• Impact Circles Launchpad Registration & Pre-Program Assessment

    Please take a few minutes to complete this registration form. Some of the questions will also help us understand what you are hoping to gain from the program. This form will be used to screen your eligibility for the Impact Circles Launchpad program and to help us understand whether the program is the right fit for you. Completing this form does not guarantee a place in the program. We will review your responses and contact eligible participants with confirmation and next steps.

  • You don't have to figure it out on your own. If you would like to ask a question or simply talk it through before applying, WhatsApp or Call Geetika on +65 9430 4173. I am happy to chat.

  • About You

  • Format: +6500000000.

  • Your Connection to Singapore

  • Current residency status in Singapore*

  • Family & Caregiving Context

  • Current relationship status*
  • How many children do you have?*
  • What other caregiving responsibilities do you currently have, apart from childcare?
  • Approximately how much time do these caregiving responsibilities take each week?
  • Do you currently have a partner who shares caregiving or household responsibilities with you?*
  • Partner's current work situation*
  • How would you describe the way caregiving and household responsibilities are currently shared?*

  • Career Journey

  • Current work status*
  • Approximately how long have you been away from the workforce?*
  • Industry*
  • Level when last worked*

  • What's Next?

  • How soon would you ideally like to return to work?*
  • What kind of work are you considering?*

  • Before We Begin: 5-Question Baseline

  • There are no right or wrong answers. Please answer based on how you feel right now. We will ask you these same five questions again after the programme so that you can reflect on what, if anything, has shifted for you. Please respond to each statement using a number from 1 to 5.

  • Baseline self-assessment*
    Rows

  • Your Reflection

  • These questions help us understand what you are hoping to explore. They are not scored.
  • Biggest barrier right now?*

  • Commitment & Registration

  • Which cohort would you prefer?*

  • $30 COMMITMENT FEE. The Impact Circles Launchpad programme is fully funded by SGPF. There is a $30 commitment fee to secure your place. This is not a programme fee. The full $30 will be refunded when you attend all six sessions (100% attendance). Payment details will be shared only after your application has been reviewed and your place has been confirmed.

  • Can you commit to attending all six sessions?*

  • TERMS & CONDITIONS

  • By submitting this application, I confirm that:                                                                                                                                                                               

    • The information I have provided is accurate to the best of my knowledge. 

    • Completing this form does not guarantee a place in Impact Circles Launchpad. Places are subject to eligibility, screening and cohort selection.             

    • If selected, I understand that I am expected to attend all six sessions. 

    • I understand that the $30 commitment fee is not a programme fee and will be fully refunded only upon 100% attendance across all six sessions.               

    • I agree to respect the confidentiality and personal experiences shared by other participants during the programme.                                                             

    • I understand that participation in the programme does not guarantee employment or a particular career outcome.

  • Photography & Videography Consent*

  • You don't have to figure it out on your own. If you would like to ask a question or simply talk it through before applying, WhatsApp or Call Geetika on +65 9430 4173. I am happy to chat.

  • Should be Empty: