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VOLUNTEER APPLICATION FORM

Thank you for your interest in volunteering for CHILLA! Thank you for your dedication, enthusiasm, ingenuity and your generous offer of assistance.

Please help us to determine how to make the best use of your skills as a volunteer by filling out the questions below:

      Mail    Phone    Fax    E-mail

      Word-of-mouth    Work place    Media (e.g. television, newspaper)    Friend    Special Event    other

      Employed    Retired    Seeking work    Student    other

AVAILABILITY

Please tell us about your availability:

Please indicate the times when you could be available for volunteering.
(AM: 6:00am - 12:00pm, PM: 12:00pm -10:00pm)

AS A VOLUNTEER YOU CAN 
Promote, raise funds and take other initiatives for Chilla.

PLEASE SELECT YOUR AREA OF INTEREST AND EXPERTISE:

      General Education   Health Education / Awareness   Self Help Programs

      Fund raising   Promotion   Others

REFERENCE:

This should be an employer/supervisor/head of the institution or an individual known through community involvement that you have known for at least 6 months.

TERMS AND CONDITIONS:

CONSENT

I hereby authorize CHILLA to obtain references from the above individual in connection with my application for a volunteer position.
I hereby certify that all information included in this application form is true and complete. I agree to all the terms and conditions stated above.

Please complete the form and:

1. Send as an email to:
   chillaindia@yahoo.com


or


2. Send a signed copy to:
   Chilla, House No.A-37, Vidhyadhi Raja Nagar,
   Poojappura P.O Thiruvananthapuram, PIN 695012.

THANK YOU FOR YOUR INTEREST IN HELPING CHILLA!