New Member Application Form

Name*

First NameLast Name

Date of Birth*

MonthDayYear

Your Occupation*

Proposed Sponsor

E-mail*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Home Number

Mobile Number*

Business Number

Fax Number

Partner's Name

First NameLast Name

Previous Rotary Club (if applicable)

Some vocational and personal background details that will enhance your activities as a Rotarian

How did you hear about us?*

Other*

Object of Rotary
The Object of Rotary is to encourage and foster the ideal of service as a basis of worthy enterprise and, in particular, to encourage and foster:

FIRST: The development of acquaintance as an opportunity for service;
SECOND: High ethical standards in business and professions; the recognition of the worthiness of all useful occupations; and the dignifying of each Rotarian’s occupation as an opportunity to serve society;
THIRD: The application of the ideal of service in each Rotarian’s personal, business, and community life;
FOURTH: The advancement of international understanding, goodwill, and peace through a world fellowship of business and professional persons united in the ideal of service.

The Four-Way Test
The Four-Way Test is a nonpartisan and nonsectarian ethical guide for Rotarians to use for their personal and professional relationships. The test has been translated into more than 100 languages, and Rotarians recite it at club meetings:
Of the things we think, say or do:

1. Is it the TRUTH?
2. Is it FAIR to all concerned?
3. Will it build GOODWILL and BETTER FRIENDSHIPS?
4. Will it be BENEFICIAL to all concerned?

Membership Application Form