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Rotary Club of Surprise: Prospective Member Application
The Rotary Club of Surprise is a business/social networking and active service club with projects locally, nationally and internationally. Our impact on communities and building future leaders is rooted in a strong membership of caring volunteers. We thank you for your interest in joining The Rotary Club of Surprise.
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Email Address
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Your answer
Full Name
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Your answer
Do You Have a Nickname?
Your answer
Address
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Your answer
City
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Your answer
State
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Your answer
Zip Code
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Your answer
Cell / Smart Phone Number
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Your answer
Date of Birth
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MM
/
DD
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YYYY
Have you ever been a member of a Rotary Club?
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Yes
No
Other:
Why do you want to join the Rotary Club of Surprise?
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Your answer
How did you hear about the Rotary Club of Surprise?
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Current Member
Social Media
Newspaper
Other Rotarian
Rotary Club of Surprise Website
Rotary International Website
Other:
Required
What is your current / past occupation?
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Your answer
Are you interested in getting involved with the Chapter?
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Board Member
Leadership Position (President, Secretary, etc.)
Committees Member (Membership, Recruiting, Service Projects, etc.)
Committee Chair (Membership, Recruiting, Service Projects, etc.)
Meeting Set-Ups / Program Planning
Other:
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