Group Volunteer Form — Conscious Impact

We are so excited to have your group volunteer with us in Nepal! Fill out our form so we can get to know you better and prepare for your arrival.

Thank you for your dedication to helping Nepal and we look forward to seeing you soon!

Name

First Name

Last Name

Email Address

How did you hear about Conscious Impact?

(Friend that volunteered with us? Saw on Facebook or Instagram?)

What group are you associated with?

Group or organization or university name

Phone number

(Please include your country code)

Birthdate

YYYY

Current Location & Timezone

Birth Country

Which of the following do you identify with?

If you selected "other" please explain food allergies and/or aversions.

Do you have any medicine or food aversions or allergies?

Do you have any continuing medical or mental health issues we should be aware of?

Have you had any major medical surgeries or procedures in the last 1 year?

Will you be taking any prescribed medications while volunteering with us? If so, please list.

What skills, interests and/or experiences do you have that you feel are relevant to volunteering with us?

No experience is required. This is only to help us better know you.

Do you have any previous volunteering or fundraising experience?

No experience is required but if so, please explain.

Any other information you would like to share? Comments? Questions?