Membership Application

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Membership Application

Conveniently submit your Rotary Club application online with the following form.
You may also print this application and send it to: Vita Schmidt – c/o AAA Travel – 17220 Royalton Road – Strongsville, Ohio 44136-4400

    Nickname

    Home Address

    Home Phone

     

     

     

     

    Business Address

    Business Phone

    Title of Your Position

    Type of Business

    Email (home or business)

     

     

     

     

     

     

    Educational Background

    Who is your Parma Rotarian sponsor?

    Are you a former Rotarian?

    Yes No

    If yes, what club

    Length of membership

     

     

     

     

     

     

    How long have you lived/worked in the community?

     

     

    Month & day of birth (no year)

     

     

    Month & day of anniversary

     

     

    Spouse’s first name

     

     

    Children’s names & ages

    Memership in other clubs, business and professional organizations:

    What are your hobbies?

    If you had a preference on your first committee in the club, what would it be?

    Membership Development    Special Projects
    Reverse Raffle    Community Service
    Fundraising    Club Bulletn & Advertising

    What do you see as the most important need(s) to this community now?