Join the Fellowship Membership Join the Rotary LGBT+ Fellowship "*" indicates required fields Step 1 of 3 33% Note: all membership dues are charged in US$.Name* First Last Preferred name Date of birth* Day Month Year Username*An @rotary.lgbt login will be created for you. Please enter a preferred username (e.g. Charlie.Smith). The username can only contain letters, numbers, full stops and underscores. Entering invalid text will delay onboarding into our online systems. 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Mobile Phone*Please include the country code PERSONAL INFORMATIONWe collect the following personal information to help us understand the needs and demographics of our members. If you do not wish to answer, there is a field for that too.Pronouns* She/Her He/Him They/Them Prefer not to answer Other Gender* Woman or female (Cis) Man or male (Cis) Trans Male / Trans Man Trans Female / Trans Woman Non-binary Prefer not to answer Other Were you born with a variation of sex characteristics?*Sometimes called ‘intersex’ or ‘DSD’ Yes No Don’t know Prefer not to answer How do you describe your sexual orientation?* Straight (heterosexual) Gay or lesbian Bisexual Don’t know Prefer not to answer Other What is your Rotary Classification / Occupation* Rotary Affiliation* Rotary Member Rotaract Member Interact Member Partner / family of member Current Rotary program participant Alumni District number* Club name*Just enter the club’s name, not the “Rotary Club of” bit. For example, “Rotary Club of Anytown” is just “Anytown”. Rotary program name* What is your alumni Rotary affiliation?*Include club name, district number, program name and/or any other details about your past participation.Membership directory I agree to my information being available to other members as part of a membership directory. MembershipSelect your membership typeMembership type* Lifetime – AU$500 Annual – AU$50 Monthly – AU$5 Membership scholarship The membership scholarship has been created to support LGBT+ people and allies to join the Fellowship where the $35 annual membership fee is not affordable. It has been specifically created to support young people, people from disadvantaged socioeconomic backgrounds and people from developing nations in joining the Fellowship.Membership Scholarship*Please select the price you can afford for an annual membership. Note that this will not renew and you must re-apply in 12 months. This is an option to support people who cannot afford membership and not as an option for people who disagree with the membership fee. If you would like to have a discussion about membership dues please contact the Fellowship. Minimum value is AU$5.00. Why do you require this scholarship?*Please outline why you require the scholarship and actions you plan to take to further the Fellowship's vision of creating an inclusive, understanding and welcoming community, fostering goodwill and peace, and realizing a world that achieves fundamental fairness and equality for LGBT+ people.