Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 4Applicant InformationThis information is required to enter you into our district database if your application is accepted.Name *FirstLastDate of Birth (mm/dd/yyyy) *EmailMobile Phone *Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryWhere do you work?NextSandhya Swaraj Sanstha & YouThis section will help us learn a bit more about your interest in The Organization.How did you hear about us? (Select all that apply) *From a current or past memberAttended a fundraising event in the communitySearch engine results while researching volunteer/community organizationsWebsiteSocial MediaOtherOther (please specify):Name of the person who referred youWhich social media profiles?FacebookInstagramLinkedInYouTubeWhich of Organization's areas of focus interest you most? (Select all that apply)Peacebuilding and Conflict PreventionDisease Prevention and TreatmentWater, Sanitation, and HygieneMaternal and Child HealthBasic Education and LiteracyCommunity Economic DevelopmentEnvironmentNextAgreement *I agree to the terms below.Agreement for Membership at Sandhya Swaraj Sanstha This agreement outlines the terms and conditions for individuals who wish to become members of Sandhya Swaraj Sanstha (the "NGO"). By signing this agreement, you agree to contribute towards the mission of the organization and support the efforts in uplifting underprivileged children. 1. Membership Commitment By becoming a member, I pledge to actively support the objectives of Sandhya Swaraj Sanstha, which include promoting education, nutrition, and community welfare for children in need. 2. Voluntary Participation I understand that membership with Sandhya Swaraj Sanstha is voluntary and I am not required to pay any membership fees or annual dues. My participation in the activities and initiatives organized by the NGO will be driven by my willingness to contribute to the organization’s goals. 3. Contribution and Support I agree to contribute my time, skills, and/or resources as per my capability to support the programs and initiatives of Sandhya Swaraj Sanstha. This may include, but is not limited to, volunteering, spreading awareness, and participating in fundraising efforts. 4. No Financial Obligation I acknowledge that there is no financial obligation to join or remain a member of Sandhya Swaraj Sanstha. However, I may choose to make voluntary contributions or donations to support the mission of the NGO. 5. Confidentiality and Ethical Conduct I agree to maintain confidentiality regarding any sensitive information shared within the organization and will uphold ethical conduct in all my interactions and contributions as a member of Sandhya Swaraj Sanstha. 6. Termination of Membership Sandhya Swaraj Sanstha reserves the right to terminate my membership if I fail to adhere to the organization’s mission, principles, or policies, or if my conduct is deemed inconsistent with the values and objectives of the NGO. 7. Acceptance of Terms By signing this agreement, I acknowledge that I have read, understood, and agreed to the terms and conditions outlined herein. I confirm my commitment to supporting the goals of Sandhya Swaraj Sanstha. Signature: Sandhya Tiwary Name: Sandhya Swaraj Sanstha Date: 30/12/2024NextUpdating preview…This is a preview of your submission. It has not been submitted yet! 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