Membership Application Form

Become a Member of the Rotary Club of Belleair

Thank You for Your Interest in Rotary!

We’re excited that you’re considering membership in the Rotary Club of Belleair.

Our club brings together business professionals, community leaders, entrepreneurs, educators, retirees, and volunteers who share a passion for serving others and making a positive impact throughout Belleair, Largo, Clearwater, the Gulf Beaches, and Pinellas County.
Whether you’re looking to build meaningful relationships, develop your leadership skills, expand your professional network, or give back to your community, you’ll find a welcoming home at the Rotary Club of Belleair.
Please complete the membership application below. Once submitted, our Membership Committee will review your application and contact you regarding the next steps in the membership process.
We look forward to getting to know you!

 

Rotary Club of Belleair Membership Application

Service Above SelfMember Information for DACdb System

Thank you for your interest in joining the Rotary Club of Belleair. Our members are business professionals, community leaders, entrepreneurs, educators, retirees, and volunteers who share a passion for serving others while building lasting friendships and professional relationships. Please complete this application as thoroughly as possible. Fields marked with an asterisk (*) are required.

Personal Information

Gender *

Contact Information

Preferred Contact Method
Preferred Mailing Address

Sponsor Information

If you do not currently have a sponsor, leave blank. We will gladly introduce you to members.

Home Address

Business Information

Business Address

Rotary Information

Have you previously been a member of Rotary?

Spouse / Partner Information (Optional)

Married?
Is your spouse or partner a Rotarian?

Club Participation / Achievements

Tell us about yourself, your career, and your professional background.

Civic organizations, volunteer experience, nonprofit involvement, or community leadership roles.

Examples: golf, fishing, travel, reading, arts, sports, etc.

Degrees, certifications, professional licenses, or relevant education.

Why Rotary?

What interests you most about joining the Rotary Club of Belleair?

Projects or Committees of Interest

Skills & Expertise

Meeting Attendance

I understand that Rotary membership includes participation in meetings, service projects, and fellowship activities whenever possible.

Applicant Certification

I certify that the information provided is accurate to the best of my knowledge. If accepted for membership, I agree to uphold the Object of Rotary, the Four-Way Test, and the principles of Service Above Self.

For Club Use Only

Membership Committee Review
The entry will be saved and emailed to the club and applicant.

Rotary Club of Belleair Meeting Information

Weekly Club Meetings
Monthly Rotary Social

What Happens Next?

After your application is submitted:

  • Our Membership Committee will review your application.
  • A club representative may contact you to answer questions and learn more about your interests.
  • You’ll be invited to attend additional meetings and club activities.
  • Your application will be presented to the club in accordance with Rotary Club of Belleair bylaws.
  • Once approved, you’ll be welcomed as our newest Rotary member and begin your journey of service, leadership, and fellowship.

Ready to Make a Difference?

Joining Rotary is more than becoming a member—it’s becoming part of a global family committed to creating lasting change.
We look forward to welcoming you to the Rotary Club of Belleair and working together to make a positive impact in our community and beyond.
Service Above Self.

Membership Application

Fields marked with an asterisk (*) are required.

Please complete the application as thoroughly as possible. The information you provide helps us get to know you, your professional background, and the interests and experiences you’ll bring to our Rotary family.
You may also save or print a copy of your application for your records.

Before You Apply

We encourage all prospective members to:

  • Attend at least one Rotary Club meeting.
  • Meet several of our members.
  • Learn about our service projects and community initiatives.
  • Ask questions about Rotary and club membership.
  • Discover how your interests and passions align with our mission.


We believe membership is about building relationships, and we’d love the opportunity to welcome you personally before you join.

One additional recommendation

Since you’re focusing heavily on membership growth this year, I’d add three testimonials immediately above the application form.
 For example:
“Rotary has introduced me to lifelong friends while giving me the opportunity to serve my community in ways I never imagined.”
Larry Bell, President

“The relationships I’ve built through Rotary have been just as valuable as the projects we’ve completed together.”
 — Dana Ford, Immediate Past President

“If you’re looking for a place where you can make a real difference while growing personally and professionally, Rotary is that place.”
 — James Herron, Membership Director