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PVSA Volunteer Log (September 2023-September 2024)
For questions, please contact us at BM@Swaasthya.US
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* Indicates required question
Are you a United States citizens and lawfully admitted, permanent residents of the United States?
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Yes (Proceed to the next question)
No (Please stop here as you are not eligible for the award)
Is your Service/Volunteering Efforts meet Swaasthya Mission (Swaasthya/Health of Body, Mind and Consciousness)?
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Yes
No
First Name
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Your answer
Last Name
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Your answer
Full Address: House #, Street, City, State, Zip Code
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Your answer
Age Group
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Kids (5-10)
Teens (11-15)
Young Adults (16-25)
Adults (26 and older)
Hours served (Number in Hours, Enter number only)
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Your answer
Focus Area (This could be School/University program, Club or after-school activities, Awareness, Fundraiser event. For example, Novi Public Library, Novi, MI 1-day workshop between 8 am to 8 pm)
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Your answer
More details (How does your focus area address the purpose and mission for Swaasthya Inc.? Share your project stories with photos to BM@Swaasthya.US
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Your answer
Date of Service (From 28 Sep 2023- 27 Sep 2024)
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MM
/
DD
/
YYYY
Email Address
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Your answer
Name and Email Address of Swaasthya Coach/Mentor
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Your answer
Thank you and please do refer your friends who are doing these kinds of services so that we may give them due recognition in helping improve the Quality of Life, especially for elders in our community. Please do share their contact details and kind of work they are doing.
Your answer
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