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NEW JERSEY DISTRICT OF KEY CLUB INTERNATIONAL

2012-2013 CLUB OFFICER ROSTER

EMAIL IN AN EXCEL DOCUMENT TO


secretary@njkeyclub.org

All clubs are expected to hold elections for the 2012-2013 year prior to the District Convention or as soon as possible after. This is important so that the new
officers can receive proper training. For those clubs that have not submitted a club roster, please mail or email this form ASAP. We need this information to
communicate with you. Information submitted will only be used for communication purposes with the Kiwanis Family.
Key Club of ___________________________________________ Sponsoring Kiwanis Club ____________________________________________________________
School ____________________________Address ______________________________________________________________________________________________
Phone ____________________________________________________________Principals Name ______________________________________________________
Faculty Advisor Name_______________________________ Mailing Address:________________________________________________________________________
Faculty Advisor Email ____________________________________________________ Phone No._________________________________________ Gender: ______
Kiwanis Advisor Name_______________________________ Mailing Address:________________________________________________________________________
Kiwanis Advisor Email ____________________________________________________ Phone No._________________________________________ Gender: ______
Office
Name
Street
City, Zip
Code
Phone
No.
Email
Grad.
Year
Gender

President

Vice President

Secretary

Treasurer

Editor