Child Sponsorship Form

NEWBEGINNINGS CHARITABLE TRUST Do.No 53-1-275, Christurajapuram Vijayawada – 520 008, AP, India Tel.No: +91 866 249 7559; +91 94944 75923 Email: [email protected] ; http://www.new-beginnings-in.webs.com

For Office use only:

Application No:…………………… Application Verified:……………………… Status:………………………

VOLUNTEER’S INFORMATION

Personal Information:

First Name: ______, Middle Name: ______, Surname: ______

Date of Birth: ______, Gender: ______, Nationality: ______

Father’s Name (Full): ______, Mother’s Name: ______

Residential Address: ______

______

Tel. Phone No: ______, Mobile No: ______

Email: ______

Passport ID: ______, Place of Issuing: ______

Visa ID: ______, Place of Issue: ______

Date of Issue: ______, Validity of Visa: ______

Emergency Contact Details (please provide at least two persons):

Contact 1:

Name: ______

Contact Details: ______

______

“Together towards a better world” NEWBEGINNINGS CHARITABLE TRUST Do.No 53-1-275, Christurajapuram Vijayawada – 520 008, AP, India Tel.No: +91 866 249 7559; +91 94944 75923 Email: [email protected] ; http://www.new-beginnings-in.webs.com

Contact 2:

Name: ______

Contact Details: ______

______

Medical/Health Information:

Your Health Record:______

______

______(Provide us with the information that you think that we should know for better care)

(Submit relevant photocopies of the Medical Records/ Certificates)

Project Details:

What kind of project you wish to work with (Kindly select one/Two and highlight/bold your selection)

o Street Children o Any other. Please mention

o Teaching at schools/rural children here…………………………………

o Rural Health Volunteer o Environment projects/ women

o Child labour projects groups o Home for the aged

o Human trafficking –rehabilitation o Volunteering in hospitals

homes (girls)

Programme Start Date:______, Programme Duration: ______

No. of Weeks/Months: ______, Date of Departure: ______

Place of preference if any: 1. ______, 2. ______

(If the selected projects are not available in the preferred places, NCT will recommend projects available in the preferred places)

If you wish to have holidays between your volunteering in a project, kindly mention here

Probable date of holidays: ______, Re-Joining the Project: ______

If you wish to have your volunteering and holidays simultaneously, kindly mention how many hours of work you plan to put into the project: ______

English Level: Beginner, Average, Good, Professional (please select any one)

Known languages: ______

Hobbies and Interests:

______

Why do you wish to volunteer in India? Or General Motivation Letter for volunteering in India

______

Self-declaration

This is to certify that whatever the information I have furnished here is true to the best of my knowledge and I alone become responsible if any misrepresentation/misinformation is found in this application.

I promise that I will obey the law of the country/state and assure that I will not conduct myself such a way that will be against the law/ custom/ culture of the country / community where I am placed for my volunteer service. I agree that in case of my not obliging to the rules/guidelines of

NCT or the law of the country/state, I abide by the decision of NCT.

During my stay as volunteer with NCT, I promise that I will not indulge in any activity that is prohibited by the law of the country/state, or any act that is not acceptable by the local culture/custom.

Date: …………………………………. Signature: ……………………

Place: ………………………………… (Full Name in Black Letters)

How to apply:

 Fill in and send the application to [email protected] at the earliest to ensure your placement with us. You need to fill in details regarding your personal information, choice of volunteering programme, duration, location and others  Once your application reviewed, you will receive a confirmation email and the NCT Volunteers’ Manuel.  Prior to your arrival to NCT, You will receive an email with all your project details, preferred place, airport pick up, orientation programmes and details, work schedule and etc

P.S: If the volunteer is not from a Sending Organisation, you are requested to get a Letter of Reference, preferably signed by the head of your school, church head (should be legally registered and recognized) or any other registered youth group or etc

If you are a health care professional, it is compulsory for you to get a recommendation letter from the Institution you work/worked in.

“Together towards a better world”