Volunteer Application Form

Please make sure you answer all the questions mentioned below as they are mandatory information that is required.

    1District you live in (eg: - Colombo, Kandy) :
    2Which divisional secretariat you belong to: (eg: Dehiwela, Kundasale)
    3Grama Seva Division you live in: (eg: - Nadimala, Tekkalanda)
    4Title:
    5Full Name:
    6Preferred Name:
    7Address:
    8Postal Code:
    9Residential Phone Number:
    10Business Phone Number:
    11Mobile Phone Number:
    12Fax:
    13Alternative Phone Number(s)
    14E-mail:
    15In case of emergency state the name of the person who we should contact
    16Contact Details of the person who should be contacted
    17National ID No:
    18Passport No:
    19Date of Birth (D/M/Y):
    20Civil Status:
    21Nationality:
    22Blood Group:
    23Educational Qualification (Please select the appropriate)
    24Language Proficiency (Select the appropriate)
     Spoken Written
    Sinhala
    Tamil
    English
    25Field of interest in future training programmes
    26Professional Work Experience
    Name of positionNo of YearsSpecialized Field
    27Have you received any training on anything related to the Red Cross
    28If yes please indicate the details
    29What is your availability for voluntary service
      MonTueWedThuFriSatSun
    TimeAMYesYesYesYesYesYesYes
    PMYesYesYesYesYesYesYes
    30What type of voluntary service would you like to render
    31Do you have any experience/Skill/interest you consider relevant to this work?
    32Why are you interested in volunteering for the Red Cross?
    33Please indicate your clothing sizes for our reference
    Jacket
    T Shirt
    Shoes
    Gloves
    Caps
    Height
    Waist size
    34Please indicate the name of two non-related referees. Please include their phone numbers and contact details
    35Please upload a recent passport size picture of your's
    (Allowed image types: JPEG,PNG,GIF and BMP
    Max file size: 2 Megabytes)
    36Sign below by writing your full name, by that you confirm the information provided above are true and correct, and that providing any incorrect or false details will disqualify you from being considered as a volunteer for the Sri Lanka Red Cross or for any other national society world wide.
    37Date:
    38Place: