Tri-Cities Industry
Kiwanis Club
Kennewick, Pasco, Richland, Washington State

Division 54
Pacific Northwest District
Kiwanis International



Young Children
Priority 1
Seniors 2

 ANNUAL INTEREST FORM

To Members, Friends, and Families that are Participants in Tri-Cities Industries Kiwanis Club Events and Activities.

Please check the areas below where you would like to volunteer:

Club Sponsorship and support of youth in the following locations:

  Builders Club -  Carmichael School Middle School
  K Kids Club -  Liberty Christian Elementary School  - Proposed
  Builders Club -  Liberty Christian Middle School
  Key Club -  Liberty Christian High School
  K Kids Club -  Jefferson Elementary School  - Proposed
  Circle K Club - Columbia Basin College (CBC)

Juvenile Justice Library - Once a week provide library services to youth at the Juvenile Justice Library. - Donations of books and magazines accepted. 

Collection of personal items, books and magazines for troops overseas.

Collection of slightly used and new books for Reading Foundation.

Fair Youth Photography Awards   - Once a year judge the photographs submitted by youth at the Annual County Fair. 

Monthly Birthday Cake for Seniors  - Pick up and distribute a month Birthday Cake to a Retirement Home.       

Thanksgiving Families  - Adopt a family to provide a full Thanksgiving meal.

Salvation Army Bell Ringing   - Sign up for ringing the Bell for the Salvation Army in from of Fred Myers, Richland.

 Safe Harbor Crisis Nursery Supplies - Bring nursery supplies to the first club meeting of the month.

 Christmas Families -Adopt a family to provide a Full Christmas meal and gifts.

 Christmas by the River - During the Annual Boat Race, TCI serves hot chocolate and has a Santa for the children.

Blankets for Babies -  Blankets are made by TCI members for babies at Safe Harbor Crisis Nursery and the Burn Center.

SIGN support    - Surgical Implant Generation Network   - Funds to help doctors serve             

  Tri-Cities Food Bank Support   - Volunteer and provide donated foods for Food bank.     

 Three Coins in a Can -  Money collected weekly at meetings to help provide Baby food to Food Bank.

  Reading for the Blind   - Daily NPR to read the newspaper over the radio for the Blind.     

 Walk America     - Provide a rest stop for walkers to get hot dogs, water and chips.

   Developmental Center Golf Tournament:  - Participate in organizing a Golf Tournament  for the Developmental Center.

   Jefferson Pen Pals - During the year write letters to youth at Jefferson Elementary.

   Jefferson School 4th Grade Student Supplies Program

 Jefferson Special Friends - Visit youth during lunch time, read, play games, and just talk with them.

  Save Old Spectacles - Bring your old glasses to be recycled.

   Camp Kiwanis Support - Clean up and maintenance of Camp Kiwanis  

   Juvenile Justice Fishing Pole Project - Teach youth to make fishing poles, and how to fish at Juvenile Justice Center and
        Jubilee Youth Ranch.

   Fair Parking  - Staff the Parking Ticket booths during Fair, Fund Raiser

   Cars and Truck from local dealership Fund Raiser

   Provide additional funding to TCI Foundation for scholarships and other programs.

 TCI Committee Participation
        
    Membership, Growth & Education
        
    Young Children, Priority One:
        
    Community Services & Projects:
        
    Finance & Fund Raising:
        
    Public Relations:
        
    Human & Spiritual Values Program:
        
    Bulletin Editor(s)
        
    Interclub Coordinator
        
    Web Page Coordinator(s)
   Other:

Geographic Region Preference

       Richland

       Kennewick

       Pasco

       West Richland

       All of the above

When are you available for volunteering:
         One-time events or project         Daytime        Evening

        Weekends    Saturday                  Sunday         Both            

How often would you like to volunteer:
   Once a week            Twice a month               Once a month       Flexible    

What  hobbies, life experiences, skills, talents, language abilities would you like to share with others (i.e. events
that shaped your life; sing; dance,  cultural knowledge)?
Check out Individual Capacities Inventory

Kiwanis Tri-Cities Industry maintains a photo directory of members for members to share with each other.
  YES, I give the Kiwanis  permission to use provide my photo and contact information to other Kiwanians

  NO, I do not give Kiwanis permission to use my name and photographs for contact information with other Kiwanians.

Kiwanis Tri-Cities Industry, Kiwanis Division 54, and  Kiwanis International occasionally take photographs and write articles relating to Kiwanians registered and matched with our programs for public relation purposes.   Please indicate below whether you grant us permission to use your picture / name should we be in a position to include your photograph in future publicity.  Please indicate below your preference:

    YES, I give the Kiwanis  permission to use my name and photographs for public relations purposes.

       NO, I do not give Kiwanis permission to use my name and photographs for public relations purposes.

The following information is on a secure server and only the officers of the Tri-Cities Industry Club have access to this information. 

Contact Name: Home Phone: Day Phone:

Cell   E-Mail:  

Address: City: State: Zip:

Birthday (Month, Day Only) Spouse/Significant Other:

Anniversary Date: Year you joined Kiwanis:

Signed:

Check here to "sign" this form

Once you submit this agreement a preview screen will come up. If all of the information is correct, please print and place in caseworkers file BEFORE final submission.    You may also print this out, fill it out, sign it and submit it to the club. Thank you!

          


Last updated: Octobe 9, 2006