Name *

First Name

Last Name

Languages you are fluent in *

English

Mandarin

Tamil

Others

Which role are you interested to volunteer in? *

*You must be 21 years old and above.

Faith-based Programs Facilitator

Social Programs Facilitator

Befriender*

Driver

Fundraising / Networking

Sports Participant

Media Creative

Events Support

Admin Support

Language Interpreter

Other

Have you been vaccinated for COVID-19? *

Yes

No

No, declined on Medical Grounds

If you have had your 2nd Covid19 Vaccine Jab, please indicate the date.

MM

DD

YYYY

Declaration and Consent *

1. I verify that the above information is correct to the best of my knowledge I and accept that providing false information deliberately could result in my dismissal. If accepted, I agree to abide by the condition laid down by Teen Challenge (Singapore) and Prisons Department regulating my duties as a Volunteer. 2. I consent to the collection, use, and disclosure of my personal data submitted through this Volunteer Application Form by the following: 2a. Teen Challenge (Singapore) & their Volunteer Managers for the purpose of making a decision on whether or not to accept me as a volunteer to Teen Challenge (Singapore). We reserve the right to conduct background and reference checks on all our volunteers. Teen Challenge (Singapore) and their Volunteer Managers may contact me regarding my application by means of SMSes, WhatsApp messages, and/or voice calls, 2b. disclosing such personal data to the Singapore Prisons Service to enable the Singapore Prisons Service to carry out any and all necessary security screening on me from time to time, and 2c. upon successful security screening, using such personal data to allocate and schedule voluntary prison-based activities for me having regard to my availability and interests indicated in this Teen Challenge Volunteer Application Form (including disclosing it if necessary to the Singapore Prisons Service for this purpose). 3. In accordance to the Singapore Personal Data Protection Act 2012 (PDPA), you may exercise your right to access, modify, and/or delete your registered records submitted to Teen Challenge (Singapore). For enquiries, please write to the Teen Challenge (Singapore) Data Protection Officer via email info@teenchallenge.org.sg.

I agree to all the above declarations.