Membership Proposal Form - to be completed by Rotary Member (not the potential member):
Membership Criteria:  Adult persons of good character and good business, professional and/or community reputation: engaged as proprietor, partner, corporate officer, or manager of any worthy and recognized business or profession; or holding any important position in any worthy and recognized business or profession or any branch or agency thereof and having executive capacity with discretionary authority; or having retired from any position in the preceding listing; or being a community leader who has demonstrated through personal involvement in community affairs a commitment to service and the Object of Rotary; or having the status of Rotary Foundation alumnus as defined by the board.
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First Name of Rotary Member Submitting this Nomination Form:   *
Last Name of Rotary Member Submitting this Nomination Form: *
First Name of Nominee You Are Proposing: *
Last Name of Nominee You Are Proposing: *
Date your nominee attended a Rotary luncheon (required before you can submit nomination): *
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Name of Nominee's Firm or Organization: *
Title/Position of Nominee in the Organization: *
From the following list of our membership criteria, check the box that applies to your nominee.  Check one: *
What are the nominee's major responsibilities in the firm/organization (including number and levels of people supervised, if applicable): *
What is the Firm/Organization's Primary business? *
Firm/Organization's website address: *
Is the nominee currently a member of any other service clubs? *
If nominee is a current member of other service clubs, list organizations here and any offices held:
If nominee is or was a Rotarian elsewhere, list the Rotary Clubs here:
COMPLETE THE REMAINING QUESTIONS OR EMAIL THE NOMINEE'S RESUME TO THE ROTARY OFFICE AT rotaryoffice@rotarymadison.org   
Include a brief biographical summary of the nominee here that summarizes the nominee’s employment history, education, professional certification, hobbies and interests:
List information about the scope and scale of the nominee's firm or organization (such as purpose, scale, geographic scope, revenue, total # of employees):
List the nominee's Community Involvement and Activities:
Thank you for submitting this nomination.  The review process typically takes about 6 to 8 weeks, and you will hear back once the process has been completed.  For more information on process and timing, visit www.rotarymadison.org; click on downloadable forms; and select "Membership Proposal Form Process Overview."
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