Online Membership Application

Kiwanis Club of Riverside

Online Application

Sponsor Name

First name

Last name

Phone 10 digits

Birthday

Month

Day

Year

Address

Company name (if corporate app)

Primary Employment (re: Agriculture, banking, government, legal, Non-profit, maintenance, science, retail, wholesale, healthcare, real estate, transportation etc.

Education

Why do you want to join our club? Examples: Help Kids, Community involvement, Make friends, Leadership skills etc.

Spouse/Parner name

# Children in home

Philanthropic or Charities you donate to

Corporate/Charity Boards you are involved with

Hobbies you enjoy

Skill sets/Training: List your skills like Photography, Graphic design, Legal degree, Public Relations, Professional writing, Grant Writing etc.

By completing this application for membersip, I agree to conform to the bylaws of this club and comply withthe obligations of membership as explaind to me by my sponsor. In the United States, a portion of a member's annual dues and fees is applied to a Kiwanis magazine subscription. Additional membership dues and fees will be charged.

BY SUBMITTING THIS APPLICATION YOU AGREE THAT YOU HAVE ELECTRONICALLY SIGNED THIS APPLICATION.