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VOLUNTARY ACTION COMMITTEE IN SOMALIA
Register as a Volunteer
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First Name
Middle Name
Last Name
Address
Street
District
City
Country
Email
*
Phone
Emergency Phone
Please indicate areas to volunteer according to your skills:
Hospitals
Orphanages
Schools
Community services
Computer classes
Do you have any medical/other conditions which might limit your performance as a volunteer? If so, please provide details, or indicate if you would like to discuss in person.
Please indicate your availability
Date
Time
To
Date
Time
Do you have any special skills you could use during your volunteering period?
Yes
No
If yes please indicate your skills here
Do you have any experience in community development/ humanitarian
Yes
No
What are the reasons you want to volunteer at VACSOM:
Declaration
I agree to carry out the tasks specified in the duty statement for that job to the best of my ability and to abide by the requirements in the Volunteer Policy.
I have declared all information that might prevent me from doing any agreed tasks in a satisfactory way.
Submit