Election Report
Club *
Your answer
Date *
MM
/
DD
/
YYYY
City *
Your answer
Zip Code *
Your answer
Time and Place of Meeting *
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President
Name
Your answer
Address
Your answer
City
Your answer
Zip Code
Your answer
Birthday
MM
/
DD
/
YYYY
Email Address
Your answer
Graduation Date
MM
/
DD
/
YYYY
Vice President
Name
Your answer
Address
Your answer
City
Your answer
Zip Code
Your answer
Birthday
MM
/
DD
/
YYYY
Email Address
Your answer
Graduation Date
MM
/
DD
/
YYYY
Secretary
Name
Your answer
Address
Your answer
City
Your answer
Zip Code
Your answer
Email Address
Your answer
Graduation Date
MM
/
DD
/
YYYY
Treasurer
Name
Your answer
Address
Your answer
City
Your answer
Zip Code
Your answer
Birthday
MM
/
DD
/
YYYY
Email Address
Your answer
Graduation Date
MM
/
DD
/
YYYY
Reporter
Name
Your answer
City
Your answer
Zip Code
Your answer
Birthday
MM
/
DD
/
YYYY
Email Address
Your answer
Graduation Date
MM
/
DD
/
YYYY
Kiw/Fac Adviser
Please enter any contact information for your Faculty Adviser and Kiwanis Adviser
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