Distinguished Member

Your Name(Required)

First Last

Your Email(Required)

Member's Name(Required)

First Last

Division Name(Required)

Club Name(Required)

Check the boxes for the following criteria achieved. Requirement – Must meet 6 of the 8 following criteria:

Youth Protection

Complete Youth Protection Training

Sponsor

Sponsor at least 2 members to join Kiwanis

Outreach Medallion

Purchase an Outreach Medallion

District Projects

Counts for each of the 3 projects: KCCP, SIGN, SOS

Contribute financially by $10.00 or more to any District Projec t

Foundations

Contribute financially by $10.00 or more to either the Canadian Foundation  or the Pacific Northwest Foundation

KCF

Contribute financially by $10.00 or more to the Kiwanis Children’s Fund

Service Projects

Participate in at least two club service projects

Participate in one District/Division service project

Total Points

Phone

This field is for validation purposes and should be left unchanged.

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