Membership Application Send club correspondence to:HomeWork Check one block per category: Primary Employment: 1. Banking/Finance3. Communications/Media5. Construction7. Education9. Government11.Legal13. Manufacturing (heavy)15. Manufacturing (light)17. Medical19. Nonprofit21. Real Estate23. Religion25. Retail27 Transportation29. Wholesale94. Other Job Classification: N. ElectedO. ManagementP. Partner/OwnerQ. ProfessionaR. SalesS. SupervisorT. TechnicalV. RetiredX. Other Education Attained: A. Grade SchoolB. High SchooC. Tech. Business SchooD. Assoc. Degree (2 yrs)E. Bachelor's Degree (4 yrs)F. Master's DegreeG. Grad Prof Degree Membership Type: RegularYoung ProfessionalCorporate Were you in Key Club in high school or Circle K in college? YesNo Are you a former Kiwanian? YesNo Sponsorship I take pride in sponsoring as an active member of our club and have confi dence that this individual will become a valuable member (must be a current member) Additional Information If no member is sponsoring you, please provide three (3) references that we can contact: Reference 1: Reference 2: Reference 3:
