MIPI Volunteer Registration Form

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Mitra Inspirasi Pendidikan Indonesia (MIPI) invites you to be part of our movement in empowering children with multiple disabilities. Contribute based on your passion and skills!

Personal Information

Full Name *

Email Address *

Whatsapp Number *

Gender *MaleFemale

Full Residential Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Latest Education / Currently Studying *

Current Profession / Activity *

Interests and Skills

Areas you'd like to contribute in (you may choose more than one) *Video editing / content creationIG Live / online event moderatorSocial media & digital marketingIllustrator / graphic designerEducational content writerFundraising and partnership outreachWebsite & IT supportDocumentation (photo/video of events)Translator (English–Indonesian or vice versa)Others

Others

Have you ever interacted directly with children or individuals with disabilities? • *YesNot yet, but I’m interested in learningNo, and I’m unsure

Briefly share your motivation to become a MIPI volunteer *

Contribution Preferences

How would you prefer to contribute as a volunteer? *Remotely / from homeWilling to attend on-site MIPI activities (if needed)Both, depending on the needs

Your preferred type of involvement *Regular (a few hours per week)Flexible (for specific projects)Only during events or campaignsNot sure yet, would like to discuss first

Are you willing to attend a short briefing or training from MIPI before volunteering? *YesNo

Upload Your CV or Portfolio (optional)

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Join Us In Creating Opportunities

“Together, we create opportunities for children with multiple disabilities and deafblindness through collaboration, shared learning, and collective action.”