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GHF/Internship/Volunteer Application form
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Swasti - GHF/Internship/Volunteer Program
What kind of involvement can you commit too?
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Please click on the link to find out your eligibility
https://goo.gl/ysY62q
Volunteer
Intern
Global Health Fellow
Birth Date
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MM
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DD
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YYYY
Name
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Your answer
Country of Residence
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Your answer
Gender
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Female
Male
Other:
Contact Number
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please provide at least one number where we can reach you during working hours
Your answer
Email
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Your answer
Address
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Your answer
LinkedIn Profile
Your answer
Name of the University
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Your answer
Area of Study
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Your answer
Previous Volunteer/Internship experiences (if any) -
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Mention "None" if you don't have any previous experience.
Your answer
Previous work experiences (if any)
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Mention "None" if you don't have any previous experience.
Your answer
Please tell us why you want to be an intern at Swasti
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Your answer
Why would you like to do an internship in India (applicable for international interns)?
Your answer
What would you like to achieve from the internship?
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Your answer
Identify three areas you can contribute towards during your time at Swasti
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Your answer
Thematic
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read more about these on our website
Health System Strengthening
Social,Security & Justice
Life Skills Development
Social Protection
Water, Sanitation, Hygiene
Sexual Reproductive Health
Information Technology
i4we
Required
As part of your Internship, which of these would you be interested in? Research, learning, strategic planning, resource mobilization and communication
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Research
Learning
Strategic Planning
Resource mobilization
Communication
Other:
Required
Course Details (for course related internships)
Name of Course Mentor
Your answer
Contact of Mentor
Your answer
Start Date
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MM
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DD
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YYYY
End Date
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MM
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DD
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YYYY
Total number of hours per week
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Your answer
Other Information
Languages Known
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Your answer
Would you require assistance to arrange logistics such as accommodation? If yes, please provide details. -
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Your answer
Please identify any medical conditions (current or past) that we should be aware of. - None
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Mention "None" if there are none.
Your answer
Any other information you wish to share with us?
Your answer
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