Toastmaster Membership Application

Sponsor of New, Reinstated, or Dual Member Transfer and renewing members are not eligible to be sponsored. This section is completed by a club officer. Sponsor’s last name/surname and member number are required fields. �������������������������������������������������������������������������������������������������������������������������������������� Sponsor’s last name/surname Sponsor’s first name Sponsor’s member number 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, the Toastmasters International Governing Documents, and my club. I will refrain from any form of discrimination, harassment, bullying, 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, officers, employees, agents, 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. Should a dispute of some nature arise, I expressly agree to resolve all disputes, claims, and charges relating to Toastmasters, Districts, clubs, and Toastmasters members in accordance with Protocol 3.0: Ethics and Conduct. By submitting this application, I expressly agree to the following: ■ 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. In addition, the collection, use, and processing of my personal information collected by Toastmasters International through Toastmasters’ website and by electronic communications. ■ That my information may be accessed and used by Toastmasters, its employees and agents, District leaders, and club officers. ■ Maintain changes to my personal contact information to ensure it is accurate and current by updating my personal profile page located on the Toastmasters International website: www.toastmasters.org/Login . I understand that the majority of the data requested in this application is necessary for administrative and planning purposes. Occasionally we would like to contact you with details of services, educational updates, and organizational updates. If you consent to us contacting you for this purpose, please check the box below corresponding to acceptable contact methods: Mail Email Phone

If you would rather not receive non-essential communications from us, please check here For our full privacy policy, you may visit www.toastmasters.org/Footer/Privacy-Policy .

Verification of Applicant By my signature below, I agree to the terms of A Toastmaster’s Promise and the Member’s Agreement and Release stated above, and certify that I am 18 years of age or older (in compliance with the Toastmasters Club Constitution for Clubs of Toastmasters International). I acknowledge that my electronic signature on this document is legally equiva- lent to my handwritten signature.

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 projects to the best of my ability, basing them on the Toastmasters education program  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 education and recognition programs  To act within Toastmasters’ core values of integrity, respect, service, and excellence during the conduct of all Toastmasters activities

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Verification of Club Officer I confirm that a complete Membership Application, including the signatures of the new member and a club officer, is on file with the club and will be retained by the club. 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 handwritten signature. ���������������������������������������������������������������� Club officer’s signature Date (MM/DD/YYYY) In order for this application to be valid, both signatures are required.

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