Friends of the Museum
Please fill the form for application to the Kala Bhoomi Volunteer Program.
Email address *
Full Name *
Date of birth *
MM
/
DD
/
YYYY
Contact Number *
Highest Educational Qualifications
Are you over 18 years of age? *
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 *
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.