Sunday, August 15, 2010

City Volunteer Application

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City Volunteer Application Form


Please attach your
Passport size
Photo here
 
 



1. Personal Details
Name:          
Permanent Address:     
Temporary Address:      
Email:  
Contact No. :                                                                      Mobile No.:                     
Gender:              
Parents:               Father’s Name:
                             Mother’s Name:
Local Guardian’s Name:                                                                                Relation:            
Contact No.:                                                                            Mobile No:
Academic Qualification
S. No.
Institution
Faculty
Degree/level
1



2



3





2. Your Involvement
a. What are you doing these days beside study? Please mention type of involvement and engaged time



b. Your past involvement as volunteer/ employee/ any other types of services (please mention the date and name of organization of involvement)





c. Extra Curricular Activities/ Training/ Any Particular Skills




3. Your Field of Interest:  Use (√) mark in appropriate box
Climate Change                                (              )                              Water and Sanitation    (              )
Air Pollution                      (              )                              Others                                  (              )
4. How would you like to contribute as city Volunteers besides school-based program? Use
(√) mark in appropriate box
Single Ladies (Put A Ring On It)
5. Research and Survey                      (              )
6. Youth/College based program  (              )
7. Mass Education and Awareness (             )
8. Training and Workshops              (              )
9. Publication (Newspaper, Article, etc) (                 )
10. Community Based Program        (              )
11. Media and Communication        (              )             
12. Other                                                    (              )


13. What are your expectations from City volunteers Program? (Up to 100 words)


14. Why do you want to involve in City Volunteer program (Statement of Motivation)? (Up to 200 words)



15. Identify a major environmental problem in your community/college/school, and as a city volunteer how do you want to tackle this problem? (250 to 300 words)


16. Your availability for the program
                Day
Time (in hrs)
Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday


I want to contribute as city volunteer program for ………………………. year/ months

…………………………
Signature
Date:

Please fill in the form and email to gyc.nepal@gmail.com or submit directly to Global Youth Circle on August 28, 2010 along with your CV (not more than 3 page)
Global Youth Circle
Koteshwor-35, Kathmandu Nepal
Tel No: 977-1-2050715
E-mail: gyc.nepal@gmail.com




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