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Go to Dashboard Personal InformationFirst Name *Last Name *Email *Contact Number *X (Twitter) handle (if available)Gender *Select GenderMaleFemalePrefer not to sayAge GroupSelect Age Bracket18-2425-2930-3536-4041-45Date of birth *MonthSelect monthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberDaySelect day12345678910111213141516171819202122232425262728293031YearSelect Year20072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979Select LGAAguataAnambra EastAnambra WestAnaochaAwka NorthAwka SouthAyamelumDunukofiaEkwusigoIdemili NorthIdemili SouthIhialaNjikokaNnewi NorthNnewi SouthOgbaruOnitsha NorthOnitsha SouthOrumba NorthOrumba SouthOyiAguataAchina IAchina IIAguluezechukwuAkpoAmesiEkwulobia IEkwulobia IIEzinifite IEzinifite IIIgbo-Ukwu IIgbo-Ukwu IIIkengaIsuofiaNkpologwuOraeriUga IUga IIUmuchu IUmuchu IIUmuonaAnambra EastAguleri IAguleri IIEnugwu-OtuEziagulu-OtuIgbariamNando INando IINando IIINsugbe INsugbe IIOtuocha IOtuocha IIUmuleri IUmuleri IIUmuoba-AnamAnambra WestEzi-AnamIfite-AnamNzamOlumbanasa-InomaOlumbanasa-OdeOroma-Etiti AnamUmuenwelum-AnamUmueze-Anam IUmueze-Anam IIUmuoba-AnamAnaochaAdazi-Ani IAdazi-Ani IIAdazi-Enu IAdazi-Enu IIAdazi-Nnukwu IAdazi-Nnukwu IIAgulu IAgulu IIAgulu IIIAgulu IVAgulu-UzoigboAkwaezeIchida IIchida IINeni INeni IINri INri IIObeleduAwka NorthAchalla IAchalla IIAchalla IIIAmanseaAmanukeAwba-OfemmiliEbenebe IEbenebe IIEbenebe IIIIsu-AniochaMgbakwuUgbeneUgbenuUrumAwka SouthAgu-OkaAmawbia IAmawbia IIAmawbia IIIAwka IAwka IIAwka IIIAwka IVAwka VAwka VIAwka VIIEzinato/IsuaguMbaukwuNibo INibo IINibo IIINise INise IIOkpunoUmuawuluAyamelumAnakuIfite Ogwari IIfite Ogwari IIIgbakwuOmasiOmor IOmor IIOmor IIIUmuejeUmuerumUmumboDunukofiaAkwaIfitedunu IIfitedunu IINawgu INawgu IIUkpo IUkpo IIUkpo IIIUkwulu IUkwulu IIUmudioka IUmudioka IIUmunnachi IUmunnachi IIEkwusigoAmakwa IIIchiIhembosi/AnaubahuIhiteohaOraifite IOraifite IIOraifite IIIOzubulu IOzubulu IIOzubulu IIIOzubulu IVOzubulu VIdemili NorthAbachaAbateteEziowelleIdeaniNkpor INkpor IIObosiOgidi IOgidi IIOraukwuUkeUmuojiIdemili SouthAkwukwuAlor IAlor IIAwka-Etiti IAwka-Etiti IINnobi INnobi IINnobi IIINnokwaOba IOba IIOjotoIhialaAmamu IAmamu IIAmorkaAziaIhiteIssekeLiluMbosiOgboroOkija IOkija IIOkija IIIOkija IVOkija VOrsumoghuUbuluisuzorUli IUli IIUli IIIUzoakwaNjikokaAbagana IAbagana IIAbagana IIIAbagana IVAbba IAbba IIEnugu-Agidi IEnugu-Agidi IIEnugu-Ukwu IEnugu-Ukwu IIEnugu-Ukwu IIINawfia INawfia IINimo INimo IINimo IIINimo IVNimo VNnewi NorthNnewi-Ichi INnewi-Ichi IIOtolo IOtolo IIOtolo IIIUmudim IUmudim IIUruagu IUruagu IIUruagu IIINnewi SouthAkwa-IhediAmichi IAmichi IIAmichi IIIAzuigboEbenatorEkwulumiliEzinifite IEzinifite IIEzinifite IIIOsumenyi IOsumenyi IIUkpor IUkpor IIUkpor IIIUkpor IVUkpor VUkpor VIUnubiUtuhOgbaruAkili Ogidi/ObeagweAkili-OzizorAtani IAtani IIIyiowa/Odekpe/OhitaOchuche-Umuodu/Ogbakuba/AmiyiOgwu-AniochaOgwu-IkpeleOkpoko IOkpoko IIOkpoko IIIOkpoko IVOkpoko VOkpoko VIOssomalaUmunankwo/MputuOnitsha NorthAmerican QuartersG.R.AInland Town IInland Town IIInland Town IIIInland Town IVInland Town VInland Town VIInland Town VIIInland Town VIIIOgbe UmuonichaTrans-NkisiWater-Side Central IWater-Side Central IIWoluwo LayoutOnitsha SouthBridge Head IBridge Head IIBridge Head IIIFegge IFegge IIFegge IIIFegge IVFegge VFegge VIFegge VIIOdoakpu IOdoakpu IIOdoakpu IIIOdoakpu IVOdoakpu VOdoakpu VIOdoakpu VIIOrumba NorthAjalli I (Obinikpa And Umueve)Ajalli II (Umuabiama And Amaga)AmaetitiAmaokpala/OmoghoAwaAwgbu IAwgbu IINanka INanka IINdi OkpalaezeNdikelionwuNdiokolo/NdiokpaleleNdiowuNdiukwuenu/OkpezeOko