DIASPORA VOLUNTEER REGISTRATION FORM

DIASPORA VOLUNTEER REGISTRATION FORM. (Submit to info@sldiaspora.org Please fill in the below form and make sure to accurately answer each question.)
Brief description
Full Name(*)
Please type your full name.

Age(*)
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Gender(*)
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Host country From(*)
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Address/City/Province
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Name of the Diaspora Community/group affiliated to(*)
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Title you have in the community/group (If any other than member)(*)
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Expected date of arrival home(*)

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Planned duration of stay home(*)
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Profession(*)
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Education(*)
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For Graduates
University
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Qualification
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Field of education (Faculty)
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Year

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For Undergraduates
University
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Level
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Field of education (Faculty)
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Year

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(Increase the table columns for more information, also attach your resume)
Date from(*)

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Date to(*)

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Assignment
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Employer
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What motivates you to work as volunteer in Somaliland? Please put X under the number s in the box to rate your answers and you can write reasons of your choice in the blank space.

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Other (Please specify in the below space)
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According to your profession and skills, what kind of volunteer work are you interested to do? (Please answer in the below space)
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Did you decide specific public institution you want to work for as a volunteer?
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If yes, please mention the particular institution you have in mind
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If not, the Diaspora Agency will place you into the right institution/position according to the information you provide in this form and per the existing priorities and public needs.
How are you interested in to do your voluntary work?
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If other pls specify below
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How are you interested in to do your voluntary work?
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Pls write the specific city/town or district you want if you know
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How long can you be able or spare time to work as a volunteer in Somaliland?
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How much time can you be available to work in Somaliland?
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What do you suggest SLDA or Somaliland government in general to encourage utilization of the Diaspora human resources, know-how and the volunteer works?
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Two referee persons based in Somaliland?
Name
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E-mail(*)
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Mobile phone
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Mobile phone (Host country)

Residence place/address
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Add local if any

Second Person
Name
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E-mail(*)
Invalid email address.

Mobile phone
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Mobile phone (Host country)

Residence place/address
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Add local if any