29 September 2018

Samaritans of Singapore
Volunteer Registration Form

We thank you for your interest in Samaritans of Singapore.

Your information will be treated with strict confidentiality.

Personal Data
Full Name / (Surname) / Mailing
Address / (Only applicants based in Singapore are eligible)
(Given Name)
NRIC/ FIN
Email Address
(If checked regularly) / Phone / (Home) / (Mobile)
Ethnic Group / Chinese Caucasian
Malay Others:
Indian
Eurasian / Religion / Buddhism Taoism
Christianity None
Hinduism Others:
Islam
Nationality / Citizenship
Date of Birth (Your age) / () / Gender / M F
Marital Status / No. of Children (Their age)
Education
Highest Level Attained / Other Qualifications
Languages or Dialects spoken, in addition to English:
Cantonese Hindi Hainanese Hokkien Mandarin Malay
Teochew Tamil Others
Employment
Occupation / Admin/Hr/Acc/Finance Healthcare/Social svc Retired Arts/Media/Comm
Homemaker Sales/Mkting/Svc Edn/Training Lawyer/Legal svc
Self-employed Eng/Tech/IT Mfg/Construction/Log Others:
Organisation
Working Hours
How often do you travel overseas?
Availability for Training
Please indicate in the box provided which training schedule is suitable for you. You can indicate more than 1 option.
Day Training / One weekday afternoon per week, 2pm - 5pm / YES / NO
Evening Training / One weekday evening per week, 7pm - 10pm / YES / NO
Weekend Training / One Saturday afternoon per week, 2pm - 5pm / YES / NO
Volunteer History
Have you worked as a volunteer? (If yes, please give some details)
How did you learn about SOS?
(Please specify type of media & name of publication e.g. Newspaper: The Straits Times or Radio: FM 93.8, etc.)
  • Newspaper (please specify)
  • Radio (please specify)
  • Recommendation (Name of person)
  • Others (please specify)

What makes you interested in joining SOS now?
Which of the following statements best describes your reason for volunteering with SOS?(Please choose only 2)
“People I know share an interest in community service.”
“It would help me explore my career options.”
“It allows me to learn about myself & others.”
“It’s my way of doing something for others.”
“It would make me feel better about myself.”
“It might help me escape from my own troubles.”
Describe briefly 2 persons who had an impact on your personal life and development.
Commitment
Volunteering with SOS is a serious commitment, and we would like you to consider our list of requirements below. Are you willing to stand by this moral obligation to the best of your ability?
YES / NO
  • I can attend volunteer training once a week for 1 year.

  • I can serve for an additional 2 years after completion of training.

  • I can meet the requirement of 1 duty per week.

  • I can meet the requirement of 1 overnight duty per month.

  • I can be on emergency stand-by once every month.

  • I can maintain confidentiality about SOS operations & client information.

  • I can maintain anonymity & not tell others about my SOS involvement.

SOS Policy
It is SOS Policy for us to ask you the following questions.
Please answer them truthfully, & you will also have the opportunity to clarify further at the volunteer interview.
  • Have you been convicted in a court of law in any other country?
/ YES / NO
  • Are you aware of being under any current police investigations in Singapore or in any other country, as a result of allegations made against you?
/ YES
/ NO
Terms & Conditions
  • I understand that by submitting this application, I agree to come for an interview with the Selection Committee.
  • I also agree to accept the decision of the Committee on my suitability for SOS Volunteer Work.
  • I fully understand and agree that the personal information which I have provided to SOS may be used to contact me for purposes related to the services SOS is providing or had provided me with.

Signature: / Date:
Comments
In the space below please feel free to put down any comments or questions you have.

We thank you for your interest in Samaritans of Singapore.

You will be hearing from us. Please contact us if you have not heard from us after 1 week.

Admin telephone: 6221-2122 (Mondays - Saturdays, 9am - 6pm), Email:

Mailing Address: Block 10, Cantonment Close #01-01, Singapore 080010

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