Circle K International Board Candidate Form

Candidate Information

In order to be considered for international office, you must complete this online form by Wednesday, April 14, 2021 at Noon ET to be reviewed and verified to be a candidate for international office. The online form covers the established eligibility requirements that will be reviewed and verified by the CKI Director. No late submissions will be accepted.

To prepare to complete the online form, please have the required information/documentation ready at the time you begin the online form. Note: you will need to upload several documents into the form. Please reference the CKI Candidates Packet.

If you have questions about any of the required information, please contact Jeff Harris via email at jharris@kiwanis.org or via phone at 317-217-6237.

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* 1. International Office you are running for:
(choose from dropdown menu)

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* 2. First Name

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* 3. Last Name

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* 4. CKI Member ID#
(If you do not know you number, contact Member Services at 1-800-549-2647, ext 411)

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* 5. CKI Home Club
(Full name of College/University)

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* 6. CKI District
(choose from dropdown menu)

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* 7. Address
(Street, City, State/Province, Postal Code)

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* 8. Phone Number
(Cell phone number preferred)

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* 9. Email Address
(Email that you check frequently, as this will be used for candidate correspondence)

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* 10. Date of Birth
(MM/DD/YYYY)

ACADEMIC INFORMATION
Please submit your academic information below. All eligibility requirements will be verified by the Director prior to you being able to run for office.

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* 11. Current Class Standing
(choose from dropdown menu)

Other (please specify)

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* 12. Expected Graduation Date
(MM/YYYY)

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* 13. Major(s)

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* 14. Minor(s)

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* 15. Current Cumulative GPA
(Must have a 2.50 GPA on a 4.0 scale [or the equivalent] to run for office)

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* 16. College/University Transcript

Upload a PDF of your most recent college/university transcript. (Note, an updated copy of your transcript reflecting completed spring 2021 semester grades will requested at a later date.)

PDF, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 17. Current Spring 2021 Class Schedule

Upload a PDF of your current spring 2021 class schedule. (Note, a copy of your fall 2021 class schedule will be requested at a later date.)

PDF, PNG, JPG, JPEG, GIF file types only.

Choose File

ACKNOWLEDGEMENTS
All eligibility requirements will be verified by the Director prior to you being able to run for office.

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* 18. Please acknowledge your understanding of the requirements to run for and serve as an International Officer (please reference Policy Code Section G: International Officers for all requirements)

I understand these requirements to run for and serve as an International Officer

Must have their name appear on the official CKI membership list
Must be in good standing with their home club
Must have a home club is in good standing with CKI, their home district, and his/her college/university
Must have a home district is in good standing with CKI
Must be enrolled at the college/university of their home club, have a minimum cumulative Grade Point Average of 2.50 on a 4.0 scale (or the equivalent) at the time of eligibility certification, and must maintain a minimum cumulative Grade Point Average of 2.25 on a 4.0 scale (or the equivalent). Any special considerations may be made by the CKI Director
Must abide by their completed officer service agreement
Must have served for at least five (5) months in at least one club, divisional, or district officer position (either elected or appointed) or served as a member of an International committee
Must have been endorsed by his/her club, home club board, home district, or home district board
Must submit all campaign material required by the CKI Office by the established deadline
Must have engaged in a minimum of one (1) round of formal caucusing at CKI Convention. Note: Candidates need not be nominated for the office for which they caucus.

SERVICE AGREEMENTS
Candidates must submit and abide by their completed officer service agreement. To download a copy of the service agreement template, click on the name of the agreement below.

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* 19. Candidate Service Agreement

If you are running for international office, upload your Service Agreement here

PDF, PNG, JPG, JPEG, GIF file types only.

Choose File

CAMPAIGN LITERATURE
Campaign literature must be submitted in portrait (vertical) as a PDF file (no larger than 5 MB in size) and be no longer than two (2) 8 ½ x 11 pages. Please use normal fonts and graphic standards for ease of readability. All candidate materials will be published as submitted. No editing will be done. Submissions longer than two (2) pages will only have the first two (2) pages included. No other information will be included in the candidate packet.

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* 20. Candidate Literature Submission

Upload your campaign literature as a PDF file. Please reference the above information and the Candidate Packet for specific submission requirements

PDF file types only.

Choose File

Candidate Headshot
Please include a professional-looking headshot for us to use on social media. Make sure your picture is taken in a well-lit area and is of good quality. Photos should be in portrait orientation required in JPEG format.

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* 21. Candidate Headshot Submission

Upload your headshot as a JPEG file.

PNG, JPG, JPEG file types only.

Choose File

Candidate Video
In lieu of an introductory speech, as would normally happen at CKIx, we are asking all candidates to record a short video. Candidates for President and Vice President may submit a video no longer than 2 minutes in length. Candidates for trustee will be allotted 1 minute each. They will be posted and shared with CKI members along with candidate literature.

