IYCM NIGERIA MEMBER & VOLUNTEER FROM
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Full Name
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Date of Birth
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Gender
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Male
Female
Other
Phone Number
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Email Address
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WhatsApp Number
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State of Residence
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Local Government Area (LGA)
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Home Address
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EDUCATION & OCCUPATION
Highest Level of Education
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Primary
Secondary School
Diploma/NCE
Undergraduate
Graduate
Postgraduate
other
Current Occupation / School Status:
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Field of Study (if applicable):
SKILLS & EXPERIENCE
Languages Spoken
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Relevant Skills: (Tick all that apply)
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Communication
Leadership
Child Protection
Social Media / Content Creation
Teaching / Tutoring
Community Mobilization
Counselling
Event Organizing
Fundraising
Monitoring & Evaluation
Writing & Reporting
First Aid
other
Previous Volunteer/NGO Experience
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Yes
No
If yes, name the organization(s)
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Describe your experience briefly
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INTEREST AREAS IN IYCM
What areas do you want to volunteer in? (Tick multiple)
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Education and Literacy
Child Protection / Advocacy
Community Development
Youth Empowerment
Women & Girls Support
Health and Sanitation
Environment & Climate Action
Media & Communications
Fundraising and Partnerships
Project Implementation
Research & Data Collection
AVAILABILITY
How often can you volunteer?
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Once per week
Twice per week
Occasionally
Only during projects/events
Full-time volunteer
Preferred volunteering days
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Available hours
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MOTIVATION
Why do you want to volunteer with IYCM Nigeria? (Short statement)
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EMERGENCY CONTACT
Name
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Relationship
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Phone Number
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Agreement
A. Code of Conduct & Safeguarding
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I agree to follow the IYCM Nigeria Code of Conduct and Child Safeguarding Policy.
B. Media Consent
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Yes, I allow IYCM Nigeria to use my image/videos for reports and campaigns.
No, I do not want my image/videos used.
Photo Upload
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Allowed File Extensions .png, .jpg, .jpeg .Max File Size 5mb
C. Data Protection
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I consent to IYCM Nigeria storing my information for official purposes only.
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