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