Kenan Connection: Application

Please complete the following form to apply for membership in the Kenan Connection. You will need to either submit a check for membership dues or pay via Google Checkout. For more information about dues, click here.

Contact Information
Your Name:

Student's Name:

Your Phone Number:

Your Email Address:

Child(ren)'s Name(s) and Age(s):

Address Line 1:

Address Line 2:

City:

State/Province:

Zip/Postal Code:

Country:

Relocation
Will you be relocating to North Carolina? Yes No

If yes, when?

Future Address Line 1:

Future Address Line 2:

Future City:

Future State:

Future Zip Code:

Career
Profession/Field of Work:

What type of job are you seeking?

About You
Primary Language Spoken:

Other Language(s) Spoken:

Please check all those Kenan Connection clubs/activities you are interested in: Social Events Career Support Book Club Dinner Club Families Club Volunteer Club Wellness Club

Would you like a partner nametag to wear to business school events? Yes No