<p> Rotary Club of Waxahachie New Member Application - Proposal Form </p><p>Name: ______</p><p>Date of Birth: __/___/_____ Email: ______</p><p>Home Address: ______</p><p>Business Address: ______</p><p>Home Phone: ______Work Phone: ______</p><p>Cell Phone: ______Other: ______</p><p>Name/Place of Business: ______</p><p>Website for Business: ______</p><p>Occupation: ______</p><p>Spouse: ______Anniversary: ___/___/____</p><p>Sponsor’s Name: ______</p><p>If retired, name of employer & position: ______</p><p>Have you been a Rotarian and if so, which Club: ______</p><p>Activities which would enhance consideration as a Rotarian: ______</p><p>Has Rotary been explained in a manner which you totally understand by your Sponsor: Yes [ ] No [ ]</p><p>Do you understand and realize the attendance requirements for this organization: Yes [ ] No [ ]</p><p>Has the Membership Director been in contacted with you: Yes [ ] No [ ]</p><p>Date: ______Signature: ______</p><p>Date: ______Sponsor: ______</p><p>TO BE COMPLTED BY SECRETARY UPON RECEIPT:</p><p>Application Received: ______New Member Information Received: ______Board of Director Approval: ______Published: ______Inducted: ______</p>