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rotaryclubgbagada
September 15, 2022
September 15, 2022
We love it when new members
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CLICK THE ARROW TO FILL AND SUBMIT THE FORM BELOW
1
Step 1
First Name:
Last Name:
Other Names:
Email:
email
Phone Number:
phone
Home Address:
Office Address:
Age:
25-40
41-50
50+
Gender:
Male
Female
Highest Academic Qualification Attained:
Secondary School
Bachelors Degree
Masters Degree
PHD
Professor
Other
if other, specify:
Who invited you to Rotary?
How do you rate your readiness for humanitarian services?
1-3
4-6
7-10
Not Sure
Not Ready
Did you learn more about Rotary on your last visit to the club meeting?
Yes
No
Were you satisfied with the information heard about Rotary in your last visit?
Yes
No
Before you came, did you have any knowledge about Rotary?
Yes
No
Do you have any other thing you like to know about Rotary?
Have you been a member of Rotary Family (Rotary, Rotaract , Interact or RYLA) before?
Yes
No
If Yes, select any of them below (you can select more than one)
Rotary
Rotaract
Interact
RYLA
Will you like to Fellowship with us again?
Yes
No
Maybe
How satisfactory were you with our last meeting?
1
2
3
4
5
6
7
8
9
10
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