Membership Form

Name and title*

TitleMsMissMrsMr

Email*

Phone

Areas of Interest to volunteer*

Kallol Club HouseDurga PujaPhilanthropyOutdoor Events (Hiking/5K s etc.)Cultural EventsNon Cultural Events (Quiz, Meet N Greets, Cooking show etc)other:

What skills can you bring to the table?*

FundraisingMarketingPublic RelationsOperationsITother:

Choice of days to Volunteer*

Week Day MorningsWeek Day EveningsWeek End MorningsWeek End Eveningsother:

Approximately, how many hours are you willing to Volunteer per week?*

Please mention in details about all the above selections