Safe Place Volunteer Application Form

SAFE PLACE VOLUNTEER APPLICATION FORM
PERSONAL INFORMATION
Full Name *

First Name Last Name
Gender *

Male Female
Age *

Below 25 years old 26-35 years old 36-45 46-55 56-65 66 and above
Nationality *
Religion
Marital Status
E-mail *
Phone Number *

Area Code Phone Number

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Where did you hear about Safe Place? *

Social media platforms (i.e. Facebook, Instagram, etc) Internet search (i.e. google, etc) TV, news, magazines, etc Word of mouth (i.e. friends, instituitions, etc) Safe Place / Lakeside Family Services Events
VOLUNTEERING INFORMATION
Areas of interest *

Basic Baby Care Support Confinement Support (Trained) Medical - General Practitioners, Gynaecologists, Paediatricians, etc Legal Office Support (e.g. Admin, Design, etc) Fundraising Provide Employment Provide Transport Trainer (e.g. Pre and postnatal, nutrition, etc) Facilities Maintenance
Please provide a short summary of your area of expertise: *
E.g. I have worked in the childcare industry for more than 5 years.
Availability (Days) *

Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Availability (Timing) *

10:30 am - 2:00 pm 1:30 pm - 5:00 pm 5:00 pm - 8:00 pm 7:00 pm - 10:00 pm
Frequency *

Weekly Monthly Quarterly
When can you start volunteering? *

Immediate
DECLARATION AND CONSENT
1. I acknowledge that the information provided is accurate, and agree for Safe Place to store the above information and contact me for any suitable volunteering opportunities in the future. I may write to Safe Place if I wish to withdraw my information from the volunteer database.

2. I fully understand and agree that the personal information which I have provided to Safe Place about myself may be disclosed to other agencies or individuals for the purpose(s) of my volunteering involvement.
Please check this box: *

I agree to the above statements.
PERSONAL DATA PROTECTION
Safe Place is committed to safeguarding your personal data and have put in place processes and internal procedures that comply with the PDPA. Your personal information is collected, retained and used only for your volunteering engagement.
Please check this box: *

I agree to provide my personal data to Safe Place for the purpose(s) of my volunteering involvement.
Additional Remarks / Comments:
Thank you for your interest in volunteering at Safe Place. Should you be shortlisted, we will contact you within 2 weeks. Thank you for your patience!

For more information about volunteering, contact us at safeplace@lakeside.org.sg or call +65 6817 4202.
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SAFE PLACE VOLUNTEER APPLICATION FORM