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 *
Your answer
First Name *
Your answer
What is you NYC DOE 9-digit Id # (Osis #) (look on your program card) *
Your answer
Rose Chapter *
Birthday *
MM
/
DD
/
YYYY
What is your Tshirt size
Grade *
Your Cell Phone *
Your answer
Your Address *
Your answer
Parent/Guardian's Last Name *
Your answer
Parent/Guardian's First Name *
Your answer
Parent/Guardian's Email *
Your answer
Parent/Guardian's Address *
Your answer
Parent/Guardian's CELL Phone number *
Your answer
HOME Phone number *
Your answer
List any clubs, teams or organizations you belong too. *
Your answer
Why do you want to be a member of ROSE? *
Your answer
What do you feel you can contribute to ROSE? *
Your answer
Did You.....? *
Required
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