Application Form – Health Planner – Community Mobilization - TRI

Have you read and understood the Job Posting? *

Section 1 – Basic Details

Name *

Email *

Phone *

Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

DOB *

Citizenship *

Please Mention *

Gender *

Single Line Text

Are you specially abled: *

How did you get to know about the job opening? *

Proficiency in Hindi *

Proficiency in English *

Willingness to travel *

Section 2 – Educational background

SCHOOL EDUCATION

10th Board Exams marks (in %) *

10th Board Name *

Please Mention *

Upload Class X Marksheet (File size should not exceed 10 MB) *

Click or drag a file to this area to upload.

.pdf, .jpg, .png, .doc, .docx, .jpeg

12th Board Exams marks (in %) *

12th Board Name *

Please Mention

Upload Class 12th Marksheet (File size should not exceed 10 MB) *

Click or drag a file to this area to upload.

.pdf, .jpg, .png, .doc, .docx, .jpeg

BACHELORS/GRADUATION

Bachelor's Degree *

Academic Discipline *

Name of the Institute *

Year of Completion *

CGPA (on a scale of 10) *

MASTERS/POST GRADUATION

Master's Degree *

Academic Discipline *

Name of the Institute *

Year of Completion *

CGPA (on a scale of 10) *

Section 3 – Work Experience

Current/Last Organization

Name of the Organization *

Organization Funding Type *

Organization Size (Headcount) *

Organization alignment with SDG *

Designation *

Duration from *

Duration to/Currently Working *

Duration to *

Total Work Experience (Please mention in years) *

Section 3 – Last/Latest drawn CTC per month

Last/Latest drawn CTC per month *

Please enclose latest salary slip: (File size should not exceed 5 MB)

Click or drag a file to this area to upload.

Notice Period *

What do you think is the purpose of this position? *

How do you see this position enrich your professional career trajectory? *

What are some challenges you foresee in this role? How do you plan to overcome them? *

Please upload your Resume (File size should not exceed 10 MB) *

Click or drag a file to this area to upload.

.pdf, .doc, .docx

Other Details:

Have you been interviewed by us before? *

Which position and when:

Have you been previously employed by us: *

Section 4 - Professional References

Reference Name-1 *

Designation *

Organization Name *

Phone *

Email *

Reference Name-2 *

Designation *

Organization Name *

Phone *

Email *

Section 6 - Declaration on Prevention of Sexual Exploitation & Abuse (PSEA) *

I have never been involved, investigated, or convicted of any act related to sexual exploitation, sexual abuse, or sexual harassment.
I commit to upholding the highest standards of professional conduct and to adhere to Transforming Rural India Foundation (TRI) safeguarding and PSEA policies, if hired.
I authorize Transforming Rural India Foundation (TRI) to contact the references provided as part of this verification process.
I understand that providing false information or withholding relevant details may lead to disqualification from this recruitment process or termination of employment, if discovered later.

Declaration of Independent Completion - I declare that all responses in this application form were completed independently, without any assistance from artificial intelligence or external help. *

Yes, I Agree

Nationwide Availability Declaration - I am open to employment opportunities anywhere in the country. I am willing to relocate or travel as needed to support organizational goals and contribute to diverse communities. *

Yes I Agree

Section 5 - Declaration of Employment of Immediate Family Member(s)/Relative(s) at TRI

Family/Relative Declaration - Kindly click on "Yes" if you have any immediate family [Spouse, Parents, Siblings or Children] /relatives currently employed at TRI. *

Member-1

Name *

Relation *

Designation *

Location: *

Member-2

Name

Relation

Designation

Location

Any other (s), pl provide details in the same order, i.e. Name, Relation, Designation, Location

Continued Declaration for family/relative at TRI - I understand that providing false or incomplete information in this declaration (Part I) may lead to disqualification from the recruitment process or, if hired, potential termination of employment. *

Yes, I Agree

Continued Declaration (Part II) Upon joining (subject to job offer and acceptance), I also hereby confirm that should someone I know apply to TRI during my tenure, I will inform the HR Department accordingly. Failure to disclose this information may result in my potential termination from employment. *

Yes, I Agree

Declaration - All the information provided in the questionnaire and the resume are true to the best of my knowledge. If the selection panel discovers that any of the information that I've provided is incorrect, then I understand that my application can be withdrawn at any stage. *

Yes, I Agree

Health Planner – Community Mobilization

Section 1 – Basic Details

Section 2 – Educational background

SCHOOL EDUCATION

BACHELORS/GRADUATION

MASTERS/POST GRADUATION

Section 3 – Work Experience

Current/Last Organization

Section 3 – Last/Latest drawn CTC per month

Other Details:

Section 4 - Professional References

Section 5 - Declaration of Employment of Immediate Family Member(s)/Relative(s) at TRI

Member-1

Member-2

Any other (s), pl provide details in the same order, i.e. Name, Relation, Designation, Location

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