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Blue Simple Dental Clinic New Patient Form A4 Document - 20250524 - 145238 - 0000

The document is a candidate information form for joining the Helping Hands NGO, requesting personal details, donation preferences, skills, references, motivations for joining, language proficiency, volunteer interests, and availability. It includes sections for donations, skills and expertise, and a brief description of how the candidate can contribute to the organization. Additionally, it requires attachments of ID proof and a passport-sized photograph.

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equipmentkarate
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0% found this document useful (0 votes)
8 views2 pages

Blue Simple Dental Clinic New Patient Form A4 Document - 20250524 - 145238 - 0000

The document is a candidate information form for joining the Helping Hands NGO, requesting personal details, donation preferences, skills, references, motivations for joining, language proficiency, volunteer interests, and availability. It includes sections for donations, skills and expertise, and a brief description of how the candidate can contribute to the organization. Additionally, it requires attachments of ID proof and a passport-sized photograph.

Uploaded by

equipmentkarate
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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photo

the helping hands


Candidate Information
First Name: Last Name:
Birth Date: Gender: Male Female
Address:
City: State: ZIP
Email: Cell Phone:
Marital Status: Married Single Divorced Widowed Other
Age: Phone:
Blood group:
How did you hear about us?
I live/work in area I was referred by
Social media Other

Donation
- Would you like to make a donation to support our work? (Yes/No)
- If yes, please specify the amount: ₹ _______________________.

- Would you like to set up a recurring donation? (Yes/No).


- If yes, please specify the frequency: _______________________.

Skills and Expertise


Do you have any skills or expertise that could be useful
to our organization? (e.g. marketing, fundraising, event,
planning, graphic design, writing, etc.)
- Please specify ________________________________________________
__________________________________________________________________.
__________________________________________________________________
__________________________________________________________________
[ Please attach a copy of your ID proof (Aadhaar Card, Driving License, etc.) ]
[ Please attach a passport-sized photograph ]

Candidate Signature Date


References
- Have you been referred by anyone? (Yes/No).
- If yes, please provide their name and contact details: __________________________________________________________________
______________________________________________________________________________________________________________________________

Why do you want to join Helping Hand NGO?


- (Please provide a brief description of your interests and motivations for joining our organization, and how you
think you can contribute to our mission) : ___________________________________________________________________________
__________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________

Are you proficient in any languages other than English? (Yes/No)


- If yes, please specify: ______________________________________________________________________

Volunteer Interests
- What areas of our work would you like to volunteer in? (e.g. animal welfare, women's
empowerment, education, environmental conservation, etc.).
- Please specify: ___________________________________________________________________________
- Are you willing to participate in fieldwork? (Yes/No)
- Are you willing to participate in office work? (Yes/No)

Availability
- How many hours per week/month can you dedicate to.
volunteering?- _______________________________________________________
- Are you available to volunteer during weekends? (Yes/No)
- Are you available to volunteer during weekdays? (Yes/No)

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