Membership Proposal Form

September 7, 2011

TO: MEMBERSHIP: John Wolf

Pete Gribskov

CLASSIFICATION: Dean Hansen

Enclosed is the following Membership Proposal:

Donna R. Peterson

Community Relations

New Horizons In Home Care

Sponsor: Connie Beckley

Membership Committee: Please review this proposal, approve, and notify the Rotary office as soon as possible. We would like to move forward quickly so that this candidate can be inducted as soon as possible.

Classification Committee: Please assign a classification and notify the Rotary office

accordingly.

If you have questions regarding this candidate, please contact the sponsor.

Thanks for your response.

Mary Holdsworth

Executive Secretary

Attachment


New Member Proposal Form

I propose:

Name: Donna R. Peterson

Business Address: New Horizons In Home Care

Business Telephone: 541-687-8851 FAX: 541-687-6525

E-mail:

Residence Address: 1460 Olive St., #32

Residence Telephone: 541-520-2567

Email:

CHECK ONE:

[XX ] ACTIVE membership [ ] HONORARY membership

If a former Rotarian, list club(s) and date(s):

Other Clubs Dates

Proposed classification (if active):

Name of firm and executive position (former firm and executive position, if retired):

Company Name: Lane Community College Foundation

Position: Development Director

[ ] Retired

Activities that would enhance consideration as a Rotarian:

1.  Disabled Services Advisiory Board

2.  Leadership Council, Alzheimer’s Assoc.

3.  Successful Aging Institute LCC Advisory Council

4. 

Date: June 8, 2011

Proposer’s Name (PLEASE PRINT) GINEVRA RALPH

Proposers Signature: (signed original in file)

EUGENE ROTARY CLUB

PROPOSED MEMBER INFORMATION

PROPOSED MEMBER’S NAME:

1. How long have you known the proposed? 20 years months

2. How long has he/she been in his/her profession? 25 years months

3. Have you had business dealings with him/her?(SEE BELOW) 20years months

4. How long has he/she lived in this community? 20 years months

5, Does he/she spend 60% of working time in work

Described as his/her proposed classification? _X_YES ___NO

5A. Is the proposed Rotarian retired? ___YES __X_NO

If so, skip #6, #7, & #8.

6. Is he/she the owner, partner, corporate officer,

manager, or Serving in an executive capacity

(with discretionary authority) In the business for

which he/she is proposed? _X_YES ___NO

7. Does he/she represent and stand for service,

honesty, and Efficiency in his/her vocation? _X_YES ___NO

8. Is he/she and his/her firm well thought of by

competitors? _X_YES ___NO

9. List TWO business references within our club or Other Rotary members)

WHO HAVE BEEN CONTACTED and can speak to

the proposed member’s ethical standards:

1.  Rod Holst (Southtowne Rotary) 541-685-1533

2.  2. Frank Hales 541-342-1983

10. List at least ONE personal reference in or out of our club WHO HAS BEEN CONTACTED, who has known the proposed member for more than one year.

Name:

11. If he/she becomes a member, will you make him/her your special charge for 60 days to help indoctrinate him/her into the club?

_X__YES ___NO

12. Has he/she ever been a Rotarian? NO

If so, please provide club name, location and a referring recommendation from the previous club.

Proposer’s Name: CONNIE BECKLEY