Name:    _____________________________

Email:     _____________________________
Address: _____________________________
              _____________________________
Phone:    _____________________________

Will you need housing? (housing cannot be guaranteed) ________

Questions:
1. How long do you wish to spend with HST and when would you want to start?

a. ___ 1 month  ___ 2-3months  ___ 6-12 months   ___ >12months   Other :_____

b. Start date:
____Spring   ___Summer   ___Fall    ___Winter Other___________

2. How did you hear about Humsafar?

3. Why are you excited to volunteer at HST?

4. What type of experience do you hope to get?

5. What are some skills, experiences, and / or personal attributes that you could contribute to HST?
a. Academic Qualifications?
b. Languages?
c. Prior experience working in India?

6. Have you ever worked with LGBT / MSM or other marginalized communities? (this is NOT a requirement!) If yes, where, when, and in what context?

7. How does working with HST fit in with your career goals/interests?