Rose Application 2018-2019
Please fill out this application for consideration into the R.O.S.E. female empowerment program. Applications will not be considered without the photo release form, letter of recommendation from a staff member and parent permission slip signed and turned in. Those forms are not electronic and should be picked up from and turned into the ROSE advisor for your school/organization. Admission is based on available slots, and application responses.
Email address *
Last Name *
First Name *
What is you NYC DOE 9-digit Id # (Osis #) (look on your program card) *
Rose Chapter *
Birthday *
What is your Tshirt size
Grade *
Your Cell Phone *
Your Address *
Parent/Guardian's Last Name *
Parent/Guardian's First Name *
Parent/Guardian's Email *
Parent/Guardian's Address *
Parent/Guardian's CELL Phone number *
HOME Phone number *
List any clubs, teams or organizations you belong too. *
Why do you want to be a member of ROSE? *
What do you feel you can contribute to ROSE? *
Did You.....? *
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