Shine a Light: HerHealth Hub Sickle Cell Awareness and Screening Drive in Nsawam, Ghana. — Youth Day of Service - YDoS

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Shine a Light: HerHealth Hub Sickle Cell Awareness and Screening Drive in Nsawam, Ghana.

Project Title: Shine a Light: HerHealth Hub Sickle Cell Awareness and Screening Drive in Nsawam, Ghana.
What can we do to make this project impactful to you?: [Private]
How did you hear about the YDoS?: [Private]
Are you a member of LEAP Africa's Alumni Network?: [Private]

Name of Project Lead: Priscilla Adom
Gender: Female
Email Address: prillaadom22@gmail.com
Which of the following best describes where you live: [Private]
Age: [Private]
Are you affiliated with a partner organization?: [Private]
Current employment status: [Private]
How long have you been volunteering?: [Private]
Have you participated in YDOS in the past?: [Private]
Are you a Person With Disability (PWD)?: [Private]
If Yes, please select the type of disability: [Private]
Do you belong to any of the following categories?: [Private]

Name(Required)

First Last

Email(Required)

Gender(Required)

Male

Female

Age range(Required)

Country of residence(Required)

Geographical Location(Required)

Urban

Semi -Urban

Rural

Phone Number (WhatsApp Enabled)(Required)

Current employment status(Required)

How long have you been volunteering?

Have you volunteered for YDOS in the past?(Required)

No, I have never participated in YDOS

Yes, I participated in the 2020 YDOS

Yes, I participated in the 2021 YDOS

Yes, I volunteered in the 2022 YDOS

Yes, I volunteered in the 2023 YDOS

Yes, I volunteered in the 2024 YDOS

What can we do to make this project impactful to you?

Do you belong to any of the following categories? (select as many as apply)(Required)

Note that this information will be treated confidentially

Refugee

Internally displaced

Orphaned

Widowed

Not Applicable

Are you a person with a disability?(Required)

Yes

No

If Yes, please select the type of disability(Required)

Are you affiliated with a partner organization? If yes, what organization?

How did you hear about the YDoS?(Required)

Are you committed to supporting your project lead in the project implementation throughout the project duration?(Required)

Yes

No

INFORMATION ACCURACY AND COMMUNICATION

Please read this section and respond accordingly.

Consent

I agree to the privacy policy.

This form collects information from interested participants for LEAP Africa's Advanced MERL training. Kindly note that your responses will be treated confidentially and your data will be ethically protected according to the General Data Protection Regulation (GDPR) and Nigeria Data Protection Regulation (NDPR). Please read more about our privacy policy here. By completing this registration form, you are giving your consent and voluntarily agreeing to participate in the training.

I certify that the information I have provided is accurate and true(Required)

Yes

No

I hereby acknowledge my desire to assume all risks of injury to my person and property arising from my participation in Youth Day of Service 2025(Required)

Yes

No

I further release LEAP Africa from all liability and claims of any and every kind and nature, whether arising out of negligence or otherwise, for any injuries, including death and loss of property, but not limited to theft, loss, negligence, invasion of privacy, fire or other acts arising from participating in Youth Day of Service 2025(Required)

Yes

No

I understand that participation is solely on a voluntary basis and shall not involve any form of remunerations in return for service(s) rendered, both in monetary terms (e.g. allowance and reimbursement of expenses) as well as in kind. Moreso, I further agree to refrain from any fundraising activities including but not limited to public soliciting, crowdfunding or other acts, with the name and image of LEAP Africa(Required)

Yes

No

Phone

This field is for validation purposes and should be left unchanged.

Δ

0.000

Contact Information

Name(Required)

First Last

Email(Required)

Gender(Required)

Male

Female

Age range(Required)

Country of residence(Required)

Geographical Location(Required)

Urban

Semi -Urban

Rural

Phone Number (WhatsApp Enabled)(Required)

Current employment status(Required)

How long have you been volunteering?

Have you volunteered for YDOS in the past?(Required)

No, I have never participated in YDOS

Yes, I participated in the 2020 YDOS

Yes, I participated in the 2021 YDOS

Yes, I volunteered in the 2022 YDOS

Yes, I volunteered in the 2023 YDOS

Yes, I volunteered in the 2024 YDOS

What can we do to make this project impactful to you?

