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All WASH-RAG Ambassadors must be members in good standing with the WASH Rotary Action Group.


If necessary, please confirm your membership status by contacting us at Membership Confirmation.
 

WASH-Rotary Action Group

AMBASSADOR APPLICATION
* First Name
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* Last Name
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* Phone Number
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* E-mail Address
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* Address 1
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Address 2
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* City
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* State or Province
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Postal Code
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* Country
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If you are a Rotarian or Rotaractor please list your Club name.
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Enter your District number if applicable.
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WHERE AND WHY
* In what District do you wish to serve as Ambassador?
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* Rotary/Rotaract/NGO positions held:
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Please share why you would like to be an Ambassador?
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* What would be your goals and objectives if you were appointed as an Ambassador?
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* Are you able to facilitate the translation of communications from WASH-RAG from English into the primary language(s) of the Rotarians in your Ambassadorial area?

WASH EXPERIENCE:
Have you ever directly been involved in a WASH project? If so, please detail the scope of your activities.
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Do you have a technical background/experience in any field of WASH? If yes, please elaborate.
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What organizations have you worked and in what capacity?
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ROTARY EXPERIENCE
Have you ever yourself held position(s) in your District? (Governor, Assistant governor, DRFC, District secretary, District Committee(s) Chair/member/coordinator) If so, please elaborate.
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Are you presently active in District activities? If so, please elaborate.
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Are you in a position to organize training sessions/presentations of WASH & WASH-RAG in District events namely District Conference, District Seminars, District Training Events, and other Rotary events with the aid of materials provided to you by WASH-RAG?
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Are you a member of Cadre of Technical Advisors in WASH or any other of focus of TRF?
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REFERENCES
* Please provide details of senior District leaders in your District (name, email and mobile number) who may be contacted by WASH-RAG.
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COMFIRM AND SUBMIT
* By typing your name in this box, you are confirming that you are a WASH-RAG member in good standing and will adhere to the roles, responsibilities and terms as outlined in the WASH Ambassador Program.
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Submit Survey
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