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Login
Register
Home
About Us
Purpose
Shrivatsa
People
Our Approach
Progress
Give
Vidhyapatra Corpus Fund
Campaign 1 - Year 2021
Campaign 2 - Year 2022
Contact Us
DONATE
ALUMNI REGISTRATION FORM
First Name
*
Mr.
Mr
Mrs
Ms
Last Name
*
Gender
*
Male
Female
Date of Birth
*
Mobile Number
E-Mail ID
*
Address Line 1
*
Address Line 2
City
*
State
*
Country
*
Pincode
*
Working and Educational Details
Your Occupation
Business
Employee
Student
Others
Designation
Present Organisation
Graduation Degree
Post Graduation Degree
Group in Senior Sec.
*
Computers
Biology
Commerce
Insurance
Others
Would You Like to Be a Mentor to a Student of our School
Yes
No
Become a Mentor
Type of Mentor
Choose mentor type
School based mentor
Be a Online Mentor
How much time per week can you spare
(No of Hrs Per Week)
1 Hr
2 Hrs
3 Hrs
More than 3 Hrs
You Prefer Working With
(Boy/Girl/No Preference)
Boy
Girl
No Preference
What Grade Level(s)
(Select one or many)
K-6
7-8
9-10
11-12
No Preference
Have you worked with children before
Yes
No
If yes, in what capacity
Description of Career Backgrounds & skills
Please describe any special interests that may be helpful in matching you and your mentee (i.e. Subjects, stamp collecting, roller skating, computers, football, music, painting, etc.):
Briefly Explain, why you would like to become a Mentor
Submit