RICO Ambassadors Application Form

An "Ambassador" is anyone who, without compensation or expectation of compensation beyond reimbursement, performs a task at the direction of and on behalf of this organization. An "Ambassador" must be officially accepted and enrolled by the agency prior to performance of the task. Unless specifically stated, Ambassadors shall not be considered as "employees" of the agency.
Filling this form will be and indication that you have read all the documents provided, understood the terms and conditions and that you are willing to bear the cost of becoming one of us. Form will help us to obtain valid information about you for the purposes of keeping records. It should be noted that you will be fully confirmed as one of us once you satisfy all the conditions and requirements provided by the Ambassadorship Director through your personal emails.
You are hereby called upon to register as an ambassador in the RICO by filling the form. It is important to note that the application will be closed by 17/09/2018. Contact us by
Tel: +254 701 098 389/ +254 714 419 122
Website: www.rockhealth.co.ke
Facebook: RockHealth Integrated Care and Consultancies
Twitter: @ricc_kenya

Email address *
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Date of Birth
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University of study
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Field of Study
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Year of Study
Please select the area(s) that you wish to volunteer in
Please tell us why you wish to volunteer
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Please supply us with the name(s) of a next of kin
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Contact of your next of kin
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Do you have any special needs you would like to share with us?
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