Who or what inspired you to join Kiwanis?
Are you involved with other community groups or organizations either online or in-person?
If yes, please tell us more about these activities and groups:
Please tell us your age range:
25 or younger
86 or older
Annual household income:
Less than $25,000
$25,001 to $50,000
$50,001 to $75,000
$75,001 to $100,000
Greater than $100,000
Which of these best describes your racial/ethnic background (NOTE: This information will be used for demographic purposes only.):
American Indian or Alaska native
Asian or Pacific Islander
Kiwanis clubs work on many different projects related to children in local communities all over the world. What types of projects interest you most? (Check all that apply.)
Serving children in need in my community
Serving children in need in communities around the world
Providing healthy options for children (playground projects, nutrition projects, health/wellness projects, etc.)
Reading to children
Mentoring young people
Working with people living with disabilities
How do you prefer we communicate with you?
Have you participated in other Kiwanis programs?
Circle K International
Are you interested in leadership development opportunities?
Would you like to be part of a new member think group (via e-mail)?
If yes, please provide your email address:
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