Kansas City Club FULL Application

Welcome

Thank you for your interest in the Kansas City Club.
Since 1882, the Club has served as a gathering place for people who care about the future of Kansas City while still making time to enjoy its present. Membership is intentionally limited to preserve the character, culture, and connections that make the Club unique.
This application helps us learn more about you, your interests, and how you might contribute to the life of the Club. There are no perfect answers. We are simply interested in understanding who you are.

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Applicant Information

All sections of this application must be completed before it can be reviewed by the Membership Committee. Applications containing incomplete information may not be considered.
All information provided will be treated confidentially.
A recent headshot is required as part of your application.

Full Name

Preferred Name

Date of Birth

Home Address

Mobile Phone

Email Address

Occupation / Title

Company / Organization

Industry

Spouse / Partner Name (if applicable)

Membership Interest

Which membership category are you applying for?

Membership: 21- 35

Membership: 35 - 45

Membership: 45+

Membership: Charter Member

Non-Resident

About You

Tell us a little about yourself. (What occupies your time? What are you passionate about? What would we learn about you after spending an evening together?)

What interests you most about the Kansas City Club?

Kansas City

What have you done for Kansas City? This can include professional work, volunteer service, civic involvement, mentorship, philanthropy, creative contributions, neighborhood involvement, entrepreneurship, advocacy, or any effort that has helped make Kansas City better.

What do you love most about Kansas City?

Applicant Acknowledgment

The Kansas City Club seeks to cultivate a welcoming community of curious, engaged, and respectful individuals. Membership decisions are made with consideration for the overall culture and experience of the Club.
By submitting this application, I certify that the information provided is accurate to the best of my knowledge.

Applicant Name

Date:

NOTE: Submission of an application does not guarantee acceptance. Membership becomes active only upon approval by the Membership Committee and completion of the enrollment process.

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Kansas City Club FULL Application

Kansas City Club FULL Application

Welcome

Form Designer

Applicant Information