I Might Be Interested in Rotary

1

Name

First Name

Last Name

2

Email

example@example.com

3

Cell Phone NumberBest Number We Can Reach You At

Please enter a valid phone number.

4

How Old Are You?We prefer you didn't lie, but approximates work as well

5

Are you "officially" retired?We get it if you are busier than when you had a full-time job, but it helps us create a better club match

YESNO

6

What IS or WAS your Career?

7

Choose WHY you would be interested in joining RotaryYou can choose MORE than one

Meeting New People / Friends

Business Network / Growing My Business

Giving Back to the Community / Community Service

Leadership Development

8

If you joined a club, how often would you prefer they met?You can only choose ONE

1x a month

2x a month

3x a month

Every week

Don't care

9

If you joined a club, what time of day would you prefer they met?Choose ALL that apply

Morning / Breakfast Meeting

Lunch time Meeting

Evening / After work meeting

Any time / I'm flexible

10

Which day(s) of the week work best for you to participate in a club meeting?Choose ALL that apply

Monday

Tuesday

Wednesday

Thursday

Friday

11

We have some clubs that meet VIRTUALLY via Zoom.com. Would you be interested in joining a club like this?This is called a Rotary E-club.

YESNO

12

Based on your previous answers, what CITY would you like the club to meet in so that it's most convenient for you?

13

How FAR would you travel to participate in a club meeting if one was not available in the town you just mentioned?Only choose ONE

10 minutes or less away

20 minutes or less away

30 minutes or less away

If not available, I would do Virtual

14

Last Question... Do you have any friends who are currently Rotarians? If so, who?We only want to know so if they are local, we might be able to connect you with their club.