Welcome to Slum Soccer

Your Name : *

Email Address : *

Postal Address : *

Home Address : *

Busi./ Work Tel No.*

Contact Number : *

Age : *

Gender : *

Male Female

Nationality : *

Blood Group : *

Marital Status : *

Education Qualification : *

Secondary School

Graduation

Post Graduation

Others

Identity :

Student

Housewife

Employed

Unemployed

Retired

Others

Service Information :

"Per Week" for How Many hours are you available for the Center? :

15 Hr

45 Hr

30 Hr

60 Hr

Which of the Indian Languages do you speak :

Your role model(s) in live (someone you look up to) and why :

What is your current occupation? *

Please indicate any previous work experience as a Volunteer or Intern in other Organization/s : (with contact reference/s if available)

Have you been associated with Slum Soccer previously?? If Yes, Please describe your experience.

Do you want to highlight any of your professional skills / talents to us?

Briefly describe your hobbies & Interests:

Briefly describe why you want to start a Slum Soccer Center :

Briefly describe the topography, target group and issues you want to tackle at the new slum soccer center location? Please be specific and provide actual numbers for better understanding.

Describe the goals to be achieved and the action plan along with timeline for the center:

Describe your support group and Team who would help achieve your goals.

Briefly describe the support required from Slum Soccer in running your center:

Please provide references to help us know you better :

Uploads:

Passport Adhar Card Letter of recommendation Photographs of the center location

Agreement and Signature:

I want to start a slum soccer center in my community with above mentioned details. I would attend coaches and national partner training before starting the center. I would abide by the Slum Soccer Child Protection Policy. I would agree to all the rules and guidelines of running the slum soccer center and won’t strive hard to maintain standard of operations. I pledge to have positive impact in my society/community and strive hard to achieve the set goals.

Please read the Policy and Handbook Carefully.

I agree to all terms and conditons of Slum Soccer policy.

START A CENTER APPLICATION FORM

Center In-charge Information :