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* 1. Name

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* 2. Please indicate any area(s) where you feel you have a core skill set, or an interest in developing skills

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* 3. What best describes your CURRENT monthly time commitment to Rotary?

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* 4. What committees might you have an interest in?

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* 5. What positions have you held in Rotary?

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* 6. What else would you like to share about your availability, commitment, or motivation to serve in Rotary at the club level?

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