Membership application for Isis Speakers Club

Membership

Membership Type: *

New

Re-instated (break in membership)

Renewing (no break in membership)

Dual (Member of another club too)

Transfer from another club

Payment preference: *

Cash

Cheque

Bank Transfer

Standing order (Every six months)

Already paid towards your membership fee? If so please state: How much and Who to: £

Isis club details

Club Number:: *

District Number: *

Club Name: *

City: *

If transferring or re-instating from another club

Previous Club Name:

Previous Member Number:

Previous Club No.:

Personal details

First Name: *

Last name: *

Middle Initial / Name:

Sex: *

Male

Female

Address Line 1: *

Address Line 2:

City: *

State/County: *

Country: *

ZIP/Postal Code: *

Home Phone Number: *

Mobile Phone Number: *

Email: *

Receive promotions from Toastmasters International’s partners.:

Yes

Membership agreements

Member’s Agreement and Release:

Consistent with my desire to take personal responsibility for my conduct, individually and as a member of a Toastmasters club, I agree to abide by the principles contained in “A Toastmaster’s Promise” and the governing documents and policies of Toastmasters International and my club. I will refrain from any form of discrimination, harassment, derogatory, illegal, or unethical conduct, and I understand that if I engage in such conduct, I may be responsible to reimburse Toastmasters International, my club or other clubs, or other individuals involved with Toastmasters, for any damages, losses, or costs resulting from my conduct. Understanding that Toastmasters programs are conducted by volunteers who cannot be effectively screened or supervised by Toastmasters International or its clubs, I release and discharge Toastmasters International, its clubs, governing bodies, and representatives from any liability for the intentional or negligent acts or omissions of any member or officer of my club or other clubs, or any officer of Toastmasters International.

By submitting this application, I agree to the collection, use and processing of the personal information I provide to Toastmasters in this Membership Application for the purposes of organization administration, payment of my dues, and inclusion of my contact information in a members’ directory that will be distributed to members and employees of Toastmasters. By submitting my personal information to Toastmasters, I also agree that my information may be accessed and used by Toastmasters and its employees and agents, and will be transferred to countries that are not regarded as having adequate data protection, including to Toastmasters’ headquarters in the United States. I agree to notify addresschanges@toastmasters.org of any change to my personal information, including making any requests to check, delete or correct my personal information, so that it is accurate and current. I understand that the majority of the data requested in this application is necessary for administrative and planning purposes, and that the failure to provide this information may prevent my application from being properly processed or inclusion of my contact information in the members’ directory.

A Toastmaster’s Promise

As a member of Toastmasters International and my club, I promise...

To attend club meetings regularly
To prepare all of my speech and leadership projects to the best of my ability, basing them on projects in the Competent Communication, Advanced Communication or Competent Leadership manuals
To prepare for and fulfill meeting assignments
To provide fellow members with helpful, constructive evaluations
To help the club maintain the positive, friendly environment necessary for all members to learn and grow
To serve my club as an officer when called upon to do so
To treat my fellow club members and our guests with respect and courtesy
To bring guests to club meetings so they can see the benefits Toastmasters membership offers
To adhere to the guidelines and rules for all Toastmasters educational and recognition programs
To maintain honest and highly ethical standards during the conduct of all Toastmasters activities.

Signed Confirmation

Once the this form is submitted, it will be printed by a club officer to be signed by the applicant and club officer as below.

I confirm that a completed new member application for this member is on file with the club and will be retained by the club. The application contains both the signature of the new member and the signature of a club officer. Questions should be directed to the Membership department: membership@toastmasters.org.

By my signature below, I agree to the terms of A Toastmaster’s Promise, and the Indemnification and Release stated above, and certify that I am 18 years of age or older, in compliance with the Toastmasters International Club Constitution.

I acknowledge that my electronic signature on this document is legally equivalent to my hand-written signature.

By my signature below, I certify that this individual has joined the Toastmasters club identified. As a club, we will ensure that this member receives proper orientation and mentoring.

I acknowledge that my electronic signature on this document is legally equivalent to my hand-written signature.

Signedby Applicant:

Signed by Club officer:

Member’s Agreement and Release:

A Toastmaster’s Promise

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