Member Registration | Peace and Love Proclaimers

Registration Form

Please fill in all required information to complete your registration

1
Basic Personal Information

Full Name *

Date of Birth *

Gender *

Nationality *

ID/Passport Number (Optional)

Image

Upload a profile photo (PNG, JPEG- Max 5MB)

2
Contact Information

Phone Number *

Email Address *

Physical Address (District & Sector) *

Emergency Contact Name *

Emergency Contact Phone *

3
Education Background

Highest Level of Education Completed *

Current School/School You Graduated From

Program or Faculty

Year of Study or Year Graduated

4
Employment (Optional)

Current Employer

Job Title or Role

Employment Status

5
Languages

Kinyarwanda Proficiency *

English Proficiency *

French Proficiency

Swahili Proficiency

6
Communication & Soft Skills

Public Speaking Strength *

Writing Skills *

Facilitation or Training Experience

Media Interview Experience *

7
Membership & Engagement

Date Joined PLP *

Membership Type *

Current Country *

Membership Status *

8
Participation & Contribution (Optional)

PLP Programs Participated In

Trainings Attended

Events Volunteered At

Leadership Roles Held

Projects Initiated

9
Skills & Interests

Core Skills

Interests

Willing to Mentor? *

10
Social Media & Outreach

LinkedIn Handle (Optional)

Facebook Handle (Optional)

Instagram Handle (Optional)

Comfortable Representing PLP in Media? *

11
Administrative & Logistics

T-shirt Size (for merchandise)

Availability for Events *

Special Needs or Notes

By submitting this form, you agree to our terms and conditions and privacy policy.

Join Peace and Love Proclaimers

Registration Form

1 Basic Personal Information

2 Contact Information

3 Education Background

4 Employment (Optional)

5 Languages

6 Communication & Soft Skills

7 Membership & Engagement

8 Participation & Contribution (Optional)

9 Skills & Interests

10 Social Media & Outreach

11 Administrative & Logistics