| DESIRED AREA OF CONTRIBUTION |
| Select any that apply: |
Programmes
Gaming Mentor
Research & Development
Cyber Wellness Journalist
Para-Counselling
Others |
| Your availability for voluntary work is on: |
Morning
Afternoon
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| The frequency of your voluntary work is: |
Daily
Weekly
Bi-weekly
Monthly
Others (Please specify)
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| Do you anticipate any changes to your time commitment? |
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| PERSONAL INFORMATION |
| Name (as in NRIC): |
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| NRIC/FIN No.: |
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| Gender: |
Male
Female |
| Date of Birth: |
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| Nationality: |
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| Marital Status: |
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| Race: |
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| Religion: |
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| Highest Education: |
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| Occupation: |
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| School (Course,Year) / Company: |
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| Address: |
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| Tel (H): |
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| Tel (HP): |
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| MSN: |
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| Email 1: |
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| Internet Nickname: (Optional) |
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| Email 2: (Optional) |
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| Hours spent on the Internet per week: |
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| What do you do on the Internet: |
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| Please state any previous involvement in TOUCH Community Services & its subsidiaries (include year of involvement): |
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| CORE CURRICULUM ACTIVITIES (INCLUDING POSITIONS HELD) AND HOBBIES |
| Secondary: |
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| College: |
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| University: |
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| Hobbies: |
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| CHARACTER REFEREES |
| [Character Referee 1] Name: |
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| [Character Referee 1] Relationship: |
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| [Character Referee 1] Occupation: |
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| [Character Referee 1] Contact No.: |
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| [Character Referee 2] Name: |
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| [Character Referee 2] Relationship: |
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| [Character Referee 2] Occupation: |
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| [Character Referee 2] Contact No.: |
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| PRE-INTERVIEW QUESTIONNAIRE |
| Please answer all questions. Give us your honest answers, straight from the heart. |
| How do you think pornography affects youths? |
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| What is your stand on lying to protect oneself? |
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| What amount of Computer Gaming do you recommend for young people at (a) 6 years old; (b) 10 years old;
(c) 14 years old; (d) 20 years old? |
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| How do you reconcile family involvement and personal freedom in the life of a teenager? |
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| What do you think cause youths to be addicted to virtual reality? |
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| Why are you interested to volunteer in CRuSH? |
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| What qualities do you have that can help you be a successful volunteer with us? |
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| DECLARATION |
| I hereby declare that the information on this form is true and accurate. I understand
that my application to volunteer is subject to the approval of TOUCH Cyber Wellness. |
| I Agree |
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