Volunteering Application Form		Date of Registration* Pick
Volunteer Name*	Date of Birth* Pick	Gender* Male Female
Email Address *	Mobile Number*	Alternate Contact Number
Location* Mumbai Pune Tamilnadu Nagpur	Current Address*	Permanent Address*
How did you hear about Akanksha? (Press Control for multi select)* Newspapers Television Radio Friends College /Office Akanksha Employee Social Media Ex Volunteer Other	Languages (Speak+Read+Write) (Press Control for multi select)* Marathi Banjara Bengali Bhojpuri Hindi English Gujarati Kannada Kumauni Kutchi Maithili Malayalam Marwadi Nepali Tamil Telugu Urdu Yadi Lamani Gujarathi Konkani Marwadi Odissi Haryanvi Punjabi Urau Khadiya Other Rajasthani Amat Bihari Odiya	Interested in being a Teacher? * Yes No
Available Timings	Time Commitment * < 3 months 3 months 6 months 6 months to 1 year
Areas of Interest
Teaching (Press Control for multi select) Math Science Social Sciences Languages	Technical Support (Press Control for multi select) Helping with data files Software Movie Making Photoshop	Marketing (Press Control for multi select) Helping with Art stalls Reaching out to colleges and corporates Videography Photography
Volunteering for special events (Press Control for multi select) AGM Sports Days Annual Day Fun Club Teacher’s Day Graduation Day First week of school Assessments Field Trip Health Camp Competitions	Art Classes	Sports Classes
Mentor Program(Only for working professionals)
Other Area of Interest
Education
Course/Degree/Specialization* School/college/Institute Location* Year* Grade/Percentage* 1970-71 1971-72 1972-73 1973-74 1974-75 1975-76 1976-77 1977-78 1978-79 1979-80 1980-81 1981-82 1982-83 1983-84 1984-85 1985-86 1986-87 1987-88 1988-89 1989-90 1990-91 1991-92 1992-93 1993-94 1994-95 1995-96 1996-97 1997-98 1998-99 1999-00 2000-01 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 2015-16 2016-17 2017-18 2018-19 2019-20 2020-21 1970-71 1971-72 1972-73 1973-74 1974-75 1975-76 1976-77 1977-78 1978-79 1979-80 1980-81 1981-82 1982-83 1983-84 1984-85 1985-86 1986-87 1987-88 1988-89 1989-90 1990-91 1991-92 1992-93 1993-94 1994-95 1995-96 1996-97 1997-98 1998-99 1999-00 2000-01 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 2015-16 2016-17 2017-18 2018-19 2019-20 2020-21 1970-71 1971-72 1972-73 1973-74 1974-75 1975-76 1976-77 1977-78 1978-79 1979-80 1980-81 1981-82 1982-83 1983-84 1984-85 1985-86 1986-87 1987-88 1988-89 1989-90 1990-91 1991-92 1992-93 1993-94 1994-95 1995-96 1996-97 1997-98 1998-99 1999-00 2000-01 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 2015-16 2016-17 2017-18 2018-19 2019-20 2020-21
Work Experience (if applicable)
Name of the Organization Designation Duration From-To List top 2 responsibilities in this position
Previous NGO Experience (Please enter N/A if Not Applicable)
Name of the NGO* Duration of Association* Current Volunteering status* Overall experience with NGO* Active Inactive N/A Active Inactive N/A Active Inactive N/A
I, hereby certify that I have read and understood the Akanksha child-protection-policy and Code of Conduct. I also agree to abide by any other rules and regulations followed at specific school/center/office where I have committed to volunteer. I, as a volunteer of Akanksha, certify that I adhere to the commitment period acknowledged above. I will not hold Akanksha responsible for any claim or liability that I, the volunteer, may have against Akanksha with respect to any bodily injury, personal injury, illness, death, or property damage that may result from my participation period. I also understand that my role as a volunteer will be terminated if I cause any physical, mental or emotional distress to any child at the School/Centre/Office and that any offence is liable to be reported to the concerned authorities.
I confirm my acceptance to the above volunteer declaration.*