Application Form – 2020

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Application Form

Be sure to read our Get Started page before applying!

* Mandatory fields

Part 1 — Profile

Personal Details *

Full Name (as per IC)


Contact Number

Email Address

Mailing Address

Which State Are You Currently Living In?

Current Age

Date of Birth

Passport Size Photo

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

Institute / University

Graduation Date

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

Institute / University Location (Country)


Grade (Current / Final Semester)

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

Language Spoken Written
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. Click here 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.

How many organisations would you like to volunteer in?

Please indicate five (5) of your preferred organisations to volunteer for Roots & Shoots Malaysia Award *:

1st Choice:  

2nd Choice:  

3rd Choice:  

4th Choice:  

5th Choice:  

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)

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)

What kind of volunteering schedule are you able to commit for three (3) months to achieve your targeted hours? *

What areas of volunteering work interests you? ( Max 3 Choices ) *
Research and ObservationSocial WelfareAdministrativeSocial Media ManagementAnimal HusbandryForestryCommunity WorkPublic EngagementsConservation GuideEvent Management

What are your main strengths and/or skills? (max. 3 choices) *
Design and CreativityLanguage and WritingCommunication and Public SpeakingComputer skillsPhotography and/or VideographyTeachingScienceHealth and NutritionAthleticismService OrientedPeople-managementProblem solvingInterpersonalOrganisational

Emergency Contact Person — Name & Phone Number *

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)

Describe a time when you had a positive impact on someone or your surroundings * (max. 50 word count)

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

Give us an example when you were part of a great team and the qualities you brought to the team? * (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.