Do you belong to any of the following categories? (select as many as apply)(Required)

Note that this information will be treated confidentially

Refugee

Internally displaced

Orphaned

Widowed

Not Applicable

Are you a person with a disability?(Required)

Yes

No

If Yes, please select the type of disability(Required)

Are you affiliated with a partner organization? If yes, what organization?

How did you hear about the YDoS?(Required)

Are you committed to supporting your project lead in the project implementation throughout the project duration?(Required)

Yes

No

INFORMATION ACCURACY AND COMMUNICATION

Please read this section and respond accordingly.

Consent

I agree to the privacy policy.

This form collects information from interested participants for LEAP Africa's Advanced MERL training. Kindly note that your responses will be treated confidentially and your data will be ethically protected according to the General Data Protection Regulation (GDPR) and Nigeria Data Protection Regulation (NDPR). Please read more about our privacy policy here. By completing this registration form, you are giving your consent and voluntarily agreeing to participate in the training.

I certify that the information I have provided is accurate and true(Required)

Yes

No

I hereby acknowledge my desire to assume all risks of injury to my person and property arising from my participation in Youth Day of Service 2025(Required)

Yes

No

I further release LEAP Africa from all liability and claims of any and every kind and nature, whether arising out of negligence or otherwise, for any injuries, including death and loss of property, but not limited to theft, loss, negligence, invasion of privacy, fire or other acts arising from participating in Youth Day of Service 2025(Required)

Yes

No

I understand that participation is solely on a voluntary basis and shall not involve any form of remunerations in return for service(s) rendered, both in monetary terms (e.g. allowance and reimbursement of expenses) as well as in kind. Moreso, I further agree to refrain from any fundraising activities including but not limited to public soliciting, crowdfunding or other acts, with the name and image of LEAP Africa(Required)

Yes

No

Email

This field is for validation purposes and should be left unchanged.

Δ

SDGs Related to this Project

Volunteer For this Project

Name(Required)

First Last

Email(Required)

Gender(Required)

Male

Female

Age range(Required)

Country of residence(Required)

Geographical Location(Required)

Urban

Semi -Urban

Rural

Phone Number (WhatsApp Enabled)(Required)

Current employment status(Required)

How long have you been volunteering?

Have you volunteered for YDOS in the past?(Required)

No, I have never participated in YDOS

Yes, I participated in the 2020 YDOS

Yes, I participated in the 2021 YDOS

Yes, I volunteered in the 2022 YDOS

Yes, I volunteered in the 2023 YDOS

Yes, I volunteered in the 2024 YDOS

What can we do to make this project impactful to you?

Do you belong to any of the following categories? (select as many as apply)(Required)

Note that this information will be treated confidentially

Refugee

Internally displaced

Orphaned

Widowed

Not Applicable

Are you a person with a disability?(Required)

Yes

No

If Yes, please select the type of disability(Required)

Are you affiliated with a partner organization? If yes, what organization?

How did you hear about the YDoS?(Required)

Are you committed to supporting your project lead in the project implementation throughout the project duration?(Required)

Yes

No

INFORMATION ACCURACY AND COMMUNICATION

Please read this section and respond accordingly.

Consent

I agree to the privacy policy.

This form collects information from interested participants for LEAP Africa’s Advanced MERL training. Kindly note that your responses will be treated confidentially and your data will be ethically protected according to the General Data Protection Regulation (GDPR) and Nigeria Data Protection Regulation (NDPR). Please read more about our privacy policy here. By completing this registration form, you are giving your consent and voluntarily agreeing to participate in the training.

I certify that the information I have provided is accurate and true(Required)

Yes

No

I hereby acknowledge my desire to assume all risks of injury to my person and property arising from my participation in Youth Day of Service 2025(Required)

Yes

No

I further release LEAP Africa from all liability and claims of any and every kind and nature, whether arising out of negligence or otherwise, for any injuries, including death and loss of property, but not limited to theft, loss, negligence, invasion of privacy, fire or other acts arising from participating in Youth Day of Service 2025(Required)

Yes

No

I understand that participation is solely on a voluntary basis and shall not involve any form of remunerations in return for service(s) rendered, both in monetary terms (e.g. allowance and reimbursement of expenses) as well as in kind. Moreso, I further agree to refrain from any fundraising activities including but not limited to public soliciting, crowdfunding or other acts, with the name and image of LEAP Africa(Required)

Yes

No

Name

This field is for validation purposes and should be left unchanged.

Δ

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