Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Member type* *New kiwanis memberFormer kiwanis memberCurrent kiwanis memberTransferring kiwanis memberHonorary kiwanis memberCorporate kiwanis memberFormer Service Leadership Program MemberFormer nameWhy do you want to join?(check all that changed)To help kidsCommunity involvementBusiness networkingTo make friendsLeadership skillsSponsor(s) namesprefixMr.Mrs.Ms.Dr.Rev.NoneFull Legal Name *FirstLastPreferred Mailing address *city *State/ProvincePostal codechoicehomeworkPhone NumberMultiple ChoicehomeworkcellEmail *Multiple ChoicehomeworkcellSpouse/Partner nameNumber of children at home ages: 0 - 56 - 1212 - 1515 - 1819 - 21Birthday mo./day/yearGenderDate joining club* *Languages spokenCorporate boards or community groups you serve with or on:Philanthropic interestsor charities you donate to:Hobbies you enjoyPrimary employment (check one, most recent employment if unemployed or retired)Agriculture/Forestry/FishingBanking/Finance/InsuranceCommunications/Media/MarketingConstruction/ExtractionEducation/TrainingGovernment/Public AdministrationManufacturingLegelHospitality/Food ServicesHealthcareNon-ProfitMaintenanceReal Estate/Property ManagementReligionScienceTransportation/WarehousingWholesale/RetailIt/TechFuneral/Death ServicesOthername of current employer (most recent employment if unemployed or retired)Job classification (check one)ElectedSalesFreelance/Contract WorkProfessionalRetiredTechnicalPatner/OwnerManagementSupport/AdministrativeOtherHighest education attained (check one)Primary/Grade SchoolSecondary/High SchoolTech/Business SchoolVocational/Trade SchoolAssoc. Degree(2 yrs.)College/University(4 yrs.)Masters DegreeGradute/Professional DegreeDegree(s) earnedSkill sets/Training (check all that apply)Professional graphic designVideography/FilmPublic RelationsPhotographySocial MediaProfessional writing/editingStrategic planningCPA/AccountingFundraisingEvents planningYouth mentoringPolitical experienceGrant writingLegal degreeRecruitmentBy completing this application for membership, I agree to conform to the bylaws of this club and comply with the obligations of membership as explained to me by my sponsor. In the United States, US$8 of a member's annual dues and fees is applied to a Kiwnis magazine subscription. Additional membership dues and fees will be charged.Signature *Submit