IOko IIUfuma IUfuma IIOrumba SouthAgbuduAkpuEnugu/UmunyaEziaguEziraIhiteIsuloNawfijaOgbojiOgbunka IOgbunka IIOwerre-Ezukala IOwerre-Ezukala IIUmunze IUmunze IIUmunze IIIUmuomakuNkerehiOyiAwkuzu IAwkuzu IIAwkuzu IIIAwkuzu IVNkwelle Ezunaka INkwelle Ezunaka IINteje INteje IINteje IIINteje IVNteje VOgbunike IOgbunike IIUmunya IUmunya IIVolunteer Path *select pathClean Air /Zero SLCPs ProgramRecycling ProgramEcosystem Conservation ProgramEnergy Efficiency ProgramWaste Oil Management ProgramWEEE Program (Waste on Electrical and Electronic Equipment)Noise Pollution ProgramEcotourism ProgramWASH ProgramE-mobility / EV ProgramClean Energy ProgramWetland Protection and Oceans Conservation ProgramClimate Justice ProgramEcolabel Activation ProgramSustainable Agriculture ProgramClean Cook Stoves ProgramECO2RUPPERS Program Volunteer Consent FormProgram Description: The ECO2RUPPERS Program is dedicated to promoting sustainability and community engagement through various activities, including clean-up events, tree planting, recycling drives, educational workshops, advocacy and awareness events, etc. As a volunteer, you will play a crucial role in supporting these efforts and making a positive impact on the environment and your community. Volunteer Agreement: By signing this consent form, you agree to the following terms and conditions: Participation: - I understand that my participation in the Community Green Impact Program is voluntary. - I agree to follow all instructions and guidelines provided by program coordinators and supervisors. Safety: - I acknowledge that I am responsible for my own safety and well-being while participating in program activities. - I agree to use any provided safety equipment and adhere to safety protocols. - I will promptly report any injuries or safety concerns to program coordinators. Conduct: - I will conduct myself in a respectful and responsible manner at all times. - I will respect the rights and property of others and act in a manner that promotes a positive and inclusive environment. Confidentiality: - I understand that I may have access to confidential information related to the program or its participants. - I agree to maintain the confidentiality of such information and not disclose it to unauthorized individuals. Media Release: - I give my consent for ECO2RUPPERS to capture and use photographs, videos, or other media recordings of me during program activities for promotional and educational purposes. I understand that these materials may be used in print, online, or social media platforms. Liability Waiver: - I release and hold harmless the ECO2RUPPERS Program, its organizers, partners, sponsors and volunteers from any and all liability, claims, injury, loss or damages that may arise from my participation in program activities. Medical Treatment: - In the event of an emergency, I authorize the program coordinators to seek medical treatment on my behalf.Consent *I have read and understood the above terms and conditions and AGREE to participate in the ECO2RUPPERS Program as a volunteer.Volunteer Verification InformationNational Identification Number *Last 4 Digits of your Identification Number *Your Unique Volunteer ID Number would be generated with this.0 / 4Name of Referee *Referee Address *CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweReferee Contact Phone Number *Additional Volunteer InformationWho would you like us to contact on your behalf, in case of an emergency?Emergency Contact Name *Emergency Contact Phone Number *Password *Confirm Password * Submit