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Global Shapers Imphal - Online Application Form
ARE YOU READY TO BE A CHANGE MAKER?
Yes? Then join us in a journey to make our society a little better than yesterday!
*You must be between 21 to 29 years old.
*Resident of Imphal or close by.
*You must be a graduate.
*Willing to commit and follow our Community Charter.
*Willing to give voluntary service (not a paid job) for our society's welfare.
*Ready to learn and contribute towards positive changes in our society.
Know more - https://drive.google.com/file/d/11iNtQLl2bWPhMxglPB9eakkkQVGjUCW7/view?usp=sharing

NOTE: Your response here is critical. This will decide whether or not you cross the initial round. So please respond honestly, clearly and be precise. ALL THE BEST!!
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Email *
Full Name *
Gender *
DOB *
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Mobile No. *
Alternate Mobile No. *
Secondary point of contact
Are you currently based in Imphal? *
Personal Website / LinkedIn/facebook link (if any)
Present Address *
Permament Address *
Highest Educational Degree obtained *
Job Title and Organization Name (if working) *
Describe yourself in 100 words *
Emphasise your value systems (Ethical/Moral/attitude) towards the society & your future plans
Which activity of Global Shapers Imphal are you most interested? *
Visit https://www.globalshapersimphal.org/projects to know more about our projects.
Have you Volunteered in any social or community service before? *
If Yes, write briefly about it.
Write about an event/project where you displayed your potential as a leader/team player. *
Write about a program or project that you initiated (if any)
This can be on a varied contest - social, community, entrepreneurial etc.
Why do you want to be a Global Shaper? *
If selected, how would you contribute to the society as a Global Shaper? *
If Selected, How many hours in a week can you contribute to Global Shapers Community? *
I understand that Global Shapers Community: Imphal Hub, is a non-profit organization and that I will not be paid salary for my time and service to the society. *
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