The videos should:
·       Be filmed horizontally
·       Should only include the candidate and no one else
·       May not feature music, props or other audio-visual aides
·       CKI clothing or backdrop (available at CKI.org/resources) are permitted
·       All other campaign rules apply to this video; speak only about your candidacy and your agenda. No mentions of other candidates are permitted. Please refer to the candidate packet or CKI governing documents if you have additional questions.

*If your video is more than 16MB you may provide a link to your video for us to download it. (Question 23) We suggest using google drive or dropbox. Make sure we have the ability to download that video via the submission link you provide.

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* 22. Candidate Video

Upload your video as a JPEG file.

PNG, JPG, JPEG file types only.

Choose File

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* 23. Candidate Video Submission Link (Use if Video is too large to upload to this form)

CANDIDATE QUESTIONNAIRE
Candidates will submit responses to the following five (5) questions. Each response may not be more than 125 words. Questionnaire responses will be made available to delegates in conjunction with the Campaign Literature. All responses will be published as submitted. No editing will be done. Responses longer than 125 words (per question) will only have the first 125 words (per question) included.
Note: this form does not automatically track word count for your responses - please be sure to verifiy on your own prior to submission.

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* 24. Questionnaire Question #1: What have you learned from your previous experiences that you plan to implement in this role?

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* 25. Questionnaire Question #2: How do you plan to promote the WASH project within your role?

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* 26. Questionnaire Question #3: How do you plan to help the organization recover from the COVID-19 Pandemic?

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* 27. Questionnaire Question #4: Why do you feel like this is the best position for you?

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* 28. Questionnaire Question #5: If you could only accomplish one thing in your year, what would you accomplish & why?

ENDORSEMENT(S)
A candidate for International Office must been endorsed by their club, home club board, home district, or home district board. (i.e, if your home club was Indiana University and they endorsed you, type "Indiana University" next to Club. If your home district was Florida and they endorsed you, type "Florida" next to District. Please use the full name versus an abbreviation. If there is a question about your endorsement(s), you may be asked to provide supporting documentation.)

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* 29. Please type the full name of your endorser(s) below:

Club

Club Board

District

District Board

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* 1. International Office you are running for:(choose from dropdown menu)

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* 2. First Name

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* 3. Last Name

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* 4. CKI Member ID#(If you do not know you number, contact Member Services at 1-800-549-2647, ext 411)

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* 5. CKI Home Club(Full name of College/University)

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* 6. CKI District(choose from dropdown menu)

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* 7. Address(Street, City, State/Province, Postal Code)

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* 8. Phone Number(Cell phone number preferred)

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* 9. Email Address(Email that you check frequently, as this will be used for candidate correspondence)

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* 10. Date of Birth(MM/DD/YYYY)

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* 11. Current Class Standing(choose from dropdown menu)

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* 12. Expected Graduation Date(MM/YYYY)

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* 13. Major(s)

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* 14. Minor(s)

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* 15. Current Cumulative GPA(Must have a 2.50 GPA on a 4.0 scale [or the equivalent] to run for office)

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* 16. College/University Transcript

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* 17. Current Spring 2021 Class Schedule

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* 18. Please acknowledge your understanding of the requirements to run for and serve as an International Officer (please reference Policy Code Section G: International Officers for all requirements)

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* 19. Candidate Service Agreement

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* 20. Candidate Literature Submission

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* 21. Candidate Headshot Submission

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* 22. Candidate Video

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* 23. Candidate Video Submission Link (Use if Video is too large to upload to this form)

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* 24. Questionnaire Question #1: What have you learned from your previous experiences that you plan to implement in this role?

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* 25. Questionnaire Question #2: How do you plan to promote the WASH project within your role?

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* 26. Questionnaire Question #3: How do you plan to help the organization recover from the COVID-19 Pandemic?

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* 27. Questionnaire Question #4: Why do you feel like this is the best position for you?

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* 28. Questionnaire Question #5: If you could only accomplish one thing in your year, what would you accomplish & why?

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* 29. Please type the full name of your endorser(s) below:

* 1. International Office you are running for:
(choose from dropdown menu)

* 4. CKI Member ID#
(If you do not know you number, contact Member Services at 1-800-549-2647, ext 411)

* 5. CKI Home Club
(Full name of College/University)

* 6. CKI District
(choose from dropdown menu)

* 7. Address
(Street, City, State/Province, Postal Code)

* 8. Phone Number
(Cell phone number preferred)

* 9. Email Address
(Email that you check frequently, as this will be used for candidate correspondence)

* 10. Date of Birth
(MM/DD/YYYY)

* 11. Current Class Standing
(choose from dropdown menu)

* 12. Expected Graduation Date
(MM/YYYY)

* 15. Current Cumulative GPA
(Must have a 2.50 GPA on a 4.0 scale [or the equivalent] to run for office)