Kiwanis Club of Statesboro Membership Application 
Thank you for your interest in joining the Kiwanis Club of Statesboro. Please fill out the application form below, but first here are the steps to becoming a Kiwanian: 
  1. Attend a Kiwanis Meeting with a current member (Thursday at Noon at the Community Building at the Kiwanis Ogeechee Fairgrounds).
  2. Fill out this application.
  3. Complete the Kiwanis International online background screening form when you receive the confidential link (via email) from our Club Secretary.
  4. Remit required dues ($25 background screening fee + Application Fee (detailed later in the application) + Balance of Quarterly Dues).
  5. Application is submitted to the Board of Directors for approval.
  6. Congratulations! You're a member of the Kiwanis Club of Statesboro!
You will then receive information from the Club Secretary, President, or Membership Chair regarding the next steps and your formal induction into the club.

For any questions, contact one of the following individuals: 
Membership Chair: Becky Davis - becky@visitstatesboro.org
Current President: Marilyn Darrell - boroblueskies@yahoo.com
Secretary: Dyana Ellis - ellisdya@gmail.com
Sign in to Google to save your progress. Learn more
Name *
First and Last Name
Nickname/Preferred Name *
Date of Birth *
MM
/
DD
/
YYYY
Spouse's Name
If Applicable
Anniversary Date
If Applicable
MM
/
DD
/
YYYY
Home Street Address *
City *
Zip Code *
Cell Phone Number *
Email *
Preferred Communication Method *
Are you a former Kiwanian? *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms