New Membership Application (Copy)
ROTARY CLUB OF DOWNTOWN MACON
PROPOSAL TO MEMBERSHIP COMMITTEE
PLEASE ATTACH RESUME
Name of proposed member________________________________________________________
Home Phone & Address___( ___)__________________________________________________
Business Phone & Address ___(____)_______________________________________________
Preferred e-mail address__________________________________________________________
Optional Info: Birthdate MM/DD/YY_____________________Spouse Name:______________
Current Employer/Business Name__________________________________________________
Position/Title___________________________________________________________________
Type of business classification_____________________________________________________
How long known by proposing member?_____________________________________________
How well known by proposing member?_____________________________________________
Other members who know proposed member__________________________________________
Affiliation with other Rotary or civic clubs____________________________________________
Other community involvement______________________________________________________
_______________________________________________________________________________
Why do you feel this person would make a good member? _______________________________
______________________________________________________________________________
_______________________________________________________________________________
Additional information membership committee would find helpful in considering individual
_______________________________________________________________________________
_______________________________________________________________________________
Proposed by_______________________________________Date__________________________
Best phone # of member_________________________E-mail____________________________
Return Form to: Amy Maley scan to amy_maley@ml.com
Merrill Lynch physical address:
P.O. Box 7366 3920 Arkwright Road, Suite 300
Macon, GA 31209-7366 (478) 471-4142
FOR ROTARY USE ONLY
Date submitted to Board:___________________________ circle one: Approved On Hold Denied
Reason On Hold or Denied______________________________________________________
Date submitted for Member Approval (quiet period)_________________________________
Date membership offered______________ Start Date_______________ Date of Induction_____________
