Volunteer Registration Form
Thank you for your interest to volunteer with us! This form will take about 10 minutes to finish. If the question is not applicable, please indicate as N/A. All personal data gathered in this form will be treated in accordance with The Personal Data Protection Act (PDPA) 2012. The full PDPA policies can be found at ISCOS website (www.iscos.org.sg).
Personal Particulars
Full Name (per NRIC or passport):
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Salutation:
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Mr
Mrs
Ms
Dr
Mdm
Gender:
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Male
Female
Please upload a picture of yourself:
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Nationality:
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Singaporean
Permanent Resident (PR)
Others
Please share with us your nationality:
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Date of Birth:
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Day
-
Month
Year
Date
Phone Number (mobile):
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Email Address:
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example@example.com
Residential Home Address:
Postal Code:
Marital Status:
Single
Married
Divorced
Widowed
Race:
Religion:
Current Occupation:
Name of Employer:
Note: If you are a student, please state the name of your school / educational institution. If you are currently unemployed or taking a career break, please state N/A.
Are you referred by someone to join us as a volunteer? If yes, please share the name of the person/organisation who has referred you.
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Are you a family member of a staff or director of ISCOS? If yes, please state the name of the staff/director.
Volunteer type?
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Individual Volunteer
Corporate Volunteer - defined as volunteer through a Company/Organisation/Club/School
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Volunteering
Please share with us your reason for volunteering:
I am keen in volunteering in these areas - you may tick more than one (Please specify if your answer is others):
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[Ad-hoc] Living Environment Assistance Project (LEAP) i.e. home improvement
[Ad-hoc] Support for ISCOS/NeuGen events (Emcee)
[Ad-hoc] Support for ISCOS/NeuGen events (Photographer/Videographer)
[Ad-hoc] Support for ISCOS/NeuGen events (Ushers, event game masters, coordinators etc.)
[Ad-hoc] Coordinator for birthday celebration/party
[Ad-hoc] Content creation (e.g. copywriting, video editing, graphic design)
[Ad-hoc] Coordinator/Facilitator of Workshops
[Long-term, minimum 1 year] Befriender for ex-offenders
[Long-term, minimum 1 year] Facilitator of support group for ex-offenders or mothers/caregivers of their children
[Long-term, minimum 1 year] Mentor for children of reformed offenders
Others
Please indicate the areas of volunteering which you are interested in:
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As part of our procedure, we would like to request for references.
By providing the name and contact below, you have given permission for ISCOS/NeuGen to contact the reference.
Name:
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Referee must not be your relatives or family members
Mobile Number:
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Email:
example@example.com
Your relationship with the reference:
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Volunteers who have indicated interest to volunteer as "Befriender for ex-offenders" and/or "Mentor for children of reformed offenders" are required to undergo screening and security clearance.
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I confirm that I understand this requirement and hereby give my consent for my Full Name and NRIC/FIN to be used for the above mentioned purpose.
I hope to be able to volunteer for:
Long term (at least a year)
Short term (less than a year)
My preferred frequency:
Ad-hoc basis (for selected events only)
Regular basis (e.g. once a month)
PAST VOLUNTEERING EXPERIENCE
Have you volunteer with another organisation before?
Yes
No
Name of Organisation(s) you have volunteered for:
Duration:
Currently Active?
Yes
No
Please describe the volunteering tasks you are currently involved with:
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Knowledge and Skills
Highest Educational Level Attained:
Language Proficiency (Written):
Excellent
Good
Fair
N.A.
English
Mandarin
Malay
Tamil
Others
If you choose 'Others' instead of the listed languages, please list and indicate proficiency (E for Excellent, G for Good and F for Fair):
Language Proficiency (Spoken):
Excellent
Good
Fair
N.A.
English
Mandarin
Malay
Tamil
Others
If you choose 'Others' instead of the listed languages, please list here and indicate proficiency (E for Excellent, G for Good and F for Fair):
Talent (e.g. music, art etc.):
Other Certification (e.g. Counselling, CPR + AED certification etc.):
Digital skills (e.g. MS Office, digital marketing, coding skills etc.):
Hobbies & Interests:
Driving Licence:
Class 2A
Class 2B
Class 3
Class 3A
Class 4
Class 5
None
Do you own a vehicle?
Yes
No
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Important Information
These information are essential as the volunteer roles may involve engaging with inmates, ex-offenders or their families. We seek your kind understanding to provide true and complete information.
Do you have any criminal records?
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Please answer Yes or No. If Yes, please state briefly the nature of offence.
Do you have any pending case at present?
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Please answer Yes or No. If Yes, please state briefly the nature of case.
Are any of your close friends / relatives serving prison sentences or have been imprisoned in the past?
Please answer Yes or No. If Yes, please specify details.
Do you have any medical conditions?
Please answer Yes or No. If Yes, please specify details.
Are you on medication?
Please answer Yes or No. If Yes, please specify details.
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EMERGENCY CONTACT
Name:
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Relationship:
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Telephone (Mobile / Home):
*
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Other Information
How did you learn about ISCOS and/or NeuGen Fund? (Please specify if your answer is others)
Newspaper/Magazine
TV/Radio
Social Media
Referral
Website
Other
I would like to receive updates and news from ISCOS and NeuGen Fund through:
Email
Whatsapp
Telegram
SMS
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Declaration
Personal Data Protection Act (PDPA) 2012
We would like to seek your consent for your personal data to be used for the following purposes: - Sharing and posting on ISCOS/NeuGen digital platforms, including but not limited to social media and websites - Publicity on ISCOS/NeuGen publications, including but not limited to annual report and e-newsletters - Sharing with media agencies for creating awareness and publicity relating to your volunteer work on their respective media platforms - Sharing with the partners or sponsors of ISCOS/NeuGen for use in their organisations' publications and digital platforms, including but not limited to social media, website and annual report.
I hereby give my consent for my personal data to be used for the above mentioned purposes.
Yes
Volunteer Confidentiality Agreement
The agreement applies to all volunteers associated with and/or involved in the activities of Industrial & Services Co-operative Society Limited (ISCOS) and/or NeuGen Fund ("NeuGen"). All data, materials, knowledge and information generated through, originated from, or having to do with ISCOS/NeuGen or individuals associated with our activities are to be considered privileged and confidential and is not to be disclosed to any third party. Such information can be in these formats but not limited to pages, forms, documents, designs, conversations, messages (received or transmitted), resources, contacts, photographs and is the sole property of ISCOS and/or NeuGen. I will seek consent in writing with management of ISCOS/NeuGen if there is a need for such information to be retained. I also understand that the consent for the information to be released is subject to the approval of management. In the event of any breach of confidentiality, my volunteering service will be terminated. I may also face legal action in the event ISCOS/NeuGen seeks compensation for any claims, damages or losses suffered as a result of or in connection with such breach. This Volunteer Confidentiality Agreement is deemed valid throughout the duration of my volunteering service. I acknowledge and accept that my agreement herein survives the termination or resignation of my volunteering service with ISCOS and/or NeuGen.
I hereby accept the terms and conditions stated in the Volunteer Confidentiality Agreement and by clicking Yes below, confirm that I have fully understood the contents herein.
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Yes
I confirm that all information provided in this form is true and complete. I understand that if any information is found to be untrue or incomplete, my application may be unsuccessful.
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