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ROSE
Application for ROSE female empowerment program
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* Indicates required question
Email
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Your email
First Name
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Your answer
Last Name
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Your answer
What is you NYC DOE 9-digit Id # (Osis #) (look on your program card)
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Your answer
Grade
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9th
10th
11th
12th
Date of Birth
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MM
/
DD
/
YYYY
School ID
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Your answer
Your Cell Phone Number
Your answer
Your Home Phone Number
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Your answer
Address
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Your answer
City
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Bronx
Brooklyn
Manhattan
Staten Island
Queens
Zip Code
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Your answer
Parent/Guardian Name
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Your answer
Parent/Guardian Phone Number
Your answer
Parent/Guardian Email address
Your answer
Why do you want to be part of ROSE and what do you feel you can contribute to the organization?
Your answer
Will this be your first year in ROSE?
Yes
No its my 2nd
No it's my 3rd
No its my 4th
Clear selection
If you have been in ROSE before list any positions you held.
Your answer
List any clubs or organizations you belong to
Your answer
What chapter are you applying to
Bedford Academy (Brooklyn)
George Washington Carver (Queens)
Institute for Health Professions at Cambria Heights (Queens)
Khalil Gibran (Brooklyn)
Montefiore Mosholu (Bronx)
Teachers Preparatory HS (Brooklyn)
Other:
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Did you?
1. Submit your letter of recommendation to your Advisor?
2. Turn in your Parent Permission slip to your Advisor?
3. Turn in your photo release form, filled out, to your Advisor?
4. Complete your pre-evaluation online?
Other:
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