Women's Republican Club
of Salt Lake City (WRC)
Application for Membership
Name:_________________________________________________________________
Address:________________________________________________________________
City______________________________, Utah Zip____________________________
Phone_____________________________ Cell phone _________________________
Email___________________________________________________________________
1. What is your history with the Republican Party if any? (List any positions held, including dates, appointed
positions, and/or other activities of note.) _____________________________________________________
____________________________________________________________________________________
2. Are you a registered Republican?_____ If not, are you willing to register as a Republican?___________
Are you a member of any other Republican clubs? _____ If yes, which is your primary club?____________
3. Would you be interested in serving on a standing committee? ______ If yes, please check all that interest you.
____Public Relations _____ Event Planning _____ Parliamentarian _____ Literacy
____Legislation and Research _____ Fund Raising _____ Webmaster _____ Historian
____Membership _____ Educational Programs _____ Awards _____ Auditor
4. What goals would you like to accomplish by being a member of WRC? _____________________________
____________________________________________________________________________________
5. What support would you like to receive from WRC to accomplish your goals? ________________________
____________________________________________________________________________________
6. Do you have suggestions for speakers or topics for our meetings? (Please list.) ________________________
____________________________________________________________________________________
7. Do you have direct access to someone you believe would be a good speaker? (List all.) _________________
_____________________________________________________________________________________
8. How did you learn about WRC ? ___________________________________________________________
Were you referred by a current member? _____ If yes, please list her name. _______________________
Welcome to WRC. We are so glad you decided to join us and to make a difference!!!
Get ready for a fun and meaningful adventure.
Please print and mail application and dues to:
Janice Auger, Treasurer, WRC of SLC,
5539 Danube Circle
Taylorsville, UT 84118
of Salt Lake City (WRC)
Application for Membership
Name:_________________________________________________________________
Address:________________________________________________________________
City______________________________, Utah Zip____________________________
Phone_____________________________ Cell phone _________________________
Email___________________________________________________________________
1. What is your history with the Republican Party if any? (List any positions held, including dates, appointed
positions, and/or other activities of note.) _____________________________________________________
____________________________________________________________________________________
2. Are you a registered Republican?_____ If not, are you willing to register as a Republican?___________
Are you a member of any other Republican clubs? _____ If yes, which is your primary club?____________
3. Would you be interested in serving on a standing committee? ______ If yes, please check all that interest you.
____Public Relations _____ Event Planning _____ Parliamentarian _____ Literacy
____Legislation and Research _____ Fund Raising _____ Webmaster _____ Historian
____Membership _____ Educational Programs _____ Awards _____ Auditor
4. What goals would you like to accomplish by being a member of WRC? _____________________________
____________________________________________________________________________________
5. What support would you like to receive from WRC to accomplish your goals? ________________________
____________________________________________________________________________________
6. Do you have suggestions for speakers or topics for our meetings? (Please list.) ________________________
____________________________________________________________________________________
7. Do you have direct access to someone you believe would be a good speaker? (List all.) _________________
_____________________________________________________________________________________
8. How did you learn about WRC ? ___________________________________________________________
Were you referred by a current member? _____ If yes, please list her name. _______________________
Welcome to WRC. We are so glad you decided to join us and to make a difference!!!
Get ready for a fun and meaningful adventure.
Please print and mail application and dues to:
Janice Auger, Treasurer, WRC of SLC,
5539 Danube Circle
Taylorsville, UT 84118
| Women's Republican Club of Salt Lake City |
