Roses Membership Application Form

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Thank you for you interest in joining the Rotary Fellowship for Empowering Women. We are like-minded people with a passion of empowering girls and women to take action to lead and thrive in their professions, businesses ,and personal lives while creating a lasting change in our communities. Our membership is open to both male and female and we are proudly known as ROSES because of our diversity.

To become part of the ROSES, you are required to fill in the details below and pay your annual membership fee of UGX 100,000 ($27) payable on Account No, ROTARY ROSES PROGRAMME A/C No. 3100076267 CENTENARY BANK or via Mobile Money on (+256 (0)772 212208) and send a copy of your deposit slip to YR Treasurer Rachel Rwakatungu on +256 (0)778075844 or Deputy Treasurer WR Tapenence Kuteesa on + 256( 0)772 435645(WhatsApp). Any other donations or gifts can also be made via the Bank option. For further details on how to join, send an email to membership@rotaryfellowshipforempoweringwomen.org CC serugof@gmail.com .

THANK YOU

Email *

Name *

Nationality *

Telephone Contact *

Organisation/Rotary District *

Rotary/Rotaract/Innerwheel Club Name

Indicate your Rose Color Identification Code

Pink- ( Female Rotarator.Youth)

Orange- (Innerwheel, Lions)

Yellow- (Non-Rotarian- Female )

Blue- (Male )

White - (Rotarian Female )

Green- ( Sponsor or Partner )

Birthday

Classification

Hobbies

Based on your interests and/or area of expertise, choose ONE commitee that you will participate in.

Programs:- (In charge of design & execution of the fellowship Service and Social activitites

Membership:- (Creating Opportuinies for Business and Leadership growth)

Publicity:-(Create awareness and visibility of the fellowship activities)

Rose Consulates Mobilisation: - (Growing our footprint intercountry, regional and globally)

Partnerships & Fundraising;-(Proposal Writing, Resource mobilisation, strategic partnerships).

Finance and Administration:- :( Administration, Audit, Monitoring & Evaluation, Regulatoy affairs)

How did you learn about the Roses?

Through a friend

Website , Social Media

Conference , Meeting, Etc

A Rose *Members of the fellowship)

Other:

Clear selection

If you were invited by a Rose , please Provide the name and Contact

Submit

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