Rotaract Application .pdf

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Rotaract Club


usl Citadel

“ Fellowship Through Service ”


Family Name

District 3770

Sponsored by: Rotary Club of Tuguegarao Citadel

First Name

Middle Name

Date of Birth
Home Address
Class Schedule

Cellphone No.
Email Address
Course & Year
Areas of Interest:
Community Service
International Service
Professional Development
Youth Service
Club Service

1. Will you take part in 60% of the club’s social and services activities?



2. Are you willing to pay membership and monthly dues?



I understand and accept the principles of Rotaract as express in its purpose and objectices
and agree to comply with and be bound by the Standard Rotaract Club Constitution, Rotaract
Staements of Policy, and bylaws of the club.


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