Volunteer Registration Form

Volunteer with Ekta

Thank you for your interest in volunteering with Ekta! Volunteers are an essential part of our work in building an inclusive and empowered society. Please fill in the form below so we can understand your interests and how you’d like to contribute.

Volunteer Registration Form

1. Name

2. Email ID

3. Mobile No

4. Date of Birth

5. Gender

Male Female Other Rather not to say

6. Permanent Address

7. Current Address

8. Why do you want to volunteer with Ekta? (100–200 words)

10. Preferred Mode of Volunteering

Offline (Field-based) Online (Remote)

11. Preferred Volunteering Location (if offline)

Koraput, Odisha Bastar, Chhattisgarh Srikakulam, Andhra Pradesh

12. How many hours per week can you contribute?

14. From when are you available to start volunteering?

15. What skills would you like to offer? (e.g., communication, teaching, design, documentation, social media, community mobilization, etc.)

16. Do you have any previous volunteering or community work experience?

Yes No

Please describe briefly

17. Do you need a certificate of volunteering?

Yes No

18. Emergency Contact Name

19. Emergency Contact Number

20. Upload Your CV/Resume (Maximum file size: 2MB | File Type: doc/docx/pdf)

I declare that the above information is true to the best of my knowledge.

I agree to follow Ekta’s values and guidelines during the volunteering period.