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:
*
Your answer
Address:
*
Your answer
Date of Birth:
*
MM
/
DD
/
YYYY
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
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms