Volunteer Details

First Name

Middle Name

Last Name

Gender Select
Female Nationality City

Date of birth

Contact

First contact Second contact

Email Address

Education Certifcate Are you currently employed NoSelect

For UAE national: Did you finish your national service? Yes Select

Describe your skills

1 2

3 4

Preferred area of work Availability

Duration of the Volunteering From To

Do you have any health issues we need to be aware of before assigning tasks

if yes, please specify your current health condition

Please note, you might have the opportunity to volunteer in another area, or on a different task than your preference.
We strive to ensure that you are placed in a safe working environment and the necessary training to ensure you are competent for the dedicated work.

Kindly note, the volunteering does not lead to employment with SSMC in partnership with Mayo Clinic. But, certainly it will upskill and develop
your current knowledge for future employment opportunities.
 ‫ﻣﻌﻠﻮﻣﺎت اﻟﻤﺘﻄﻮع‬

‫اﻻﺳﻢ‬

‫اﺳﻢ اﻷب‬

‫اﻟﻜﻨﻴﺔ‬

‫اﻟﻤﺪﻳﻨﺔ‬ ‫اﻟﺠﻨﺴﻴﺔ‬ ‫أﻧﺜﻰ‬ ‫اﻟﺠﻨﺲ‬

‫ﺗﺎرﻳﺦ اﻟﻮﻻدة‬

‫اﻟﺘﻮاﺻﻞ‬

‫ﺟﻬﺔ اﻻﺗﺼﺎل اﻟﺜﺎﻧﻴﺔ‬ ‫ﺟﻬﺔ اﻻﺗﺼﺎل اﻷوﻟﻰ‬

‫ﻋﻨﻮان اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬

‫ال‬ ‫ً‬
‫ﺣﺎﻟﻴﺎ ؟‬ ‫ﻫﻞ أﻧﺖ ﻣﻮﻇﻒ‬ ‫ﺷﻬﺎدة اﻟﺘﻌﻠﻴﻢ‬

‫ﻧﻌﻢ‬ ‫ﺑﺎﻟﻨﺴﺒﺔ ﻟﻠﻤﻮاﻃﻨﻴﻦ اﻹﻣﺎراﺗﻴﻴﻦ‪ :‬ﻫﻞ أﻧﻬﻴﺖ اﻟﺨﺪﻣﺔ اﻟﻮﻃﻨﻴﺔ؟‬

‫اذﻛﺮ ﻣﻬﺎراﺗﻚ‬

‫‪2‬‬ ‫‪1‬‬

‫‪4‬‬ ‫‪3‬‬

‫اﻷوﻗﺎت اﻟﻤﻔﻀﻠﺔ‬ ‫اﻟﻤﺠﺎل اﻟﻤﻔﻀﻞ ﻟﻠﻌﻤﻞ‬

‫إﻟﻰ‬ ‫ﻣﻦ‬ ‫ﻣﺪة اﻟﺘﻄﻮع‬

‫ﻫﻞ ﻟﺪﻳﻚ أي ﻣﺸﻜﻼت ﺻﺤﻴﺔ ﻳﺠﺐ ﻋﻠﻴﻨﺎ ﻣﻌﺮﻓﺘﻬﺎ ﻗﺒﻞ ﺗﻜﻠﻴﻔﻚ ﺑﺎﻟﻤﻬﺎم؟‬

‫إذا ﻛﺎﻧﺖ إﺟﺎﺑﺘﻚ ﻧﻌﻢ‪ ،‬ﻣﻦ ﻓﻀﻠﻚ ﻗﻢ ﺑﺘﺤﺪﻳﺪ اﻟﻤﺸﻜﻠﺔ اﻟﺼﺤﻴﺔ اﻟﺘﻲ ﺗﻌﺎﻧﻲ ﻣﻨﻬﺎ‬

‫ﻣﺆﻫﻼ ﻟﻠﻌﻤﻞ اﻟﺠﺎد‪.‬‬

‫ً‬ ‫ﻧﺴﻌﻰ داﺋﻤﺎً ﻋﻠﻰ ﺿﻤﺎن ﺗﻮاﺟﺪك ﻓﻲ ﺑﻴﺌﺔ ﻋﻤﻞ آﻣﻨﺔ وﺣﺼﻮﻟﻚ ﻋﻠﻰ اﻟﺘﺪرﻳﺐ اﻟﻼزم ﻟﻠﺘﺄﻛﺪ ﻣﻦ ﻛﻮﻧﻚ‬

‫ﻳﺮﺟﻰ اﻻﻧﺘﺒﺎه إﻟﻰ أن اﻟﺘﻄﻮع ﻻ ﻳﻀﻤﻦ ﻟﻚ زﻇﻴﻔﺔ ﻣﻊ ﻣﺪﻳﻨﺔ اﻟﺸﻴﺦ ﺷﺨﺒﻮط اﻟﻄﺒﻴﺔ ﺑﺎﻟﺸﺮاﻛﺔ ﻣﻊ ‪ ،Mayo Clinic‬وﻟﻜﻦ ﻣﻦ اﻟﻤﺆﻛﺪ‬
‫ﺳﺘﻘﻮي وﺗﻄﻮر ﻣﻌﺮﻓﺘﻚ اﻟﺤﺎﻟﻴﺔ ﻟﻔﺮص اﻟﻌﻤﻞ اﻟﻤﺴﺘﻘﺒﻠﻴﺔ‪.‬‬
‫ّ‬ ‫أﻧﻬﺎ‬