MDAs

©2024 Edo State Government

Volunteer Registration Form

Thank you for your interest in volunteering with the Edo State Primary Health Care Development Agency. By joining our team of dedicated volunteers, you will have the opportunity to make a meaningful impact on the health and well-being of communities across Edo State. Please fill out the form below to register as a volunteer:

• Full Name:
• Date of Birth:
• Gender:
• Contact Number:
• Email Address:
• Address:
• Occupation: 

• Please briefly describe any relevant skills, qualifications, or experience you have that you believe would be valuable in a volunteer role with our agency:

Please indicate which areas you are interested in volunteering in (you may select multiple options):

• Immunization Campaigns
• Maternal and Child Health Programs
• Health Education and Promotion
• Community Outreach and Engagement
• Data Entry and Administrative Support
• Other (Please specify):

• Please indicate your availability for volunteering (e.g., weekdays, weekends, evenings):

• Please briefly explain your motivation for volunteering with the Edo State Primary Health Care Development Agency and what you hope to achieve through your volunteer work:

• Name:
• Relationship to Volunteer:
• Contact Number:

I hereby declare that the information provided above is true and accurate to the best of my knowledge. I understand that volunteering with the Edo State Primary Health Care Development Agency is a voluntary activity and that I will not receive any financial compensation for my services.

Once you have completed the registration form, click the submit button to send your application to our volunteer coordinator. We appreciate your interest in volunteering with us and look forward to welcoming you to our team! If you have any questions or need further assistance, please contact us at [email address] or [phone number].