Welcome! We are glad you’re here.

You’re considering joining Rotary, the world’s oldest and largest service organization – and specifically the Rotary Club of Penn Hills, PA. Our Rotary Club dates back to 1947. Now that you have attended a few of our meetings and have an idea of what Penn Hills Rotary is and does, we welcome you to apply for membership to our organization. Please complete the form below. Thank you!

Member Information

Applicant Name

First Name

Last Name

Business Name (if applicable)

Birthday

YYYY

Contact Info

Provide an email that can be used for Rotary communications

Phone

(###)

###

####

Phone Type

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Club Questionnaire

Sponsor

List the name of the current Rotary member sponsoring your application (if you have one)

Why do you want to join Rotary?

Bio / Description

A brief overview of your personal, professional and family background.

Hobbies / Interests

Affiliations

Please list any civic organizations in which you are currently active, any military service or current veterans’ activities, and political or professional organizations, or any other community involvement. Type N/A if none.

The Rotary Club of Penn Hills does not discriminate on the basis of race, color, sex, age, religion, national origin, or disability in membership practices, programs or activities. This policy is in accordance with the state and federal laws, Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990.

Signature

Please type in your full name, which serves as your digital signature and certifies that all information contained in this application is true and accurate. I fully understand the privileges and responsibilities of membership in the Rotary Club of Penn Hills. I agree to give one month's written notice if I decide to terminate my membership.