YP-CDN Rwanda Chapter Membership Application - 2017/18
Young Professionals for Chronic Disease Network is world's 1st and largest social network of young health professionals targeting chronic illness like cancer and diabetes.

We are a network of over 5,000 young professionals united across 160 countries. We work online and on the ground in over 15 cities on 6 continents.

We help shape global and local policy, develop leaders, and catalyze change to improve access to essential treatment for and prevention of chronic diseases among the world's poorest.

YP-CDN Rwanda would like to recruit young professionals with leadership skills, commitment, hardworking and passion to work within different programs in Rwanda.

To be a member you have to fill this form by 30th June 2017 and if selected you'll pay membership fee of 2000 Rwf that will be annual.

First Name *
Your answer
Last Name/Surname *
Your answer
Phone *
Your answer
Email address *
Your answer
Date of Birth
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DD
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Gender
Which town are you based in?
Which is your field of focus/expertise? *
What are your main areas of interest? Check only 3 areas. *
Required
What are some of your additional skills that you can help YP-CDN Rwanda with?
Tick all that apply
Which YP-CDN Rwanda programmatic areas do you want to volunteer with?
In what capacity do you want to volunteer for YP-CDN Rwanda?
Describe any area you will be comfortable working in.
Your answer
How much time can you volunteer for the period from July 2017-July 2018? (Kindly be as detailed as possible)
If you have volunteered before, please give details of where you have volunteered, for how long and describe your volunteer role.
Your answer
Why do you want to Join YP-CDN? *
Your answer
If you are a student, please write the name of your institution that you are affiliated with.
Your answer
If employed, Kindly write name of employer/institution
Your answer
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