Join Chama Cha Rasilimali

CCR Membership and Volunteer Application Form

We are happy you want to join CCR—The Party for Change!

Please fill out this application to become a member and also explore opportunities to volunteer and serve as a leader in our party.

We can together create a better Kenya for all. STRONGER TOGETHER

Designation

Gender

Male

Female

Other

First Name

Middle Name

Last Name/Surname

Kenya National ID Number

Date of Birth

How do we contact you?

Mobile Phone

Whatsapp Phone

Email

Choose your Membership Category

To join as an ordinary member for FREE, Please choose the “MWANAINCHI” member category
Choose any of the other category if you want to run for elective office, or be a party official

Please choose your desired membership.

Let’s get some basic Information about you

Ethnicity

Name of Tribe/Community.

Religion

Interest Group

Are you a member of a SPECIAL INTEREST GROUP. Eg Veteran, Women, Minority, Marginalised or Person with disability?

Yes

No

Not Sure

Please select your special interest group

Choose your Country of residence

County

Constituency

Ward

Are you currently a member of a political party?

Name of the other Party

Are you willing to support CCR’s activities including the election of candidates. manage the party or even support solution of problem?

Voluteer and let’s change Kenya

You may.

Run as a candidate in the 2027 General Elections
Get your candidate elected, (Join a Campaign Team)
Manage the party (Be a CCR Party Official at local or national level),
Be a Change Champion (Help mobilise and solve a problem close to you, e.g., youth issues, water and sanitation, entrepreneurship, etc.).

YOUR SUPPORT MATTERS

I would like to:

Parent

Child

Grand Child

Please specify any specific roles or committees you are interested in:

What skills or experiences can you bring to CCR?

Section 6: Commitment to Action

I agree to subscribe to receive alerts and emails from Rasilimali Party and also the following

Important Tips

Campaign Tips

Newsletters