ROSE
Application for ROSE female empowerment program
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First Name *
Last Name *
What is you NYC DOE 9-digit Id # (Osis #) (look on your program card) *
Grade *
Date of Birth *
MM
/
DD
/
YYYY
School ID *
Your Cell Phone Number
Your Home Phone Number *
Address *
City *
Zip Code *
Parent/Guardian Name *
Parent/Guardian Phone Number
Parent/Guardian Email address
Why do you want to be part of ROSE and what do you feel you can contribute to the organization?
Will this be your first year in ROSE?
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If you have been in ROSE before list any positions you held.
List any clubs or organizations you belong to
What chapter are you applying to
Clear selection
Did you?
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