Kids Need Kiwanis

Become a Kiwanis Member

Have you been looking to do some volunteering for good causes in your community? Do you like helping kids, having fun and feeling like you made a difference? Why not consider joining us and become a member of our Kiwanis club?

Plattsburgh Noon Kiwanis Membership Application Form

A form to be submitted to the Plattsburgh Noon Kiwanis Club to apply for membership.

– Plattsburgh Noon Kiwanis Membership Application Form –

Form for prospective members to apply for membership

Join the club! Please fill out the form and submit to any member of the Plattsburgh Noon Kiwanis Club

Name

First Last

Nickname

Gender

Date of Birth

Spouse's/Partner's Name

Employer Name [If you are currently working.]

Employer Address

Your Home Address

Street Address Address Line 2 City ZIP Code

Send Kiwanis Mail to my:

Home

Work

Contact Information

Preferred Method of Contact

Your Email Address(Required)

Personal Email Address Work Email Address

Your Personal Phone #(Required)

Work Phone #

Member Sponsor Name & Kiwanis Member ID (If known)

Committee Preferences? [Please check all that you are interested in!]

Programs

Service Projects

Fundraising

Membership

Financial Review

Are you a former Kiwanian?

Yes

Are you a former Key Clubber?

Yes

If Yes, club name(s)?

I submit this application for membership and agree to conform to the bylaws of this club & comply with the obligations of membership as explained to me by my sponsor. Please sign below.

By providing my email address, I recognize that I am opting in to receiving regular communication from Kiwanis International and the New York District of Kiwanis. Please initial below.

Date of Application

Month

Day

Year

Upcoming events

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