* mandatory fields
Salutation:
Please select
Dr.
Mr.
Ms.
Mdm.
*
Name:
*
NRIC no.:
*
D.O.B. :
(dd/mm/yyyy)
E-mail address:
*
Contact no.:
*
Mobile no.:
*
Address:
*
Postal code:
*
Occupation:
Volunteerism experience
(if any):
Religion:
Knowledge of languages:
Spoken
Written
English
English
Mandarin
Mandarin
Malay
Malay
Tamil
Tamil
Level of commitment:
Please select
At least once a week
Once in 2 weeks
Once a month
Ad-hoc basis
*
Others
(please specify):
Training request:
Yes
No
Note: Training for Volunteers
Methods of training will be in accordance to individual/group needs. This may be in the form of classroom teaching and/or on-the-job training.
Terms of agreement
a.I understand that by submitting this application, I agree to be interviewed by the volunteer co-ordinator and accept the hospital's decision on my suitability in the area of voluntary work I signed up for.
Confidentiality
a.The hospital places great emphasis on confidentiality, thus volunteers are requested not to break this code. Information on patients’ diagnosis, treatment and condition must not be released.