Professional Documents
Culture Documents
UCLA Rotaract Membership Application
UCLA Rotaract Membership Application
Name: Email: Phone Number: Year in School: Major: Birthday (MM/DD/YY): Other extracurricular activities/jobs/organizations:
Why do you want to join Rotaract? (i.e. leadership development, community service, social)
How did you hear about our club? How many hours a month can you dedicate to our Rotaract Club?
Membership is a yearly $10 fee, which includes a Rotaract Pin. 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 UCLA Rotaract Club Constitution. Signature: Date:
For official use only: PAID: $______ Cash / Check Date: _____________________ _________ Last Name Initial:
For official use only: PAID: $______ Cash / Check Date: _____________________ _________ Last Name Initial: