Rotaract Club of Coronado: Prospective Member Application
To be completed by prospective member who has attended:
1. One Regularly Scheduled Business Meeting (2nd Thursday of every month)
2. One Additional Rotaract Event
Full Name: *
Your answer
Address: *
Your answer
Date of Birth: *
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Phone Number: *
Your answer
Email: *
Your answer
Rotaract Events Attended with Date of Attendance: *
Your answer
Employment (if applicable): *
Your answer
Typical work hours: *
Your answer
Educational background: *
Your answer
Length of residence in Coronado or San Diego: *
Your answer
T-Shirt Size: *
Your answer
Connections you have to Rotary/Rotaract clubs or members (including past membership): *
Your answer
Why are you interested in joining Coronado Rotaract: *
Your answer
Hobbies & Recreational Activities: *
Your answer
Civic, professional, charitable, and other non-profit memberships: *
Your answer
Any questions you have about Coronado Rotaract: *
Your answer
Application dues of $50 can be submitted via Venmo @coronadorotaract (under Alyssa Ballard's account) or given to any member of the board
Dues include membership, Rotaract t-shirt, name badge and certificate
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