Volunteer Application

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* 1. Name as in NRIC/ Passport (Indicating surname in CAPS)

Name

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* 2. Date of Birth

Date of Birth

Date

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* 3. Email Address

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* 4. Contact Number

Home

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* 5. Gender

Male

Female

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* 6. Race

Chinese

Malay

Indian

Other (please specify)

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* 7. Nationality

Singaporean/ PR

Others (please specify)

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* 8. Address

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* 9. Occupation

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* 10. Marital Status

Single

Married

Separated

Divorced

Widowed

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* 11. Religion

Christian

Catholic

Muslim

Buddhist

Hindu

Taoist

No Religion

Other (please specify)

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* 12. Skills/ Hobbies/ Interests (State proficiency & if willing to teach/coach)

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* 13. Highest Qualification

Degree

‘Diploma

‘A’ Level

‘O’ Level

'N’ Level

PSLE

Other (please specify)

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* 14. Language Ability

	Spoken	Written
English	English Spoken	English Written
Mandarin	Mandarin Spoken	Mandarin Written
Malay	Malay Spoken	Malay Written
Tamil	Tamil Spoken	Tamil Written
Hokkien	Hokkien Spoken	Hokkien Written
Teochew	Teochew Spoken	Teochew Written
Cantonese	Cantonese Spoken	Cantonese Written

Other (please specify)

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* 15. How did you find out about us

BCS Website

BCS Facebook

Friends/ Family/ Relatives

Attend BBTC

If you attend BBTC, please specify cell group

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* 16. Have you volunteered before? If yes, please elaborate.

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* 17. What motivated you to volunteer with us?

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* 18. Declaration

	Yes	No
1) Have you been convicted in a court of law in any country before?	1) Have you been convicted in a court of law in any country before? Yes	1) Have you been convicted in a court of law in any country before? No
2) Have you been medically diagnosed with any mental / physical condition(s) which could prevent you from competently and safely offering your services(s) as a volunteer?	2) Have you been medically diagnosed with any mental / physical condition(s) which could prevent you from competently and safely offering your services(s) as a volunteer? Yes	2) Have you been medically diagnosed with any mental / physical condition(s) which could prevent you from competently and safely offering your services(s) as a volunteer? No
3) Have you been addicted to the use of alcohol or to habitual use of narcotics / other habit forming drugs?	3) Have you been addicted to the use of alcohol or to habitual use of narcotics / other habit forming drugs? Yes	3) Have you been addicted to the use of alcohol or to habitual use of narcotics / other habit forming drugs? No

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* 19. If you have answered "Yes" to any of the statements, please provide details

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* 20. Agreement

	Yes	No
I agree to treat all personal information of clients as confidential (including all pictures and videos of clients or events etc.) and will not collect, use or disclose such information without the permission of BCS	I agree to treat all personal information of clients as confidential (including all pictures and videos of clients or events etc.) and will not collect, use or disclose such information without the permission of BCS Yes	I agree to treat all personal information of clients as confidential (including all pictures and videos of clients or events etc.) and will not collect, use or disclose such information without the permission of BCS No
I accept that participation in activities involves certain amount of risk. Whilst due care is taken by BCS to manage and minimise risk, I undertake to release and discharge BCS, its staff, volunteers, beneficiaries, partners or other servants or agents from all liabilities, claims and expenses, for any accident, injury, loss or damage, whether directly or indirectly by and/or to myself/ other person(s)/ other organisation(s) that may occur in the course of, or as a result of participating in such activities.	I accept that participation in activities involves certain amount of risk. Whilst due care is taken by BCS to manage and minimise risk, I undertake to release and discharge BCS, its staff, volunteers, beneficiaries, partners or other servants or agents from all liabilities, claims and expenses, for any accident, injury, loss or damage, whether directly or indirectly by and/or to myself/ other person(s)/ other organisation(s) that may occur in the course of, or as a result of participating in such activities. Yes	I accept that participation in activities involves certain amount of risk. Whilst due care is taken by BCS to manage and minimise risk, I undertake to release and discharge BCS, its staff, volunteers, beneficiaries, partners or other servants or agents from all liabilities, claims and expenses, for any accident, injury, loss or damage, whether directly or indirectly by and/or to myself/ other person(s)/ other organisation(s) that may occur in the course of, or as a result of participating in such activities. No
In the event of any risk incidents, I agree to inform BCS and the organisers immediately and assist with any incident inquiry.	In the event of any risk incidents, I agree to inform BCS and the organisers immediately and assist with any incident inquiry. Yes	In the event of any risk incidents, I agree to inform BCS and the organisers immediately and assist with any incident inquiry. No
I understand and agree that the personal information which I have provided may be used for purposes related to volunteering at BCS. Personal information given will only be used to maintain or enhance relationship with BCS.	I understand and agree that the personal information which I have provided may be used for purposes related to volunteering at BCS. Personal information given will only be used to maintain or enhance relationship with BCS. Yes	I understand and agree that the personal information which I have provided may be used for purposes related to volunteering at BCS. Personal information given will only be used to maintain or enhance relationship with BCS. No
I declare that all information given is accurate at the time of completion and understand that the approval of my application is subjected to the consideration of BCS.	I declare that all information given is accurate at the time of completion and understand that the approval of my application is subjected to the consideration of BCS. Yes	I declare that all information given is accurate at the time of completion and understand that the approval of my application is subjected to the consideration of BCS. No

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* 21. Volunteer Role

I understand the requirements of the different volunteer roles and am ready to commit

I wish to find out more