Individual Application

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A. General Information



  1. Male Female
    Qatari Non-Qatari
  1. 15-19 yrs 20-29 yrs 30-39 yrs 40-49 yrs 50 & above
  1. Writes & Reads/ Primary Elementary Secondary
    University Education & Higher
    1. Self-Employed

    1. Employer
      Public Sector


      Private Sector

    1. Unemployed
  1. Home
    Work
    Mobile

B.Information on the Performed Voluntary Works
    1. Voluntary services you previously took part in (without financial return):
      Financial donations for promoting charitable works
      Participation in collecting donations for supporting the poor
      Participation with the institutions in the charitable activities for free
      Participation with the expertise and consultations
      Participation in the civil defense campaigns (safety procedures, training sessions)
      Participation in the national campaigns for fighting diseases/epidemics
      Participation in general health education campaigns
      Participation in blood donation campaigns
      Participation in teaching, reading, writing and literacy education
      Participation in environmental education campaigns
      Other
    1. Voluntary Services You Participated in Authority Duration of Work Repetition of Participation

    1. Segments targeted by your voluntary works. Please explain the quality of people, under any circumstances, etc.
    1. The periods you spend in the voluntary work (what are the durations you allocate for the voluntary works you perform)?
      Once each 2 weeks
      Once per month
      Once each 3 months
      Once each 6 months
      Once per year
      Less

    1. What are the financing resources you depend on in your voluntary works?
      Private Account
      Private charity dontations
      Institutional donations
C. Enclosures
Terms and Conditions
  1. The work should be totally voluntary.
    The projects, initiatives and programs should comply with the award's general goal.
    The candidate project must have served a big portion of society.
    The candidate project must be continuous and developable.
    Projects and programs presented by scientific institutions should be presented through clearly led teams.
    Scientific and social research must comply with the requirement of scientific research and address the issues of the Qatari society.
    The general programs and plans of candidate institutions should include increasing the number of their volunteers.
    The program, project or research should not have received any other local or international prize or award.
  2.   I hereby certify that the information provided in this application is correct. I have read and accept the above terms and conditions.
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