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Formulir Relawan/Volunteer Form
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* Indicates required question
Alamat email /Email address
*
Your answer
Latar Belakang Pendidikan/ Educational Background
*
Kesehatan/ Health
Pendidikan/ Education
Seni/Art
Other:
Dari mana Anda mengetahui YPK Bali?/ How do you know YPK Bali?
*
Website
Facebook
Instagram
Google
Teman/Friend
Other:
Nama Lengkap/ Full name
*
Your answer
Nama Panggilan/ Nick nam
*
Your answer
Tempa Lahir/ Place of birth
*
Your answer
Tanggal Lahir/ Date of birth
*
MM
/
DD
/
YYYY
Alamat Tinggal/ Address
*
Your answer
Nomor Telepon / Phone Number/ WhatsApp
*
Your answer
Akun media sosial/ Social media account
*
Your answer
Kesediaan Hari/ Availability day
*
Senin/Monday
Selasa/Tuesday
Rabu/Wednesday
Kamis/Thursday
Jumat/Friday
Sabtu/Saturday
Required
Berapa lama Anda ingin melakukan relawan? / How long do you want to do volunteer activities?
*
Satu kali/ One time
Setiap Minggu/Every week
Setiap Bulan/Every month
Other:
Kesediaan Waktu/ Availability time
*
We open: Senin/Monday - Jumat/Friday (08.00 am - 16.00 pm) , Sabtu/Saturday (08.00 am-13.00 pm) WITA
Time
:
AM
PM
SIM yg dimiliki/ Driving license
*
SIM A
SIM C
Other:
Required
Fasih menggunakan bahasa/ Language fluency
*
Indonesia/Bahasa
Inggris/English
Other:
Required
Kemampuan yang dimiliki/ Skills
*
Your answer
Apakah Anda bisa berenang? Can you swim?
*
Ya/Yes
Tidak/No
Apa rutinitas harian anda saat ini ? jelaskan !/ Your current daily routine? Explain!
*
Your answer
Apakah anda memiliki alergi tertentu ? sebutkan !/ Do you have any alergic? Please explain!
*
Your answer
Apakah anda memiliki penyakit tertentu ? jelaskan!/ Do you have any specific illness? Explain!
*
Your answer
Apakah anda vegetarian ?/ Are you vegetarian?
*
Ya/Yes
Tidak/No
Apakah anda sebelumnnya pernah berinteraksi dengan penyandang disabilitas fisik? jelaskan !/ Do you ever interact with people with physical disabilities?
*
Your answer
Apa yang bisa Anda lakukan dan kontribusi apa yang dapat anda bagikan dengan YPK Bali selama menjadi relawan? / What you can do and contribute to YPK Bali during volunteering? (*you can choice more than 1)
*
Membuat modul pembelajaran terkait kesehatan dan pendidikan bagi penyandang disabilitas/ Produce learning modules related with health and education for people with disabilities
Merancang penggalangan dana/Fundraising
Membuat konten digital/Content creator
Menulis/Copywriting
Penulisan Proposal/Proposal Writing
Pembuatan Aksesoris/Making Jewelry
Other:
Required
Pertanyaan/ question?
Your answer
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