Rotary Club of San Antonio Membership Application

We strengthen our community by joining together as leaders to exchange ideas, form enduring relationships and create positive, lasting change locally and around the world through service to others.

Personal & Professional Information

First Name*

Last Name*

Firm Name

Title*

Business Type or Profession*

Job Responsibilities*

Are you retired?*

Yes

If yes, what is the last position you held?

Office Address*

Office Zip Code*

Home Address*

Home Zip Code*

Please send correspondence to my...*

Business Address

Home Address

Office Phone*

Please include area code.

Home Phone*

Please include area code.

Cell Phone*

Please include area code.

Preferred Email*

Are you a former Rotarian?*

Yes

If yes, what is the name of your former Rotary Club?

Membership Dates

Date of Birth*

Candidates under 40 will be considered for the U40 Class - see below.

Education

Schools(s) Attended*

Field of Study*

Degrees*

Community Service Experience

List Organizations*

List organizations, years served and your accomplishments.

Please tell us why you want to join Rotary.*

References

Please provide two (2) references, other than your proposer or endorser, who may be contacted confidentially. References cannot be family members.

Reference #1 Name*

Please do not list your Proposer or Endorser as a reference.

How do you know this reference?*

Personal

Business

Both

Phone Number*

Include area code.

Email Address*

Is this individual a Rotarian?*

Yes

If yes, please let us know the name of their Rotary Club.

Reference #2 Name*

Please do not list your Proposer or Endorser as a reference.

How do you know this reference?

Personal

Business

Both

Phone Number*

Include area code.

Email*

Is this individual a Rotarian?*

Yes

If yes, please let us know the name of their Rotary Club.

Financial Obligations

Rotary Fiscal Year: July 1 – June 30 • Fees are prorated based on when the membership is accepted. • Membership Fees are $1,350 which include meals • Members over 65 and on waiver attendance (age + years of service = 85) pay a discounted amount of $750 • $400 Initiation Fee (Please note: Initiation Fees are waived for the following applicants: Former Club Members & Transferring Rotarians)

I acknowledge my Proposer has discussed all fees associated with joining the Rotary Club of San Antonio and understand they are due upon acceptance of membership. Dues must be paid in full (or on a payment plan) before members are introduced.*

U40 Class Participation

The U40 Class program is designed to recruit and develop Rotarian leaders under the age of 40. If you are under 40, you will be invited to join the Class.

Proposer and Endorser

Please provide the names of Rotary Club of San Antonio members who are proposing you for membership.

Proposer*

Endorser*

Resume

If you would like to attach your resume, please upload here.

Drag and drop files here or

Application Completion /Submission

By clicking the SUBMIT button, you agree that you have read and understand the application. If your application is accepted, you will be invited to join. Please note - This process may take several weeks. During this time, you are invited to attend weekly meetings.

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