C.H.E.C.K MEDICAL MISSION VOLUNTEER APPLICATION FORM
Email *
Full Name (Surname first) *
Sex *
Age *
Phone number (preferably what's app number) *
Date of Birth *
MM
/
DD
/
YYYY
Religion *
Marital Status *
If Married, is your Spouse supportive of your application to be a volunteer?
Clear selection
Course studied *
If other, kindly state
Are you currently employed? *
If Yes, kindly State the job you do and your employer
Are you a business owner? *
If Yes, kindly State the services you render
Are you a leader in any non profit organization? *
If Yes, kindly State the leadership position and the organization
Kindly tick the areas you will love to volunteer *
Required
If others, kindly specify
CHECK projects and outreaches are made possible by monthly donation of partners of CHECK Medical Mission. WILL YOU LOVE TO DONATE MONTHLY TO THE PROJECTS OF THE ORGANIZATION? *
If Yes, kindly State the amount (in Naira)
How did you get to know about us? *
Required
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