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SPONSOR, REFEREE, INTERVIEWER STATEMENT

This form is used to electronically submit either the Sponsor, Referee or Interviewer statement in support of a candidate for membership of Rotary Club of Melbourne Inc.

The candidate's Sponsor, Referee(s) or Interviewer is requested to complete an appropriate statement of support and recommendation in the space below.


First Name *
Last Name *
Email   *

I am a:

*        
       
       

Candidate's First & Last Name:

*

I have known the candidate PROFESSIONALLY for (YY/MM):

*

I have known the candidate PERSONALLY for (YY/MM):

*

Sponsor, Referee, MRC Interviewer Statement:

(Be aware that the box to the right has a limited capacity of no more than 2000 characters (approx. half an A4 page).  If your statement is likely to be larger than that, please prepare it in a Word format document and attach same in the next field)


Maximum 2000 characters

Attach large sponsor statement, or additional information, in a Word format document here:

Comments:
Security Code  Security Code:  
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