MEMBER INFORMATION
Name:
Phone:
Date of Birth (DD/MM/YYYY)*:
Current address:
City:
Occupation/ Area of Study:
E-mail:
Province:
Student #:
Postal Code:
Employer/ Educational Institution:
ADDITIONAL INFORMATION
Were you a “member in good standing” of the Rotaract Club of Ottawa South during the 2013-2014 year? (Place an ‘X’ beside your answer choice)
Yes, I am a returning member
No, New Member (Recruited by: _________________________)
Areas of Interest (Place an ‘X’ beside your answer choice)
Community Service
International Service
Professional Development
Club Service
MEMBERSHIP AGREEMENT
1. Will you take part in sixty per cent of the club’s meetings?** (Place an “X” beside your answer choice)
Yes, I will No, I cannot
2. Are you willing to pay membership dues? (Place an “X” beside your answer choice)
Yes, I will No, I will not
3. The Rotary Foundation offers opportunities to Rotaractors who are not children or grand children of Rotarians for study and travel abroad. Are you a child or a grandchild of a Rotarian? (Place an “X” beside your answer choice)
Yes, I am No, I am not
I understand and accept the principles of Rotaract as expressed in its purpose and objectives, and agree to comply with and be bound by the “Standard Rotaract Club Constitution”, “Rotaract Statement of Policy”, by- laws of the club and this document (membership application).
Signature of applicant: Date:
Signature of Club Secretary: Date:
*Date of birth is required to confirm that members meet the age requirement to be a Rotaractor. Article IV Subsection I of the “Standard
Rotaract Club Constitution” stipulates that Rotaractors must be between the ages of 18 – 30.
**In order to remain in good standing and be eligible to participate in Rotary and Rotaract events (including meetings and voting) a member must attend a minimum of sixty percent of the club’s general meetings (missed general meetings can be made up for by attending committee meetings, events and/or Rotary Club of Ottawa meetings) according to Article IV Subsection III of the “Standard Rotaract Club Constitution”.
In special circumstances appeals can be made to the Board of Directors and good standing can be reinstated.