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ESRAG Technical Resource Expertise Onboarding Form
Technical Expertise for Environmental Sustainability Rotary Action Group
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Email
*
Your email
Please enter your first name
*
Your answer
Please enter your Last name
*
Your answer
Please enter your email address
*
Your answer
Please enter the Name of your Rotary/Rotaract Club
*
Your answer
If you know your club id please enter it here
Your answer
Please enter the country you are from
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Your answer
Please enter the RI District Number
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Your answer
Which State/Province is your club situated in?
Your answer
Which country is your club in
*
Your answer
If you could share the country code of your whatsapp number with the +
Your answer
Please add in your 10 digit WhatsApp number
Your answer
What is your relationship to Rotary?
*
Choose
Rotarian
Rotaractor
Inner wheel
RCC
Interactor
Family member
Do not belong to the Rotary Family
Are you a member of ESRAG?
*
Yes
No
Required
Have you held any position in Rotary International?
*
RI President/ President Elect
Director/Past Director
Trainer
District Governor/Past District Governor/DGE/DGN
Area Governor/Assistant Governor
DRFC
DISC
Other
Required
Please indicate if you are a member of any Rotary Action Groups
*
Your answer
Are you a member of TRF Cadre of Technical Advisors *Yes/ No
*
No
Yes
If you are a TRF Cadre of Technical Advisors member, in which Rotary Area(s) of Focus or Sector are you qualified
*
Basic Education & Literacy
Environment
Water, Sanitation & Hygiene
Economic & Community Development
Peace & Conflict Prevention/Resolution
Maternal & Child Health
Disease Prevention & Treatment
Rotary Grant Project Adviser
Community Development Adviser
Financial Auditing
Not Applicable
Would you be interested in being a part of the ESRAG Technical Resource Team? *Please choose as applicable
*
Yes
No
Required
What is your Professional Expertise?
*
Your answer
What is your academic expertise?
*
Your answer
Which of these ESRAG Areas of Focus best agrees with your expertise (choose one) *
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Biodiversity
Climate
Food Systems
Circular Economy
Sustainable Living
Pollution
What is your experience in applying/consulting on Global Grants *Please choose as applicable
*
Host Club Partner
International Club Partner
Cadre Member
Not Applicable
Required
Are you in any of the Projects/Taskforce teams in ESRAG.
*
Your answer
A copy of your responses will be emailed to the address you provided.
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