SVF Community Care Ambassadors Registration

SVF - Community Care Ambassadors
Discover the world of caregiving with our Community Care Ambassadors programme, organised by SG Assist organised by SG Assist, initiated and supported by C3A, and as part of the SVF.

Dive into a realm of knowledge and skills that will not only benefit you but also the community. Register now and be part of something meaningful!
Date of program*

18 November & 19 November 2024 - 9am to 5pm
Full Name (as reflected in NRIC)*
Surname / Family Name (as reflected in NRIC)*
Contact Number *
We are collecting this information in case of any unforeseen circumstances, such as programme cancellations due to events like COVID-19. In the event of such circumstances, we will need to contact you to inform you of any changes to the programme schedule. Your contact number will only be used for this purpose and will not be shared with any third party.
Email Address *
The email provided will be used to contact you upon workshop schedule confirmation and to support the facilitation of the programme.
Full NRIC Number*
SG Assist works with ministries that administer funds and support to our clients. We would like to inform you that the National Silver Academy (NSA) is an initiative under the Action Plan for Successful Ageing and is therefore a government initiative. C3A is “an organisation that is acting on behalf of a public agency” to administer the NSA subsidies. Hence, C3A as the administrator for NSA subsidies and acting on behalf of the Ministry of Health is authorized to continue collecting full NRIC numbers for the purpose of administering the NSA subsidies.
Resident Status*

Singapore CitizenPermanent Resident
Participants must be Singapore Citizens or Permanent Residents aged 30 and below OR 50 and above at the commencement year of programme.
Postal Code*
We are collecting this information to help us better understand the demographics of our participants and to ensure that we are reaching a diverse audience. This information will be used for internal purposes only and will not be shared with any third party.
Date of Birth*

MonthDayYear
Gender*

MaleFemale
Race*

ChineseIndianMalayOther
The collection of this information is for C3A for course administration purpose.
Education Level*

No formal educationPrimarySecondaryPost SecondaryDiplomaBachelor's DegreeMasters / DoctorateOther
The collection of this information is for C3A for course administration purpose.
What is your current work engagement*

Employed Full-timeEmployed Part-timeHomemakerRetiredSelf-employed
I hereby confirm that I am a Singaporean/ Permanent Resident aged 50 and above OR aged 30 and below.*

Yes
This information helps us tailor our courses to meet the diverse needs of our participants!
Where did you hear about this session? Please share with us where you heard about this event, you may put the telegram group name or source under "Others".

SG Assist (Facebook, Instagram, Telegram）SG AssistSG Caregivers（Telegram）SG Assist Social Media (Facebook, Instagram, Telegram...)SG Assist NewsletterSG Caregivers (Telegram Group)Via Events/ RoadshowsWord of mouth (e.g. friend, family member, colleague)Other
Workshop Name
1. This Community Care Ambassadors programme is organised by SG Assist, and initialed and supported by Council of Third Age (C3A), an agency that promotes active ageing in Singapore through public education, outreach, and partnerships. Singaporeans and Permanent Residents aged 50 and above may apply for a coupon code to be eligible for National Silver Academy (NSA) subsidised fees (administered by C3A).
2. I declare that all information and particulars provided in this Form are true, complete, and accurate. I have not withheld or distorted any particulars required under this Form.
3. I hereby confirm that I am a Singaporean/ Permanent Resident aged 50 and above OR aged 30 and below, and I give SG Assist/ C3A consent to contact me to collect and use my personal data (e.g. name, NRIC, date of birth, contact details) for the purposes of subsidy verification and application, and in accordance with the SG Assist/ C3A’s Personal Data Policy. SG Assist/ C3A’s Personal Data Policy is contained in the Personal Data Policy Statement which can be found on their respective websites: https://www.sgassist.com/privacy-policy/ and https://www.c3a.org.sg/privacy-policy.
4. By submitting this form, I am deemed to have read and understood SG Assist/ C3A’s Personal Data Policy Statement.
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SVF - Community Care Ambassadors