Application Form

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Application Form

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Be sure to read our Get Started page before applying!

* Mandatory fields


Part 1 — Profile

Personal Details *


Full Name (as per IC / Passport)

Gender
MaleFemale

Contact Number

Must be contactable via WhatsApp. Please include country code, i.e. +601212345678

Email Address

Citizenship

Ethnicity

Which of the following best describes you?

IC Number / Passport Number

Place of Birth

Place of Birth District

Which State Are You Currently Living In?

Date of Birth

Current Age

Passport Size Photo

CV (Optional)

Are you currently studying or working?

Average Monthly or Household Income (RM)

This information is requested by our grantor for the purpose of formulating and improving national policies. The data collected will be used in aggregate form for research and policy planning purposes only.



Secondary School Education

Note: Not mandatory. Only applicable for applicants currently in secondary school.

Name of School

Expected Graduation Date

Location of School

Major (Biology, Physics, Chemistry, Economics, etc)

Current Education

Please add your current education qualifications
Not applicable to secondary school students.

Institute / University

Graduation Date

Qualification (Eg: Bachelor of, Diploma in, O-Levels, A-Levels, IBDP, PMR, SPM etc)

Institute / University Location (Country)

Major

Grade (Current / Final Semester)

Languages *
Proficiency level: 1 - Poor, 10 - Excellent

Language Spoken Written
English
Bahasa Malaysia
Part 2 — Volunteer Experience
Please take note of the following:

  • There is no fee to join the RASMA program although some partner organisations do operate in remote areas where food and accommodation are provided at the volunteer's expense. Please read to see which partner organisations require you to cover your own expenses.

  • You are allowed to volunteer at a maximum of three (3) organisations. We will endeavour to do our best and match you to your preferred organisations. However, the final decision will be based on availability and confirmation from our partners.

  • As you select your organisation, please do consider your availability with regards to your school/university schedule, family commitments and the schedule of the organization of your choice

  • 2 days / week minimum is required for online work


Please indicate your preferred commitment type (or Award Level) for Roots & Shoots Malaysia Award *:
1-Star (45 Hours)2-Star (55 Hours)3-Star (75 Hours)


How long would you be available for volunteering?


Please select up to three (3) of your preferred organisations to volunteer for the Roots & Shoots Malaysia Award *:

1st Choice:  


In addition to Online tasks, would you like to volunteer On-Site if available? Travel may be involved.
Yes, I'd like to volunteer On-Site

2nd Choice:  


In addition to Online tasks, would you like to volunteer On-Site if available? Travel may be involved.
Yes, I'd like to volunteer On-Site

3rd Choice:  


In addition to Online tasks, would you like to volunteer On-Site if available? Travel may be involved.
Yes, I'd like to volunteer On-Site



We take the health and safety of our volunteers seriously and are trying our best to coordinate with our partners to provide online volunteering opportunities. Some examples of online volunteering include graphic design, merchandise design, social media management, research work, data entry, web development, outreach, online fundraising, organising webinar or virtual tours, grant application writing, organising online workshops, tech support, etc.


Have you read and understood the information listed regarding the organisation of your choice? Please take note of the location, schedule, programme and any fee/cost incurred from volunteering at the organisation of your choice.


What are the main skills that you believe you are good at and that you are able to contribute to the organisation of your choice (max. 3 choices) *:
Physically healthy/fitPhotography, Videography and Editing experienceGraphic Design and Visual Communication experienceResearch experienceGood verbal Communication & Public SpeakingIT and/or programming experienceEnvironmental education experienceCompetent with MS Office (Microsoft Word, Excel & Power Point)Competent with Google Workspace (Google Docs, Google Sheets, Google Slides)Social Media savvySales and Marketing experienceCompetent with Adobe Photoshop & Illustrator, CanvaExperience working with Kids/StudentsAble to teach


Do you have any medical or health conditions which may impact your ability to volunteer? Eg. Asthma, Heart Conditions, etc. (Kindly mention any conditions that you may have)



Details for Insurance Purposes (Insured - Volunteer)
Emergency Contact will serve as the beneficiary contact (Cannot be self)

Emergency Contact Full Name as per IC/Passport *

Emergency Contact Person — Phone Number *

Emergency Contact IC / Passport Number *

Emergency Contact – Citizenship *

Emergency Contact – Residence Address *

Emergeny Contact – Relation with Insured *

Part 3 — Getting To Know You


Share with us a moment when you demonstrated leadership. * (max. 50 word count)


Please tell us about your proudest achievement. * (max. 50 word count)


Do you have any skills, talents or interests (coding, design, drawing, writing, speaking, etc) that you would like to share with us? * (max. 50 word count)


Describe your most challenging time in school/university and how did you overcome it * (max. 50 word count)


If you could invent a time machine & go back in time or to the future, what would you do? * (max. 50 word count)

PDPA Consent Clause

By submitting this form, I agree and give my consent to any personal data being collected, stored, retained, retrieved, used, transmitted and processed by Roots & Shoots Malaysia and its member organisations in accordance with its Data Protection Policy, including the disclosure of any personal data to relevant governmental authorities or approved third parties where required by law or for legal purposes.