The Rotary Club of Parma - "Service Above Self"

<%@LANGUAGE="JAVASCRIPT" CODEPAGE="1252"%>The Rotary Club of Parma - "Service Above Self"

Membership Application
Conveniently submit your Rotary Club application online with the following form.
You may also print this application and send it to: Vita Schmidt - c/o AAA Travel - 17220 Royalton Road - Strongsville, Ohio 44136-4400

Name		Nickname
Home Address		Home Phone

Business Address		Business Phone
Title of Your Position		Type of Business
Email (home or business)

Educational Background
Who is your Parma Rotarian sponsor?
Are you a former Rotarian?	Yes No	If yes, what club
Length of membership

How long have you lived/worked in the community?
Month & day of birth (no year)
Month & day of anniversary
Spouse's first name
Children's names & ages
Memership in other clubs, business and professional organizations:
What are your hobbies?
If you had a preference on your first committee in the club, what would it be?	Membership Development Special Projects Reverse Raffle Community Service Fundraising Club Bulletn & Advertising
What do you see as the most important need(s) to this community now?