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
* Required
Full Name:
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Your answer
Address:
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Your answer
Date of Birth:
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MM
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DD
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YYYY
Phone Number:
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Your answer
Email:
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Your answer
Rotaract Events Attended with Date of Attendance:
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Your answer
Employment (if applicable):
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Your answer
Typical work hours:
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Your answer
Educational background:
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Your answer
Length of residence in Coronado or San Diego:
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Your answer
T-Shirt Size:
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Your answer
Connections you have to Rotary/Rotaract clubs or members (including past membership):
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Your answer
Why are you interested in joining Coronado Rotaract:
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Your answer
Hobbies & Recreational Activities:
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Your answer
Civic, professional, charitable, and other non-profit memberships:
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Your answer
Any questions you have about Coronado Rotaract:
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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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