Wufoo

ABOUT THE CANDIDATE
Name * First Last
Date of birth * DD / MM / YYYY
Gender *
Male Female Other
Candidate's complete address *

Please put your complete address here including village, district. state etc. For our convenience, we have asked you to repeat some of the details like your city, district etc below.
City/Town/Village *
District *
State *
Country *
Pincode *
Phone Number *
Email id *
Educational qualifications *
Current employment / job & monthly income *
Past employment / job *
Please upload your resume. If not able to upload, mail resume separately to info@videovolunteers.org
Parents' occupation *
What is the total monthly income of your household? Please provide the earning details of each person you live with.
How many members are there in your household? How many members are dependent on your income?
Please tick the relevant categories you belong to
Dalit/Scheduled Caste Scheduled Tribe/Tribal Other Backward Caste Religious Minority
If you belong to any other socio-economic category not covered in the previous question, please specify *
Name of the social movement or NGO you are associated with *
Tell us what you have done with this social movement or NGO *
VIEWPOINTS

If you are nominating someone else please use the two boxes below to tell us why you think this person would be a good candidate. Also tell us how you know this person. Please don’t leave the fields blank
Please tell us about a human rights/community issue that you are most concerned about. Tell us why you are concerned, and what steps you have taken/would like to take to resolve this issue: *
Please tell us your opinion about the mainstream media in your region or in India: *
SKILLS AND TOOLS
Can you operate a still camera? *
Yes No
Can you operate a video camera? *
Yes No
What experience do you have of using a camera? For example, have you covered family functions, weddings, a rally etc *
Do you have a mobile phone? *
Yes No
Does your mobile phone have a video camera? *
Yes No NA
Where do you have access to an internet facility? *
If you have internet, how far is it? *

List your computer skills *
	Don't know at all	Know a little bit	Know it well
Basic computer operations	1	2	3
Word processing like Microsoft word	1	2	3
Spreadsheets/Excel sheets like Microsoft Excel	1	2	3
Internet	1	2	3
Email	1	2	3
Video Editing	1	2	3
Graphics or other multimedia	1	2	3

List upto 4 languages you can speak *

If you know more than 4 languages, you can enter them in the last box using commas
List upto 4 languages you can read or write *

If you know more than 4 languages, you can enter them in the last box using commas
REFERENCES

Please give us names, phone numbers and email ids of two people from a social movement or an NGO who can tell us about your work:
Name of 1st reference * First Last
Name of organization with which the first reference is associated *
Phone Number of 1st reference *
Email of 1st reference *
Name of 2nd reference * First Last
Name of organization with which the second reference is associated *
Phone Number of 2nd reference *
Email of 2nd reference *
How did you find out about the IndiaUnheard Program?
Terms & Conditions
The IndiaUnheard program requires me to produce two videos per month (approx. 10 days). I agree to that. *
Yes No
The IndiaUnheard program will pay an amount of Rs.1300 per video. I accept that. *
Yes No
I have read through all the criteria here and agree to them. *
Yes No
Do Not Fill This Out

Wufoo

ABOUT THE CANDIDATE

VIEWPOINTS

SKILLS AND TOOLS

REFERENCES

Terms & Conditions