New Member Application

New Member Application

Application for membership in the Rotary Club of Morehead City North Carolina.
Applicant Information
First Name and Initial
Last Name
Spouse Name
Home Address

Street Address or PO Box

Street Address Line 2
CityStatePostal / Zip Code
Mailing Address (if different)

Street Address or PO Box

Street Address Line 2
CityStatePostal / Zip Code
Birthday

MonthDayYear
Date
Wedding Anniversary

MonthDayYear
Date

Best E-Mail
example@example.com
Personal Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Sponsor
(Perso who invited you to attend the Club)
Business Information
Business Name
Business Mailing Address
City, State, Zip
Business Phone
Please enter a valid phone number.Format: (000) 000-0000.
Rotary Background and Interests
What do you like to do in your free time?
How would you like to use your personal skills and talents in Rotary and the community?

0/100

Rotary Expectations
Offer weekly Rotary Programs that explore my community and worldwide cultures
Have my vocation embraced and respected by Rotary Club members
Provide me with the opportunity to serve my community through service projects
Offer participation in formal leadership education programs
Allow me to take on leadership roles within our club
Provide me with an opportunity to make new friends and expand relationships locally and internationally
I understand that it will be my duty, as a member of Rotary, to exemplify the Rotary 4 Way Test of things we think, say and do, in all my daily contacts and activities, and to abide by the constitution and bylaws of the club.

I understand that part of my membership duties will provide me an annual subscription to The Rotarian, our monthly magazine.

I agree to pay the admission fee of $55.00 (which will be attached to my Membership Application when I turn it in) and the annual dues of $305 (or pro-rated amount that will be given to me on installation) in accordance with the bylaws of the club.

I hereby give permission to the club to announce and publish my name, proposed classification, brief bio and vocational information to the club membership.
Signature and Submission
Applicant Signature
Application Date

MonthDayYear
Date
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