Date

Name

First name Last name

College / Orgnization Name (with city)

Professional
Info

Department / Faculty

Current address
Current address

City Pin State

Telephone (with code) Mobile

Permanent address
Permanent address

City Pin State

Tel. (with code) Mobile

Email address
Email

How did you come to know about CCS?

Referred by a friend Please mention name

Attended a CCS Program Please mention name

CCS Website

Othe
Please mention
r

Ple as e p ro vid e f o llo wing Info rmat io n

 Please share a brief profile of yourself (background, interest areas, current engagements)
 Why would you like to volunteer with CCS?
 Which specific program would like to volunteer for?
 What function would you like to volunteer for (administrative tasks like calling, emailing,
mailings, organisation or research assistance, media, please note for non-admin tasks we
would have to test if you have the skills to work in that function)
 Please mention the total duration, timings, number of days you would be able to work with
CCS and preferred starting date (for example, 3 days a week, 2 hours a day from 1 June-30
June).
 Please share your expectations from this experience (learning, stipend, other resource
support etc.)
 Would you be able to come to office or would prefer to work from home?