2015-2016 KEY CLUBBER OF THE YEAR APPLICATION DEADLINE: April 1, 2016 Submit to org INFORMATION FOR KEY CLUBBER OF THE YEAR NOMINATION Key Club of Division: Zone: (Information must be TYPED exactly as shown in the Florida Key Club Directory found at http://floridakeyclub.org/club-directory/) Key Clubber's Name: Key Club Member #: Key Clubber's Grade Level: Key Clubber's Cell phone: Nominator's Name: Nominator's Email: Cell phone: Faculty Advisor’s Name: Faculty Advisor’s Email: Advisor's Cell phone: School’s Mailing Address City: State/Province: Postal Code: Sponsoring Kiwanis Club of Kiwanis Advisor’s Name: FACULTY ADVISOR AND NOMINATOR'S SIGNATURES Faculty Advisor’s Signature: Date: Nominator’s Signature: Date: Without the signatures requested above, your application will be automatically DISQUALIFIED for this award. If the faculty advisor is nominating, please sign both lines above.
2015-2016 KEY CLUBBER OF THE YEAR APPLICATION Submit to org DEADLINE: April 1, 2016 INFORMATION FOR KEY CLUBBER OF THE YEAR NOMINATION Key Club of Division: Zone: (Information must be TYPED exactly as shown in the Florida Key Club Directory found at http://floridakeyclub.org/club-directory/) Key Clubber's Name: Key Club Member #: Key Clubber's Grade Level: Key Clubber's Cell phone: Nominator's Name: Nominator's Email: Cell phone: Faculty Advisor’s Name: Faculty Advisor’s Email: Advisor's Cell phone: School’s Mailing Address City: State/Province: Postal Code: Sponsoring Kiwanis Club of Kiwanis Advisor’s Name: FACULTY ADVISOR AND NOMINATOR'S SIGNATURES Faculty Advisor’s Signature: Date: Nominator’s Signature: Date: Without the signatures requested above, your application will be automatically DISQUALIFIED for this award. If the faculty advisor is nominating, please sign both lines above.
2015-16-Key-Clubber-of-the-Year-application-092815.docx