Friends of the Museum

Please fill the form for application to the Kala Bhoomi Volunteer Program.

Email address *

Full Name *

Date of birth *

YYYY

Contact Number *

Highest Educational Qualifications

Are you over 18 years of age? *

Yes

Note

If under the age of 18, please enclose a waiver, signed by your parent/guardian granting permission for enrollment to the volunteer program.

Address (Please mention your current address) *

Please list previous work or volunteer experience.

Language Proficiency *

English

Hindi

Odia

Any other regional language (Please Specify)

Foreign Language (Please Specify)

Read

Speak

Write

Please list suitable work timings

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

11:00 - 14:30

14:30 - 17:00

Work from home

Please select your occupation *

Middle School Student (Std. 5- Std. 8)

High School Student (Std. 9- Std. 12)

Undergraduate Student

Post-Graduate Student

Employed

Unemployed

Other:

Note

Please mention the name of the institution in the case of School, College, University and Agency of employment.
Kindly mention your designation as well.

If you are unable to specify details within the form, please do so in the space below, citing the question number.

Remarks

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This form was created inside of Detour Odisha.

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