Membership Application

Monument Hill Kiwanis Club

Serving Youth and Our Community

Member Benefits: Fellowship, Support, Community Involvement, Youth Mentoring, Teamwork and Leadership Opportunities and a Wide Range of Indoor and Outdoor Projects

Member Expectations: Early involvement in club activities including seasonal community services and fundraising projects.

Member Information

* Personal *
* = required field

First Name:

Last Name:

Date of Birth (Month-Day only - no year):*

Spouse Name:

Address:

City:

State:

Zip:

Home Phone (incl. Area Code):

Cell Phone (incl. Area Code):

* At least one phone number is required.

Email:

Sponsor:

* Business *

Business Name: Job Title: Business Address:

Business Phone (incl. Area Code):

Business Email:

Biographical Summary

Skills You Will Contribute

How Did You Hear About Us?

Seen our ads in local newspapers Seen our website Seen our Facebook page Heard about us from a friend

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