VOLUNTEER APPLICATION

CONTACT INFORMATION

Name
Sex (Male/Female)
Age
Street Address
City/State ZIP/Pin Code
Home Phone
Work Phone
Email Address
Educational Qualification
Languages Spoken

AVAILABILITY

From: ______________________(dd/mm/yyyy) to ______________________(dd/mm/yyyy)

No. of hours per day: ______________________

INTERESTS

Tell us why you are interested in volunteering with SNEHA?

___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

Tell us in which areas you are interested in volunteering (based on your skillsets and background)
___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

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SPECIAL SKILLS OR QUALIFICATIONS (SUPPORTING THE INTEREST AREAS MENTIONED ABOVE)

PREVIOUS VOLUNTEER EXPERIENCE

REFERENCE 1 (MANDATORY)
Name
Street Address
City ST ZIP Code
Home Phone
Work Phone
Email Address
REFERENCE 2 (MANDATORY)
Name
Street Address
City ST ZIP Code
Home Phone
Work Phone
Email Address

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PERSON TO NOTIFY IN CASE OF EMERGENCY
Name
Street Address
City/State ZIP/Pin Code
Home Phone
Work Phone
Email Address
OUR POLICY
It is the policy of this organization to provide equal opportunities without regard to race, color,
religion, national origin, gender, sexual preference, age, or disability.

Volunteers should be at least 18 years of age and spend at least a cumulative period of 8 weeks
with SNEHA to qualify for a volunteering opportunity.

All information, including the intellectual property rights in any such documents or work conducted,
regarding SNEHAs programs and the communities it serves is strictly confidential and property of
the organization.

SNEHA reserves the right to cancel any such volunteer assignment and association with SNEHA in
case the relevant policies are not followed by the volunteer. SNEHA further reserves the right to
cancel such assignment for outstation volunteers provided such cancellation is informed to the
volunteers within reasonable time.

AGREEMENT AND SIGNATURE

By submitting this application, I affirm that the facts set forth in it are true and complete. I
understand that if I am accepted as a volunteer, any false statements, omissions, or other
misrepresentations made by me on this application may result in my immediate dismissal.

Name (printed)
Signature
Date
Thank you for completing this application form and for your interest in volunteering with us. We will
get in touch with you if there are opportunities suitable to your experience, skills and interest.

SNEHA (Society for Nutrition, Education and Health Action)

Room No. 310, 3rd floor, Urban Health Centre,
60 Feet Road, Dharavi, Mumbai 400 017
Contact: 91 22 26614488 / 26606295
Email: hr@snehamumbai.org
www.snehamumbai.org

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