HEALSHELL, HAPPYAID FOUNDATION, Villupuram , Tamilnadu 605602
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Student Future Plan & Interest Collection Form
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Full Name
*
Date of Birth
*
Contact Number
*
Email Address
*
Address for Communication
*
Blood Group
*
Current Class / Year
*
School / College Name
*
What career path are you interested in ?
*
Medicine / Nursing
Engineering / Technology
Teaching / Education
Business / Enterpreneurship
Arts / Creative Fields
Goverment Jobs
Social Work /NGO Service
Others
Do you plan to pursue higher education?
*
Yes
No
If Yes which course ?
Preferred Study Location:
*
India
Abroad
Not Decided
What are your interests or talents?
*
Music
Sports
Dance
Computer Skills
Leadership / Public Speaking
Volunteering Service / Social Service
Others
Are you interested in becoming a blood donor / organ donor / volunteer?
*
Blood Donation
Organ Donation
Volunteering with NGO
Not at the moment
you a School
Will you take a pledge to be part of a Drug-Free India Movement?
Yes, I pledge to stay away from drugs
Yes, I will spread awareness among my friends & family
No
Would you like to volunteer with HEALSHELL HAPPYAID FOUNDATION?
Yes
No
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Home
About us
Volunteer
Courses
Other
Fund Raising
CSR
Awarness Program
Marathon
Testimonials
Blogs
Gallery
FAQs
HHAF FAQs
Tax Exemption Donation FAQs
Volunteers FAQs
Contact
