Kiwanis

New Member Information Form

To help us support you, please provide the information below. We have clubs for every age and ability, but to become a member of Kiwanis you must be the legal age of adulthood in the state or country where the club is located.

Membership type(Required)
Why do you want to join? (select all that apply)(Required)

Contact Information

Prefix(Required)

Full legal name(Required)
Preferred mailing address(Required)
Email(Required)
Email Type(Required)
Phone Type(Required)
When is the best time for us to reach you via telephone?

Background Information

Number of children at home ages:

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More About You

Primary Employment (select one, most recent employment if unemployed or retired)(Required)

Job Classification (select one)(Required)

Highest education attained (select one)(Required)
Skill sets/Training (select all that apply)(Required)
Upload your resume in .pdf, .doc or .docx format
Accepted file types: pdf, doc, docx, Max. file size: 25 MB.
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Clear Signature

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