Application form for Volunteer and Internship Programmes | Samadhan India

I would like to

Name

First

Last

Phone Number

Email

City

Country

Address

Age

Highest Educational Qualification

Why are you interested in volunteering / interning for SAMADHAN (Max. 200 words)

Which Centre of SAMADHAN would like to volunteer/intern

Dwarka
Dakshinpuri

What Kind of work are you interested in? (Please Tick appropriate options)

Working directly with children
Working with professionals (Occupational Therapist, Speech Therapist, Psychologist)
Conducting or participating in awareness programs/events etc
Assisting research/workshops/training programmes
Creative activities
Assisting in official work/logistics
Fundraising activities
Professional support in writing proposals, reports, story writing etc.

We would like to know your availability. (For Volunteers only)

Internship Applicants – Please note that if you are joining us as an intern, your timings will be 9.30 a.m to 2:00 p.m, (Monday to Friday ( two Saturdays as required)

The hours per day that you would like to devote (For Volunteers Only)

Selected Value: 1

(Max. availability. (For

Declaration

I agree

My answers on this application form are true and complete. I will maintain confidentiality and privacy of the information collected during my volunteering work. I understand that I will receive no monetary benefits in return for my volunteering. I certify that the facts stated above are true and correct to the best of my knowledge.