Prospective Kiwanis Members

Making the Jump from College to the Real World
First Name:

Last Name:

E-mail:

Phone:

Current Circle K:


Intended City, State of residence 1:

Intended City, State of residence 2:

Intended City, State of residence 3:







Questions?
Please Contact:
kfamily@pacirclek.org
Technical Questions?
Please Contact:
it@pacirclek.org
Paper File
Original File