To: The Capitol Square Rotary Club

I would like to become an active member of the Capitol Square Rotary Club, a part of an International association of Rotary clubs. I agree to fulfill, to the best of my ability, the obligations of membership.

I understand the qualifications for maintaining my active membership status, and agree to conform to attendance requirements to the best of my ability.

I will endeavor to learn the fundamental principles of Rotary and apply them in my daily life. I will strive to find my place in the structure of Rotary committee work, which is the heartbeat of the club.

I look forward to working with fellow Rotarians on club programs that impact our community in positive ways that promulgate the principles of the Rotary Four-Way test.

I understand that before my final acceptance into membership, I will meet with the Capitol Square Rotary Information Committee to review Rotary history, its principles and ideals, and its general organizational structure.

I understand that by joining the club, I will be responsible for semi-annual dues of $195, plus a $75 initiation fee to cover member materials. I agree to pay $270 to the club before I'm inducted.

Please complete the following questionnaire. The information is needed for the club’s permanent records, for immediate use in introducing you to the Club membership, and for helping in committee assignments and other club activities.

Please list other clubs, professional associations (offices held,) social, fraternities/sororities with which you are affiliated. Also please list your community service activities and awards.