MEMBERSHIP APPLICATION FORM
This form is used to apply for membership in Nature Rwanda, in accordance with the Membership Policy. Please complete all sections that apply to your category of membership, sign the declaration, and submit the form together with the required attachments to the Executive Office. Fields marked with an asterisk (*) are required.
Membership Category
Select one category. See the Membership Policy, Part I, for definitions. Honorary membership is conferred by the Board and is not applied for through this form.
Category of Membership Applied For
Individual Member
Institutional Member (organization, company, academic institution, cooperative, association, or other legally recognized entity)
Applicant Details
For Individual Applicants
Full Name
*
Phone Number
*
-
Area Code
Phone Number
Email Address
*
Date of Birth
-
Month
-
Day
Year
Date
National ID / Passport Number
Nationality
Physical Address / District, Sector, Cell, Village
Occupation / Profession
Copy of National ID or Passport (Individual applicants)
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Recent passport-size photograph (Individual applicants)
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For Institutional Applicants
Name of Organization
*
Registration / Certificate Number
Type of Entity
*
(company, NGO, cooperative, academic institution, association, etc.)
Date of Registration
-
Day
-
Month
Year
Date
Registered Address
Name of Authorized Representative
*
Position/Title of Representative
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Certificate of Registration / Incorporation (Institutional applicants)
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Letter of authorization for the designated representative (Institutional applicants)
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Profile / brief description of the organization, including mission and activities (Institutional applicants)
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Membership Constituency (Individual Applicants Only)
Preferred Constituency / Working Group / Club
Site or Location Associated with this Constituency (if applicable)
If your preferred constituency is not listed or does not yet exist, indicate this here and the Executive Office will advise on next steps.
Membership Contribution
Standard membership fee model
I acknowledge that I am applying under the standard membership fee model, as set by the Board of Directors, unless my constituency has an approved in-kind contribution arrangement.
Approved in-kind contribution arrangement
I am applying on behalf of / as part of a constituency that has an approved in-kind contribution arrangement (please specify below).
If applicable, name the constituency and approved in-kind arrangement
Separately from fees or in-kind contributions, all members are required to obtain official Nature Rwanda membership identification and branding materials (e.g., membership card, ID badge, branded apparel), the cost of which is borne by the member (Membership Policy, 4.5).
Motivation and Background
Declaration and Agreement
*
Why do you (or your organization) wish to become a member of Nature Rwanda, and how do you align with its vision and values?
*
Relevant experience or background (optional)
Required Attachments
Signed letter of interest
*
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Declaration
By signing below, the applicant confirms the following statements:
*
I/We share Nature Rwanda's core values and objectives as described in its mission and Membership Policy.
I/We agree to be bound by Nature Rwanda's Statutes, policies, and code of conduct.
I/We agree to participate actively in Nature Rwanda's initiatives, comply with its rules and decisions, and fulfil contribution obligations as set out in the Membership Policy.
I/We confirm that the information provided in this application is true, complete, and accurate to the best of my/our knowledge.
I/We understand that providing false or misleading information may be grounds for suspension or termination of membership.
Date
*
-
Month
-
Day
Year
Date
Full Name (printed)
*
I confirm that the information provided is correct and I agree to follow Nature Rwanda’s membership policy.
*
I confirm that the information provided is correct and I agree to follow Nature Rwanda’s membership policy.
Signature of Applicant / Authorized Representative
*
Submit Application
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