Application Form – Bay City Morning Rotary Club

If you wish to apply for membership, please complete the Bay City Morning Rotary application form below. Applicants should attend at least 1 meeting in-person before applying.

Membership Chair:
Cindy Lutz Cindy.Lutz@mymichigan.org

Interim Membership Chair:

Magen Samyn: Magen@BayCityArea.com

Bay City Morning Rotary Proposed Candidate Information Sheet

First Name

Last Name

Nickname

Home Address

Home Phone

Date of Birth

Name & Address of Employer, Company or Institution:

Business Fax

Business Phone

Principal Business or Activity

Have you ever been a member of Rotary?

Yes

If yes, where?

Have you ever been a member of any other service clubs?

Yes

If yes, where?

Have you attended a Morning Rotary Club meeting as a guest?

Yes

Can you meet club attendance requirements (80% of club meetings)?

Yes

Your Principal Activities & Interests:

Names of other Rotary members that you know:

Additional comments:

Proposed by Rotary Member:

If you are human, leave this field blank.