vacation Spots
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Tell us more about you! Have you lived anywhere unique? Did you invent something? Tell us about your adventures!
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Is your spouse interested in joining Rotary? Under our Spousal Membership, he/she can join for a discounted membership fee of $50 per quarter! *
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