Test Page | The Rotary Club of Safety Harbor

Your Name *

Full name

Email Address *

Phone Number *

Address Block

Address Line 1

Address Line 2

City

State/Province

Zip/Postal

Country

Membership Type Preference *

Business Title (or former, if applicable) *

Name of Current Member (if known) who can sponsor you

Business / Employer Name (if applicable) *

Business Phone

Some vocational and personal background details that will enhance your activities as a Rotarian *

Previous Rotary Experience? (please describe)

Which volunteer work do you feel most suited for? *

Administration (financial, secretary, office)

Community Service Projects

The Rotary Foundation

Membership services

Leadership training

Public Image / Web / Social Media / Next Generation

We usually meet Fridays @7:30AM, Board meetings 3rd Friday of Month. How often can you meet? *

3-4 times/month + additional volunteer hours as available

2 times / month + additional volunteer hours as available

1 time / month + additional volunteer hours as available

Please indicate how many hours per week you would be willing to dedicate *

Please list any relevant experiences you have had that you feel would benefit any of the above programs or events: