VT Seva Volunteer Abroad Form

BASIC INFORMATION

Name of the volunteer *
Prefix
First *
Last *
Suffix
Gender *
Age *
Profession (Eg: Student, Physician, Software Engineer etc) *
Parent Name (if you are under 21)
Prefix
First
Last
Suffix

VOLUNTEERING TIMELINES

Volunteering Start Date *
Volunteering End Date *
Total Number of days you can volunteer *

VOLUNTEERING DETAILS

I am interested to volunteer at *
 Schools for Tribal Children 
 College for the Visually Challenged 
 School for the Visually Challenged 
 School for Fishermen Children 
 Medical Camps 
 Environment Protection 
 Veterinary Camps 
 Other 
If you have selected "Other," enter more details about it in the following paragraph
How did you learn about VT Seva? *
Why did you chose VT Seva? *
If you have volunteered for VT Seva in the past, please provide the details (when, where etc) *
Have you done any other overseas travel to volunteer in the past? If so, provide details *

US CONTACT DETAILS

US Address *
Phone Number *

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Email *
Re-enter *

INDIA CONTACT DETAILS

Address while in India *
Contact Name & Phone Number while in India *

INDIA LODGING & BOARDING

Do you need VT Seva to assist you with the transportation while in India? *
Do you need VT Seva to assist you in providing the accomodation? *
If any of your friends or/and family are accompanying you, how many? *
Any additional Comments? *

FOOD PREFERENCES & ALLERGIES

Any allergies? *
Any preferences? *

TRAVEL DETAILS

Flight Details (Airline, Flight Number, Date and Time of Arrival, Date and Time of Departure)

QUESTIONS/REQUESTS FOR VT SEVA BOARD

Any questions/requests for the board?
Upload a File if you would like to add any details or attach additional information.
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