San Carlos
Serving the Children of the World

Carlmont Key Club

Membership Application Form

 

Name: ____________________________      Address: ­­­­­­____________________________

E-mail: ___________________________     City:­­­­­­ ________________________________

Phone: ___________________________     Class of: _____________________________

Current GPA: ____    Place of Employment: __________________________________

Method of Communication: (Check all that apply) Phone___  E-mail___ Text___ Facebook___

 

It is our aim to know you as well as possible. With this in mind, please answer the following questions with sincerity and honesty. Continue with your answers at the back page if necessary.

 

  1. Are you interested in leadership role? Yes___  No___

  2. Organizations that you belong to or joined in the past

 

Organization                                  Position Held                                                     When

________________________       __________________________________    __________

________________________        _________________________________    __________

________________________        _________________________________    __________

________________________        _________________________________    _________

________________________        _________________________________    __________

 

  1. Honors or Special Achievements received:

                                                                                                        When

________________________________________________               __________

________________________________________________               __________

________________________________________________               __________

________________________________________________               __________

 

 

  1. Why do you want to join Key Club? How can you contribute if you join?

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

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Membership Requirements: Total Amount Paid: $__________

____$11.50 Membership Fee

____$6 Carlmont Key Club t-shirt ($12 value);    If purchasing - Shirt Size: S___ M___  L___  XL___

____Completion of a minimum of 10 service hours and minimum 3 service events per semester;     

         Completion of 50 hours for the year

____Minimum of 1 club meeting attendance per month

____Membership at Facebook group “Carlmont Key Club”

____ Check the website regularly: chskeyclubwebsite.wordpress.com

 

Applicant’s Signature: ____________________________              Date: ____________

 

 

NOTE: Membership Application/fee, t-shirt due and Facebook registration deadline is on October 10th to Mr. Matt Miskelly, Room D-12

 

 

Key Club International Mission Statement:

An international student-led organization which provides its members with opportunities to provide service, build character, and develop leadership.               Keyclub.org