Nominate a New Member

Membership Nomination Forms

One of these forms below is to be used for a person seeking membership in the Rotary Club of Ann Arbor. The contents of the form will be evaluated by the Membership Committee with a recommendation made to the Board of Directors at its next scheduled meeting (nominally the third Wednesday of the month).

There are two versions: one for candidates new to Rotary and the other for transferring, reinstating or former Rotarians.

For candidates new to Rotary, approval by the Board awards the person with “Member- elect” status. As such, the person is given a badge with a blue ribbon and invited to participate fully in all Club meetings, events and activities in advance of the formal induction of his or her class, usually in March and October. Upon induction, the candidate will pay an initiation fee and begin to pay dues and the Community Service Assessment on a pro-rated basis and will be entered into the Rotary and Club rosters.

The process is essentially the same for persons who have been Rotarians or are seeking to transfer their Active membership from another Rotary club. The difference is that such persons are eligible for full membership in our club immediately upon Board approval and are exempt from the initiation fee. In order to facilitate their entry or re-entry, the person will be invited to be part of the orientation session for the upcoming class of new members.

Financial obligations of membership (as of July 1, 2019):

Initiation fee (only for members new to Rotary): $75
Annual dues: Under 40 $230
40-69 $380
70 and over $350
Community Service Assessment (annual donation): $200


Note to Sponsors/Mentors:

Please review the Guidelines for Membership in the Rotary Club of Ann Arbor before proposing a candidate for membership. Once you are satisfied that a candidate meets the requirements, complete the form below and submit it. Documents to assist your recruiting can be found in the lower left corner of the badge board. In addition, you can click here to be directed to a page that contains links to information designed to aid new and prospective members.

Please have all information at hand as you work to complete this form since you will not be able to “save and continue later” nor edit a nomination once you have pressed the Submit button.

If you prefer to fill out the form by hand, please print the PDF version of the form here.
If you prefer to fill out the form in a Word document on your computer, download the .docx version here.
Mailed nominations can be sent to:

Membership Committee
Rotary Club of Ann Arbor
P.O. Box 131217
Ann Arbor MI 48113-1217

or, if by email, to:

The next class of new members is currently scheduled for orientation and induction on Wednesday, October 28. Nomination forms can be submitted at any time and will be presented to the Board of Directors at its next meeting, nominally the third Wednesday of each month. Upon approval by the board, candidates new to Rotary will become Members-elect and will be welcome to participate in all club programs, activities and events as they await formal induction. Former Rotarians, reinstatements and transferees will become Active members on a date of their choosing and will be expected to begin their financial obligations on pro-rated basis at that time.


Nomination Form for a Candidate New to Rotary

  • Rotary's Mission Statement: Rotary is a global network of 1 .2 million neighbors, friends, leaders, and problem-solvers who see a world where people unite and take action to create lasting change – across the globe, in our communities, and in ourselves.

Self-Nomination Form for a Former, Transferring, or Reinstating Rotarian