Join the movement

General Membership Application. It takes about 5 minutes.

01 Personal information

Full name

Date of birth

If you are under 18, a parent or guardian must agree before you join.

Gender

Male Female Other Prefer not to say

Address

Village or area, district.

Phone number

Include the country code, e.g. +256.

02 Education

Current educational institution

Level of education

Secondary Tertiary University Other

Field of study (if applicable)

04 Commitment & availability

How much time can you commit to MYCU per week?

1 to 5 hours 5 to 10 hours More than 10 hours

Are you willing to attend trainings and workshops?

Yes No

05 Skills & strengths

What skills do you bring to MYCU? Choose all that apply

Communication Leadership Organization Other

Do you have leadership experience?

Yes No

06 References

Two people who know you well, such as a teacher, community leader or employer. Not a family member.

Reference 1

Name

Relationship

Phone or email

Reference 2

Name

Relationship

Phone or email

07 Declaration I declare that the information provided is true and accurate to the best of my knowledge. I agree that MYCU may store and use my details to process this application and contact me about membership. My details will not be shared with anyone else without my permission.

Signature (type your full name)

Date

Filled in automatically.

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