Roberts Lions Membership Application - Roberts Lions Club

Roberts Lions Membership Application“To create and foster a spirit of understanding among all people for humanitarian needs byproviding voluntary services through community involvement and international cooperation.”PART I (Please answer all questions)Application Date:__________________________Applicant’s Name: _________________________________________________ Year of Birth _________________Applicant’s Address: _____________________________________________________________________________City: ______________________________________________State: ______________________Zip: _____________Home Phone: __________________________________Business Phone ___________________________________Cell Phone: ____________________________________ E-Mail Address ___________________________________Spouse’s Name:____________________________Sponsor’s Name:______________________________PART II (Please read carefully)APPLICATION PROCESS1. Prospective members must have a sponsor bring their name before the directors’ board for approval.2. Prospective members and their sponsors then complete this application to the Membership Committee for review.3. The Membership Committee completes the screening process and notifies the prospective member of acceptance ornon-acceptance before the next scheduled meeting.4. Membership Committee notifies the President and Board of Directors.5. The President announces new members at club meeting following the acceptance by the Membership Committee6. Member is inducted into the club.7. Member must submit payment for the first year dues.PART III (Please answer all questions)1. What comes to mind when you hear about the Lions Club? _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________2. Briefly tell us why you are interested in becoming a Lion. _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________3. What do you expect to contribute to the Roberts Lion Club as a member? __________________________________________________________________________________________________________________________________________________________________________________________________________________________4. What other organizations do you belong to? _______________________________________________________5. Tell us about any special interests you may have.____________________________________________________________________________________________________________________________________________________________________________________________6. Are you able and willing to make the commitment to attend our monthly meetings, volunteer when needed,and abide by the Lions policies, guidelines & code of ethics?___________________

PART IV (Please answer all questions)FILLED OUT BY SPONSOR1. Please tell us how you know the prospective member.______________________________________________________________________________________________1. Please tell us how this prospective member will benefit the Roberts Lions Club and the Roberts/Warrencommunity?__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________2. As this prospective members sponsor; are you willing to support and guide them to becoming and active clubmember? ___________Sponsor’s Signature ____________________________________________PART VMEMERSHIP COMMITTEE USE ONLYReviewing Member (s):_________________________________________________Date______________________Comments:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________RECOMMENDATIONS TO PRESIDENTAcceptDeclineIf declined, explain ____________________________________________________________________________________________________________________________________________________________________________Signature _____________________________________________Signature _____________________________________________