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SECTION A: PERSONAL INFORMATION
Text:	Full Name:	Attach Resent Photograph:
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Date of Birth:	Nationality:	Gander: Male Female Others
Address:	Email:	Guarrantor Name:
Phone:	Emergence Number:
SECTION B: VOLUNTEER DETAILS
Are you Applying as?: International: Local:	Duration of Volunteering From :	To:
Area of Interest (Select all that apply): Mental Health Awareness Campaigns	Research Related to Mental Health and Social Well-being	Advocacy for Rights of Children, Women, Men, and Elderly
Educational Support for Orphans, Children, and Youth	Entrepreneurship and Skills Development	Skills and Expertise Relevant to Your Chosen Area: Comments:
SECTION C: FUNDING DETAILS
1. Will you fund your volunteering activities? Yes (Provide details below) No	If Yes, Comment:	2. Source of Funds (Specify the financial arrangements): (e.g., self-funded, grant, sponsorship from an organization, etc.)
3. Estimated Monthly Budget (for international applicants):	Accommodation:	Meals:
Transportation:	Other Expenses:	4. Emergency Financial Support Contact (if applicable): Emergency Name:
Emergency Phone:	Emergency Email:
SECTION D: AVAILABILITY AND EXPECTATION
1. Hours per Week You Can Commit:	2. Preferred Volunteering Location (if any):	3. What do you expect to gain from volunteering at Jamii Impact Tanzania?
SECTION E: TERMS AND CONDITIONS
1. Volunteers are required to adhere to Jamii Impact Tanzania’s code of conduct and values. 2. All international volunteers must ensure their visa, travel insurance, and medical insurance are valid during their stay. 3. Volunteers are responsible for their funding unless otherwise agreed upon with Jamii Impact Tanzania. 4. Data provided will be used solely for application purposes and will be handled confidentially. I have read and agree to the terms and conditions above.
SECTION F: SUPPORTING DOCUMENTS CHECKLIST
1. Copy of Identification Document (in Pdf Format):	2.Copy of your Passport / NIDA :	3. Curriculum Vitae CV (in Pdf Format):
4. Motivation Letter (in Pdf Format):	5. Proof of Funds or Sponsorship (if applicable) (in Pdf Format):
DECLARATION
I hereby declare that the information provided is true and correct to the best of my knowledge.
Application Received By:	Approved By:	Remarks:
Date: I hereby declare that the information provided is true and correct to the best of my knowledge.
FOR OFFICIAL USE ONLY
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