Name: ______________________________Graduation Year: ____________________E-mail: ______________________________Phone Number: _______________________Facebook? (Circle One): Yes NoNumber of years in Key Club: ____________Describe yourself: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Why did you decide to join Key Club? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

What is your favorite service memory? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Why are you interested in becoming a representative? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

What qualities do you possess that will make you an asset to the representative team? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Please briefly describe any past experience(s) in leadership and service (Builder’s Club, K-Kids, etc.): ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Do you have any special talents? (A talent can be anything, please share!) ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Are you involved in any other organizations? If so, how do you plan to manage multiple commitments? _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2017-2018 Key Club Representative

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Please describe your leadership and teamwork skills:

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What are some problems you see with Key Club, and how would you help fix them? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

What new ideas do you have to contribute to Key Club next year? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

I have read the requirements for the representative position I am applying for and I am prepared to dedicate my time end efforts to the Cypress Woods Key Club. I will represent Cy Woods Key Club in an honorable manner and am committed to working for the success and betterment of the club. If elected, I agree to fully complete the duties of my position and understand that failure to do so will result in removal from my representative position.

CandidatePrint: _______________________________ Signature: ___________________________

ParentPrint: _______________________________ Signature: ____________________________