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Maple Grove Rotary ClubPO Box 1831, Maple Grove, MN 55311New Member Application – Revised December 2018Please complete this application and return to the Club’s Membership Chair for Board consideration.Current Membership Chair – Julie Kiernanjulie@952-818-9100PERSONAL INFORMATION: Full Name:Home Phone:Email:Cell Phone:Home Address:Date of Birth (MM/DD):Spouse/Partner Name:Anniversary:Children (Name/age):Any Additional Information:BUSINESS INFORMATION:Name:Phone:Address:Email:Website URL:Education and Professional Training:Occupation/Specialty:Any Additional Information:Maple Grove Rotary ClubNew Member Application, ContinuedADDITIONAL INFORMATION:Why do you wish to Join Maple Grove Rotary?Describe previous Rotary club memberships or experience. If known, please include your previous Rotary membership number.Tell us about yourself. What are your hobbies, interests, activities?Rotary Communication(please preference)Personal (cell or home)BusinessPhone:OOEmail:OOMail:OOROTARY INFORMATION: (To be completed by the Rotary Club Membership Chair)Proposed Member Classification:Proposed Membership Type:Date approved for Membership:Rotary Sponsor / Rotary Mentor:ApplicantSignature: __________________________________________________________ Date:__________________ Maple Grove Rotary ClubTalents / Skills / InterestsEach of us has many talents and skills. We also have areas of interest about which we would like to learn. as many boxes below that apply to your current skills or your future interest:Accounting / FinanceAdvertising / Public RelationsAnalytical by natureAttention to DetailAudio / Video EquipmentAuto / Bus Mechanics“Big Picture” PersonComfortable LeadingComfortable sticking to budgets & schedulesComputer / Web Site Mgt.Doer – known for getting things doneEnjoy doing researchEnjoy international travel & culturesExcellent PlannerGregarious by natureHighly OrganizedHistory / HistorianLove working with kidsMathematical skillsMy “yes” means yesNumbers OrientedPrefer to followPrefer Leadership RolePrefer working in groupsPrefer working aloneProject Planning RoleProcess / Methods ImprovementPublic SpeakingPublishing / PrintingResearch & Develop best practicesSpontaneous by natureStrong Selling SkillsMaple Grove Rotary ClubCommitmentsPlease indicate how much time you expect to volunteer as a Rotarian:20 — 60 min per month60 — 90 min per month1 ? — 2 hours per month2 —3 hours per month3 —4 hours per monthPlease indicate which of the following you will commit to as a Rotarian:Abide by the Four Way TestOf the things we think say or do:Is it the truth?Is it fair to all concerned?Will it build goodwill and better friendships?Will it be beneficial to all concerned?Attend a “fireside chat” to learn more about the Rotary club of Maple GroveFind a way to contribute by visiting a few Club committee meetingsParticipate in a several club service projectsInvite one prospective member to a Rotary meetingCollect & turn-in at least three Gala auction itemsAttend the Rotary GalaBring at least three other people to the GalaParticipate in the “Every Rotarian Every Year” program ................
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