MIDLAND ROTARY CLUB

Midland Rotary Club

Member Nomination Form

• Rotary Membership is based on classification.  The strength of our club is the diversity of our members.
• The Nominee's past and present community service record is weighed in consideration for membership, as it is an indication of commitment to "Service Above Self".
• The nominee's work position and schedule must allow for 60% attendance, while 100% attendance is encouraged.

Full Name:_________________________________________Birthdate:____________________________

Home Address:_____________________________________________

Name you wish members to call you:____________________________

Home Phone:___________________________________Work Phone:_____________________________

FAX:__________________________________________

How long have you lived/worked in Midland?:_________________________________________________

Business Name:________________________________________________________________________

Your Title/Position:______________________________________________________________________

Former Rotarian?:__________If yes, when/where?:__________________________________________

Email Address:______________________________Business Address:__________________________

Your Community Activities:_______________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Brief Career History:____________________________________________________________________

_____________________________________________________________________________________

Education/Degrees Earned:_______________________________________________________________

Military Service (with details):_____________________________________________________________

Sponsor:________________________________Sponsor Phone:_________________________________

Sponsor E-mail address:____________________________________________ 

Date:___________________________________

Secretary Tracking Area Only:

1. Date received by secretary:_______________________________
2. Date presented at first Board meeting:____________________
3. Two dates that the nomination form was on Thursday tables:___________________
4. Date presented at second Board meeting:_____________________________________
5. Date called nominee & sponsor____________________________
6. Obtain classification from Preston Jones.__________classification________________________________________________

7. Sent letter to nominee, sponsor, President, Treasurer, Christin Schwenke, Michelle Everett:_______________

8. Add to RI Site (search first):________________________________
9. Order badge:______________________________________________
10. Decide on badge number:__________________________________
11. Add to Clubmate:__________________________________________
12. Date that badge was given to President:_____________________

Revision Date: July 1, 2008