Have you served as a volunteer for any organization/institution before? If yes, please mention below. Type a label *
Why do you desire to join Safe Care Connect Inc? Type a label *
If accepted to join this institution, you will be required to attend a compulsory training before starting any activity. Do you agree? Yes No Maybe *
If accepted to join this institution, each volunteer will be required to make a payment of 10USD for the following: Membership form, T. Shirt, Identification Card in order to be properly identified as a volunteer. Do you agree? Yes No Maybe *
If accepted to join this institution, each volunteer will be required to attend regular meetings and sometimes emergency meetings in the interest of Safe Care Connect Inc. Do you agree? Yes No Maybe *
Educational status High school student High school graduate University/College student University/College graduate
How old are you? 16 - 21 years 22 - 27 years 28 and above *
Marital status Married Single Can’t disclose this information
Are you a healthcare services provider or a medical student? Yes, I am a healthcare worker No, I am not I am still a medical student *
What skill/skills are you bringing onboard to help improve Safe Care Connect Inc? Type a label *
In what area you would love to serve when accepted to join Safe Care Connect Inc? Laboratory services Nursing/First Aid Services Financial Services Program/training committee Staff/membership committee Ordinary member Records committee Research and data analysis *
What are your expectations from Safe Care Connect Inc? Type a label *
How did you receive this information? Type a label *
If your responses are consider for further processing, you will be required to attend an interview before completing your application process. Yes No
Please give us feedback about the form you just completed before submitting it. Thanks for your participation and we look forward to working with you. Type a label