Keppel Gives Back Member Application Form 2020-2021

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Hi everyone! If you are a returning member or are interested in joining Keppel Gives Back, be sure to fill out this form! This is the new/returning member application for the 2020-2021 school year. By filling out this form, we can begin keeping track of your service hours for the school year. If you have any questions, please contact Evelyn Tang or any board member for more information
Email: evelyntang14@gmail.com
Phone: (626) 525-8229
Or our club email: keppelgivesback@gmail.com

Full Name (First, Last) *

Email Address (not your school email) *

School ID# *

Grade *

Freshman

Sophomore

Junior

Senior

I am... *

a returning member!

not a returning a member, but interest in joining!

Who referred you about Keppel Gives Back? (Full Name) optional*

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