Membership Application Form
For internal and confidential use of the membership application process of the Rotary Club of Vancouver Yaletown (www.vancouveryaletownrotary.org)

Upon submission, your information will be forwarded to the membership committee for review, follow up, and approval decision.

For questions, please email to vancouveryaletownrotary@gmail.com
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Last Name *
First Name *
Home Address (including postal code) *
Email Address *
Phone Number *
Birth Date (month and day) *
Current Occupation or Study Background *
How did you hear about the Rotary Club of Vancouver Yaletown? *
Why are you interested in joining Rotary and the Yaletown club? *
Which of these skills/interests would you contribute to the Yaletown club? *
Required
What areas/aspects of Rotary International are you most interested in getting involved in? *
Required
Have you been involved with any other service organizations/volunteer work? (If yes, please specify) *
Personal References (name and phone number) *
For Club Use
Club Member Sponsor: 
Reviewed By, Date:
Received By, Date:
Decision By, Date:

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