JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
RCUN Membership 2019/20
Please fill out this form to apply for membership to the Rotaract Club at the United Nations. Most questions in section 1 are based off needed information to register new members through Rotary International.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First and Last Name
*
Your answer
Telephone Number
Your answer
Home Address (Required by Rotary International to register your membership)
*
Your answer
Birthday
MM
/
DD
/
YYYY
Gender
*
Male
Female
Not Given
If you speak more than 1 language, please let us know. You can help us making amazing connections through Rotary!
*
Your answer
Have you been a member of a different Rotaract Club?
*
Yes
No
If yes, provide the name of your Rotaract Club and your Rotary ID Number, if any
Your answer
Next
Page 1 of 3
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
