Uromi JDPCI - A Faith-based NGO

Please fill out the volunteer application form below, and we will get back to you as soon as possible.

VOLUNTEER'S GENERAL INFORMATION

Name:

Date of Birth:

Gender:

Address:

Phone Number(s):

Email Address:

Preferred Method of Contact:

EMERGENCY CONTACT

Name:

Relationship:

Phone:

Which areas of our organization would you like to volunteer in? (Check all that apply):

SGBV/CEFM

Legal and Correctional Centre Apostolate

Micro Credit

Environment and Climate Change

Human Rights

Livelihood Support

Health

Good Governance

ABOUT THE VOLUNTEER

Have you volunteered before? Please describe if yes:

Why are you interested in volunteering with this organization?

Please list your volunteer position preference(s):

How many hours and days are you available for volunteer work?

What training, experience, or skills do you have that may be related to the volunteer position desired?

Are you affiliated with any community organizations or clubs? If so, please explain:

Who is your current employer (if applicable)?

What is your highest level of education?

Do you have any prior criminal convictions or offenses? If so, please describe:

PHYSICAL LIMITATIONS

Please list any physical limitations you may have:

REFERENCES

Name:

Phone:

Relationship:

Name:

Phone:

Relationship:

MISCELLANEOUS

What is your T-Shirt size?

How did you hear about us?

ACKNOWLEDGMENT

I certify that the volunteer information I have provided is true to the best of my knowledge. I understand that submitting this application does not guarantee placement as Uromi JDPCI reserves the right to select volunteers based on program needs.

Volunteer Application Form

VOLUNTEER'S GENERAL INFORMATION

EMERGENCY CONTACT

ABOUT THE VOLUNTEER

PHYSICAL LIMITATIONS

REFERENCES

MISCELLANEOUS

ACKNOWLEDGMENT