CKI Membership Application

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Thank you for being interested in becoming an official dues-paid member of CSUCI's Circle K International Club!

NOTE: Membership applications may only be turned in once you have made your FULL payment, unless you've disclosed otherwise to the E-Board or Treasurer Darren, no exceptions.

Please fill out all necessary information so that we may best contact you in the most appropriate manner. We do apologize for a possibly lengthy application, however, be assured that the information provided will enhance your membership in the club. We would like to express our greatest gratitude and welcome you to the club!

Membership Fee: $20 ($25 if paid LATE) | Payments: Cash to Treasurer Darren OR Venmo to @darren-ramos

First Name *

NOTE: Please use your LEGAL first name

Middle Name

NOTE: Please use your LEGAL middle name; no initials

Last Name *

NOTE: Please use your LEGAL last name

Dolphin ID *

Please input your Dolphin ID number as the following: 012345678

Email *

Your preferred email (MyCI is preferred but whichever you check most works)

Phone Number *

Please input your number as the following with the area code: 1234567890

Birthday *

The year is to note be disclosed to others unless consented by the individual.

YYYY

Academic Year Status *

Major *

Refer to this link for majors, minors, credentials, and certificates: https://catalog.csuci.edu/content.php?catoid=49&navoid=3397

Minor / Credential / Certificate

If applicable. Refer to this link for majors, minors, credentials, and certificates: https://catalog.csuci.edu/content.php?catoid=49&navoid=3397

Residential Status *

Please select the appropriate status.

Carpool Status *

I am able to carpool others.

I will need to carpool.

Shirt Size *

Allergies / Dietary / Health Concerns

If applicable.

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