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Restricted – Apply for Membership

ONLY IF YOU HAVE BEEN ASKED BY A BOARD MEMBER TO APPLY.

If you are interested in joining our club, please use Contact Us before submitting this form.

Membership Application

After you have been invited to join the Kiwanis Club of Somerville, please complete and submit this form. (* indicates required field)

*Member type(Required)

New Kiwanis member

Former Kiwanis member

Current Kiwanis member

Transferring Kiwanis member

Honorary Kiwanis member

Corporate Kiwanis member

Former Service Leadership Program member

Sponsor name(s)

Your information

*Email(Required)

*Full Legal Name(Required)

First Middle Last

Preferred Name

*Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Date of Birth (Must be 18+)

MM slash DD slash YYYY

Occupation

Employer or most recent if retired or not currently working.

Kiwanis Background and Interests

Are you a current or former Kiwanis Family Member?

Current or Former Kiwanian

Former Key Club or CKI Member (not in Kiwanis)

Neither

If yes, please list former Kiwanis, CKI, and/or Key Clubs

How did you hear about the Kiwanis Club of Somerville?

Why do you want to join? (check all that apply)

To help kids

Community involvement

Business networking

To make friends

Leadership skills

other

Any additional comments you want to share?

*Consent(Required)

I agree

By 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 Kiwanis magazine subscription. Additional membership dues and fees will be charged.

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