Membership Application

NEW MEMBER INFORMATION FORM: To help us support you, please provide the information below. We have clubs for every age and ability, but to become a member of Kiwanis you must be the legal age of adulthood in the state or country where the club is located.

Personal Information
Legal Name*
Prefix First Last
Full Legal Name
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Member Type*
- New Kiwanis member
- Former Kiwanis member
- Current Kiwanis member
- Corporate Kiwanis member
- Transferring Kiwanis member
- Honorary Kiwanis member
- Former Service Leadership Program member
- Former name (returning member whose name has changed)
Why do you want to join?*
- To help kids
- Community involvement
- Business networking
- To make friends
- Leadership skills
check all that apply
Sponsor Name(s)*
Who were you referred by?
Background Information
Birthday
Gender
Languages Spoken
Corporate boards or community groups you serve with or on
Philanthropic interests or charities you donate to
Hobbies you enjoy
Spouse/Partner name
Children ages:
- 0-5
- 6-12
- 12-15
- 15-18
- 19-21
Primary Employment
- Agriculture/Forestry/Fishing
- Banking/Finance/Insurance
- Communications/Media/Marketing
- Construction/Extraction
- Education/Training
- Funeral/Death services
- Government/Public Administration
- Healthcare
- Hospitality/Food services
- IT/Tech
- Legal
- Maintenance
- Manufacturing
- Non-Profit
- Real Estate/Property Management
- Religion
- Science
- Transportation/Warehousing
- Wholesale/Retail
(check one, most recent employment if unemployed or retired)
Name of current employer
(most recent employer if unemployed or retired) _
Job classification
- Elected
- Professional
- Technical
- Management
- Sales
- Retired
- Partner/Owner
- Support/Administrative
- Freelance/Contract work
check one
Highest education attained
- Primary/Grade School
- Secondary/High School
- Assoc. Degree (2 yrs.)
- College/University (4 yrs.)
- Tech/Business School
- Vocational/Trade school
- Masters Degree
- Graduate/Professional Degree
check one
Skill sets/Training
- Professional graphic design
- Photography
- Strategic planning
- Event planning
- Grant writing
- Videography/Film
- Social media
- CPA/Accounting
- Youth mentoring
- Legal degree
- Public Relations
- Professional writing/editing
- Fundraising
- Political experience
- Recruitment
check one
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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The Rockwall County Kiwanis Club has been recognized with the Kiwanis … [Read More...]

The Kiwanis Club of Rockwall County is proud to announce the chartering of … [Read More...]

The Kiwanis Club of Rockwall County typically meets the fourth Tuesday of each month at noon at Divine Peace Church Rockwall, 305 S. Fannin St., Rockwall, Texas. (Subject to change. Please refer to the calendar.) Parking available across the street from the Church at 210 Houston St, … Read More

Membership Application

Membership Application

Personal Information

Background Information

Latest News

Rockwall County Kiwanis Club Earns Kiwanis International Distinguished Club Award

Kiwanis Club of Rockwall County Charters New Key Club at Royse City High School

Meeting Information