Rotary Club of Carbondale
Rotary Club of Carbondale
   Become a Member
Membership Application Process:

We are very excited that you have attended the required 3 breakfast meetings and you are now applying for Club Membership.  Please complete the form below so we can further process your Application as a Prospective Member.


Our Club has moved to a paperless application process that is integrated with our website database. Upon your induction as a Rotarian, you will have a unique login to our Member's Only exclusive section of the website.

The form is divided into to sections; Public and Private. The Public information is included in the Member Directory section of the web site
Rotarian Members Directory.  The Private section is only used in the Member's Only secure section of the site.  At no time is any of your personal information provide to any 3rd party out site of Rotary.

After completion of and submitting the form below, the Membership Committee will be notified and will follow-up with you. Your Application is submitted to the Board of Directors and then the general Club Membership for final review.

By submitting this application the Prospective new member confirms they have read and agree to Carbondale Rotary Member's Responsibilities.

By submitting this application, I
 grant permission to present my name and information contained in this Application Form"Statement" to the Carbondale Rotary Club membership. I agree to the Financial and Time Commitment and after attending 3 meetings, if asked, I will make my final decision to become a Rotarian within 24 hours by notifying the Membership Chairman.
 
Carbondale Rotary Membership Application
Public Portion of Your Profile - Your information is this section will be available on the public section of our web site after you become a member
Last Name, First Name*
Enter your last name, then first name (format: Smith, John)

The biography is a short history or story of yourself, 100 words or less,  that provides insight to people that view your information on the Public portion of the website.  This is a new feature on the site, current Club Members are in the process of completing their biographies as well.

Please upload a head profile picture of yourself (see Rotarian Members Directory for examples) or one can be take for you at a one of our weekly meetings.

This can be the name of your business or place that you work.  Or the type of work that you do i.e. Technology Consultant, Architect, Retired, etc. 

This can be your business or personal website. (format: www.domainname.com) This will automatically be linked back to your website
Private Portion of Your Profile All the information below is private and only accessible by our Club Members, in the Member's Only section of the web site which requires a login.

To enter a date, please click on the field and a calendar will open on which you can select the appropriate date. 

 

 

 

 

 

 

 

 

 

Home Phone and Cell Phone are both required fields.  Please include the area code with this format 111-222-3333.  

If you use your Cell Phone as you Home Phone, please enter it in both fields.

 

 

 

 

1. How would you be a good Rotarian? See www.rotary.org. for information about Rotary. 2. How long have you known your Sponsor? 3. Describe current and past community activities and any awards. 4. Describe your family.

This is used on your Rotary badge and helps other club members learn more about you. Examples are Math Teacher, Webmaster, Development Consultant, Family Counselor, etc.

 
 

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