Rotary Club of Washington DC Membership Application

Membership Application
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Primary Phone Number*

Area CodePhone Number
Work Number

Area CodePhone Number
E-mail*
Employer
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Birthday*

MonthDayYear
Spouse's Name

First NameLast Name
Classification Information
To ensure that our Classification Committee assigns the most appropriate classification, you will be requested to upload your resume at the end of this application.
Occupation (Include Title)*
Nature of Business at Your Organization*

Education & Training
Undergraduate Education - Institution
Undergraduate Degree Earned
Graduate Education - Institution
Other Relevant Training and/or Degrees
Community Service Activities
Have you ever belonged to another Rotary Club?*

YesNo
If yes, what is the name of the club?
Dates of Membership
Offices/Positions Held
Please list any professional, business, social, fraternal, civic or religious organizations of which you are a member and the dates of membership If none, state "none."*
Please describe why you would like to join the Rotary Club of Washington, DC. ***If you are uploading this document, then please type "N/A"*
Please indicate your areas of interest in applying for Rotary membership. Check all that apply:

Social EventsHands On VolunteeringInternational ServiceFoundations and GrantsLeadershipPublic Relations/MarketingFundraising
Or you can upload a letter describing why you would like to join

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Date of Membership Orientation Attended*

MonthDayYear
Sponsor 1*
Full Name
Sponsor 2*
Full Name
***A Sponsor is a member of the DC Rotary Club who is willing to vouch for you and support you as potential member of the club. We require two sponsors and the first sponsor (also know as your primary sponsor) is responsible for writing a letter of recommendation for you membership.

REQUIRED: Upload a headshot for the membership directory / Or take a headshot using the next step. ***Max file size is 1MB.*

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Upload your resume. Max file size is 1MB.*

Upload a File

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Enter the message as it's shown*
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Membership Application