Rotaract 2025-2026 Membership Application
From Rotary:

"Solving real problems takes real commitment and vision. For more than 110 years, Rotary's people of action have used their passion, energy, and intelligence to take action on sustainable projects. From literacy and peace to water and health, we are always working to better our world, and we stay committed to the end."

Rotary is a service organization serving millions of people globally, and we function as one of its college branches inside our district in San Diego. Want to get the most out of Rotaract at UC San Diego and support our club? Become a member!

There are many great benefits to becoming a member of our club:

All membership tier levels:
  • Ticket to the End-of-Year Banquet
  • Supporting an amazing organization!
  • Member-only socials for each academic quarter paid
Full year-long members only ($30):
  • T-shirt for the academic year 
  • Networking opportunities with district Rotary
NOTE: All funds from the membership form go straight towards the club!
Name (Last, First)
*
UCSD Email
*
Birthday
MM
/
DD
/
YYYY
Phone Number
*
Preferred method of contact *
Required
Year *
Required
College? *
Major *
Are you a new or returning member?
*
If returning, did you pay dues for the 2024-2025 school year?
Clear selection
Do you have any food allergies or dietary restrictions we should be aware of?
*NEW (PLEASE READ!)*
 
We understand that everyone’s situation is different, so this year we’ve created two membership tiers to give you more flexibility and make it easier to get involved. Whether you're studying abroad, graduating early, or just not sure about your plans for the full year, you can still be part of our community!

Annual Full Membership: $30 for the year (one-time payment for the entire academic year)
-Provides access to End of the Year Banquet
-Member-only socials and networking events with Rotary for the entire year
-T-shirt for the academic year 

Quarterly Membership: $15 per quarter (paid every quarter of involvement)
-Provides access to End of the Year Banquet
-Member-only socials for the quarter that you've paid for

Please let any of the board members know if you have any questions or email us at membership@rotaractucsd.org


Choose your membership option:
*
Have you paid your membership dues for this year ($30 for an annual membership, $15 for quarterly)

Venmo (preferred): @gabsters43
(Please do not toggle purchase protection)

Zelle: @treasurer@rotaractucsd.org

*Please put a note on the payment that says "Rotaract Membership - [Your Name]" [Annual OR Quarterly]
*
What is your T-shirt size? *
How did you hear about us?
*
Required
Anything else you would like to let us know? 
Thank you for becoming a member of Rotaract at UC San Diego! See you at GBM!
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Big West Rotaract Foundation.

Does this form look suspicious? Report