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Volunteer Registration Form
Volunteer Registration Form
Origin of Volunteer
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Ethiopian
Foreigner
Thematic areas for volunteer service
Thematic areas for volunteer service
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Improve health service delivery
mprove Health infrastructure
Improve medical supplies and equipment
Support Human resource for health
Facilitate for green health facility to make conducive work environment and contribute for greening country legacy
Other…
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Volunteer Type
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Service-Based Volunteer
Skills-Based Volunteer
Events-Based Volunteer
Service based volunteer types
Medical services (home based care, clinical related services,) by individuals, team, organizations
Psycho-social services
Rehabilitation and palliative care at HFs and social service organization
Caregiver support
Other…
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Choose Skills-Based Volunteers
Fundraising – finance, in kind,
Information communication technology -websites, media
Capacity building – training, Supportive Supervision (SS), mentoring
Other…
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Choose Events-Based Volunteer
Outreach promotion and prevention services
Emergency and disaster response services
Basic screening health services (screening blood sugar level, cholesterol level screening, HPTN, etc.)
Blood and other biological organ donation campaign
Fundraising
Other…
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Duration of volunteerism
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Short-term (1 hour per/day – 3 month )
Mid-term (3month – 6 months )
Long-term (6 months + )
Volunteer Engagement Type
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Individual Based
Team /group based
Organizational Based
Individual Volunteer Details
Your Full Name
Sex
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Female
E-Mail
E-Mail
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Phone Number
Level Of Education
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Bsc
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Your Profession
Do you have renewed Liscence ?
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Region
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Benshangul Gummu
Gambela
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Other…
Other
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Resume/CV
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Full Name
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Sex
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Male
Female
Resume/CV
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Organization Volunteer Details
Name of Organization
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Name of Contact Person
Phone Number
Website
About the organization
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