Rotary Data Collection Form

Please help us build an accurate profile of yourself by answering the following questions.

Please tick which organisation you are interested in*

Rotary ClubCommunity Team

Your name*

First NameLast Name

Your address*

Mobile number

Land Line number

Email

example@example.com

Date of Birth*

Date

How did you hear about Rotary?

Are you a former Rotary member*

YesNo

If Yes - previous club name

Previous Rotary membership ID Number (if known)

Rotary International in Great Britain and Ireland (RGBI) Collection and Use of Personal Membership Data

As part of its effort to assist clubs and districts and facilitate communication with Rotarians, Rotary International (RI) and Rotary International in Great Britain and Ireland (RGBI) collects personal information about Rotary club members, and their partners and associates where appropriate, to be used solely for the purpose of conducting business activities. Full privacy statements are available online for RIBI and RI and by contacting the RIBI Support Centre on 01789 765 411 (Option 6) or emailing cds@rotarygbi.org

Note: Once this information has been entered on to the Rotary Data Management System (DMS), under GDPR, there is no justification for storing this form so it should be shredded or handed back to the applicant