Volunteer Registration Form

Profile

Salutation
Full Name
Gender
Date Of Birth
Email ID
Mobile Phone
Residential Home Address
Postal Code
Marital Status
Race
Religion
Occupation
Name of Employer
Emergency Contact Name
Relationship
Emergency Contact Number
Volunteer Type
Volunteer Category
Preferred Session
Preferred Days of Volunteer
Preferred Frequency
Highest Educational Level Attained
Language Proficiency(Written)
Excellent Good Fair N.A.
English
Mandarin
Malay
Tamil
Others
Language Proficiency(Spoken)
Excellent Good Fair N.A.
English
Mandarin
Malay
Tamil
Others
Are you referred by someone to join us as a volunteer?
Are you a family member of a staff or director of ISCOS or NeuGen?

Areas of Interest & Skills

I am keen in volunteering in these areas
Specializations
Interested roles
Hobbies & Interests
Driving Licence
Do you own a vehicle?
Why do you wish to volunteer for Us

Please tell us what you hope to gain from volunteering with us:

Boost Confidence

Have fun

New Challenges

Work experience

Share skills

Learn something new

Improve career prospect

Meet new people

Help conserve or heritage

Others

Volunteer History

Organization Role Volunteer Period Action

Character Reference

Name Email Address Contact No Relationship Action

Important Information

Do you have any criminal records?
Do you have any pending case at present?
Are any of your close friends/relatives serving prison sentences or have been imprisoned in the past?
Do you have any medical conditions?

Other Information

How did you learn about us?
You would like to receive updates and news from us through:

Declaration

Volunteers’ Undertaking, Declaration and PDPA Consent Clause

  1. In accordance with the Personal Data Protection Act, I hereby give my consent for NeuGen to collect, use and disclose my personal data for any matters relating to my volunteer service.
  2. I allow NeuGen to use my personal data (name, photographs or videos taken of me during different events) for both internal & external publicity purposes.
  3. I accept that I may be subject to a screening process prior to confirmation for the use of my services. This is subjected to as per case-by-case basis.
  4. I agree that NeuGen reserves the right to reject my application, should there be any conflicting reason to do so.
  5. I understand that participating in the programmes/activities of NeuGen involves a certain level of risks. The organisation will not be held liable for any costs, damages, charges and expenses OR injuries, loss and damage incurred during my participation of the programmes/activities.
  6. Consent withdrawal – I may also withdraw my consent to the use and disclosure of my personal data for receiving emails, calls or appeal letters with regards to volunteer opportunities when I do not feel comfortable receiving any more information.

Volunteer Confidentiality Agreement

The agreement applies to all volunteers associated with and/or involved in the activities of NeuGen. All data, materials, knowledge and information generated through, originated from, or having to do with NeuGen or individuals associated with our activities are to be considered privileged and confidential and is not to be disclosed to any third party. Such information can be in these formats but not limited to pages, forms, documents, designs, conversations, messages (received or transmitted), resources, contacts, photographs and is the sole property of NeuGen. I will seek consent in writing with management of NeuGen if there is a need for such information to be retained. I also understand that the consent for the information to be released is subject to the approval of management. In the event of any breach of confidentiality, my volunteering service will be terminated. I may also face legal action in the event NeuGen seeks compensation for any claims, damages or losses suffered as a result of or in connection with such breach. This Volunteer Confidentiality Agreement is deemed valid throughout the duration of my volunteering service. I acknowledge and accept that my agreement herein survives the termination or resignation of my volunteering service with NeuGen.