Volunteer/Supporters Form – Mazik Foundation

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info@mazikfoundation.org

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Volunteer/Supporter's Form

Upload Your Picture *

No file chosen

Full Name *

Sex

MaleFemale

Email Address *

Phone *

Address *

State *

State of Origin *

Education

Level Of Education

Course of Studies

Profession *

Are You A Member of A Professional Body?

YesNo

If Yes, Which Body?

Current Employer *

Position At Work *

Years Of Experience *

NEXT OF KIN INFO

Next of Kin Name

Kin Address

Kin's Phone Number

Kin's Email Address

Supports Area

Area Of Technical Support

Artisan GroupsAgriculture/Forestry/ConstructionInformation and Communications TechnologyPublishingAdvertisingData Processing/ComputersEconomistEducation Administration/Primary School Teacher/Secondary School Teacher/Lecturer or ProfessorFinance/Banking/InsuranceEngineeringGovernment/Public AdministrationHealth Care (Medical/Dental/Optician/Nurse/Midwife)

Others

In-Kind Supporters (Those providing non-cash supports should indicate type)

Donation of office spacePayment of office rentDonation of Project vehicle(sDonation of Office furniture and fittings.Donation of Office equipment and suppliesDonation of Electric generator.Payment of utility bills

Others (please indicate here):

Signature

Start signing your signature here

Consent *

Yes, I solemnly declare that all the information provided in this form and the source of fund to be used for this Support to the best of my knowledge is genuine and does not compromise MFCR independence and integrity.

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