625 NW 13th St. Ste 105 73103
Membership Nomination Form
to be completed by the ROTARIAN SPONSOR
Please submit below or mail to:
Rotary Club of Oklahoma City
625 NW 13th St., Ste 105
Oklahoma City, OK 73103
This form can be found online:
Please Remember that the membership process is CONFIDENTIAL to the Nominee!!
Requirements for Membership:
A Member must be an adult person of good character and good business and professional reputation
1) Engaged as a proprietor, partner, corporate officer, or manager of any worthy and recognized business or profession ; or
2) Hold an important position in any worthy and recognized business or profession or any branch or agency thereof and have executive capacity with discretionary authority; or
3) Be distinguished in community, civic, or political activities
1.This person clearly meets criteria for membership
2.This person may not meet the criteria, but should be considered for membership because
Is this Nominee aware that they are being proposed for membership?
Name of Firm:
Firm's Principal Business:
Position with Firm:
How long have they been with current firm?
Business / home Email:
Business or Cell Phone:
Address of Firm:
Prior Firm, if any ( Name & City)
Position/ Title with Prior Firm:
Has the Nominee ever been, or is the nominee currently a member of another Rotary Club?
If so, where?
How long have you known the nominee?
What is your connection to the nominee? (church, club, lodge affiliation)
Please list additional Rotarians who know the nominee:
In order to know more such as education and other board or civic involvement, please attach a resume of the nominee if you have access.
Principal Sponsor Signed & Badge #
Email address of Principal Sponsor
Sponsor 2: Signed & Badge #
Sponsor 3: Signed & Badge #
Thank you for this nomination. If you have any comments, please add them.
Should be Empty: