CCF April-July 2019: Registration Form
The Community Connect Fellowship is a leadership development program building active citizenship in young individuals by solving local civic issues. It includes surveys, skill building sessions, constructive dialogue and awareness activities.

In the past 5 years, it has trained 330+ young who have transformed themselves and worked for a better Mumbai. It is a part-time fellowship offered at no cost to young people in Mumbai.

This form is to know you better. You can fill the form either in English or Hindi.
यह फॉर्म हमें आपको बेहतर जाने के लिए है. आप इससे हिंदी / इंग्लिश कोई भी भाषा में भर सकते है |

Duration: April-July.

Time commitment :
-3 hrs on sessions on Saturdays
-1-2 hrs during the week to work on the project in your nearby community

Who can join?:
-Anyone who is 16-24 years of age
-Want to build their leadership skills
-Loves to do on ground action for creating change in the Mumbai
-Wants to build essential real life skills that classroom teaching lacks
-Wants an edge in life by knowing real world over just academics

How to join?
-Fill this form online form and know more on www.ccf.brmworld.org
-Attend the orientation (details would be sent to those who get selected after filling up the form)

Email address *
Your Name/आपका नाम: *
Your answer
Your Age/आपकी उम्र: *
Your answer
Gender/लिंग: *
Your Mobile Number/आपका मोबाइल नम्बर: *
Your answer
Area where you stay in Mumbai/आप मुंबई के कौन से क्षेत्र में रहते है: *
Your answer
Current Occupation or College/वर्तमान व्यवसाय या कॉलेज: *
Your answer
One thing I like a lot about myself/एक बात जो मुझे अपने बारे में बहुत पसंद है: *
Your answer
What is your intention or motivation for doing this fellowship?/आप ये फेलोशिप क्यूं करना चाहते हो?(100-200 words) *
Your answer
On a scale of 1-10 where 10 is the highest, how much time and energy would you dedicate for this fellowship? (May-July) / 1-10 के पैमाने पर जहां 10 उच्चतम है, इस फेलोशिप के लिए आप कितना समय और ऊर्जा दे सक्ते हो? (मई-जुलाई) *
On a scale of 1-10 jahan 10 sabse zyaada hai, aap yeh Fellowship ko kitna waqt aur energy de sakte ho?
One thing I would like to share about myself is.. / एक बात जो मैं अपने बारे में शेर करना चाहता या चाहती हूँ वह यह है की.. *
Your answer
Share an experience where you have lead a person/team towards a goal. What activities did you do and what was the result? / एक ऐसा अनुभव बताइये जहां आपने किसी व्यक्ति / टीम को एक लक्ष्य की ओर लीड किया है। आपने क्या एक्टिविटीज कीं और उसका क्या परिणाम हुआ?(200-300 words) *
Your answer
What would you like to learn in the fellowship that would help you to develop your knowledge? / आप इस फ़ेलोशिप में क्या सीखना चाहते है जो आपका ज्ञान बढ़ाये?(100-200 words) *
Your answer
I first got to know about this fellowship from? / आपको इस फ़ेलोशिप के बारे में पहले कहा से पता चला *
A copy of your responses will be emailed to the address you provided.
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