Club Member Interest Form 
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Name *
Date *
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AREAS OF INTEREST
Place a rating next to the top 5 areas you have interest in serving this year. (For example, 1, 2, 3, etc. where 1 is top priority. Leave the other areas blank) 
1
2
3
4
5
Meeting Activities
Community Service
Marketing and Information Service
Member Service
Youth Service
Community Awards
Family of Rotary
Finance Committee
Grants Committee
International Service
Programs Committee
Nominating Commitee
Rotary Foundation
Brewfest Committee
Mental Health Summit Committee
Road to Reading Literacy Committee
Peace Building Committee
Flag Committee
Spirit of Service Food Drive Committee
Club Socials
Clear selection
Based Upon The Areas You Want to Serve Above Check The Subcategories That Spark Your Interest
(Check any that apply for each section below)
Meeting Activities
Community Service
Marketing and Information Service
Member Service
Youth Service
Tell us anything else you may want to add related to how you would like to serve: 
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