EmailMe Form - Oogachaga Volunteer Counsellor Application

A. Personal Details

1. Full Name
[as it appears on official documents] *

2. Your Name
[how you prefer to be addressed] *

3a. Contact Number (hp) *

3b. Alternative Contact Number

4. Email Address *

Confirm Email Address

5. Home Address *

6. Date of Birth *

DD / MM / YYYY

7. Ethnicity *

8. Nationality *

Singapore Citizen

Singapore Permanent Resident

My nationality is:

9. Religion *

10a. Current Gender Identity *

Man

Woman

Nonbinary

My gender identity is:

10b. Gender Pronouns *

He/ Him

She/ Her

They/ Them

My gender pronouns are:

10c. Do you identify as *

Cisgender (a person whose gender identity matches the sex they were given at birth)

Transgender (a person whose gender identity does not match the sex they were given at birth)

11. Sexual Orientation *

12. Are you comfortable with your gender identity/ sexual orientation? *

13. Are you comfortable being publicly identified as an Oogachaga volunteer? *

Yes

No

Maybe, depends (pls specify)

B. Relevant Professional Education in Counselling, Social Work or Psychology

14. Highest Level Attained

15. Field of Study & Educational Institution

Please upload your professional resume, as well as relevant professional affiliations or qualifications in the fields of counselling, social work and/ or psychology. *

16a. Apart from English, what other language(s) are you able to speak? *

Others, pls specify

16b. Apart from English, what other language(s) are you able to write? *

Others, pls specify

C. Current Employment

17. Occupation & Job Designation

18. Name of Company/ Organization

19. Working hours & frequency of overseas travel [if any]

D. Volunteer Experience

20. Have you previously or currently worked as a volunteer?
[If yes, please provide some details] *

21. How did you find out about Oogachaga? *

22. Which of the following statements best describes your thoughts about volunteering with Oogachaga?
[please choose only 2] *

It might help me explore my own career options.

Volunteering would make me feel better about myself.

It’s important that I do something by volunteering in the community.

Volunteering would give me a break from my own concerns.

It will connect me with others with similar interests.

Volunteering helps me better understand myself and others.

23. What makes you interested in volunteering with Oogachaga now?
[You can elaborate more on your 2 options for Q23.] *

E. Volunteering with Oogachaga

24. Which Oogachaga service(s) are you interested in volunteering with? [we are currently only recruiting qualified volunteers for face-to-face counselling] *

Face-to-face counselling [professional qualifications required]

25. How long can you commit to volunteering with Oogachaga? *

Less than 6 months.

Between 6 to 12 months.

More than 1 year.

Others (please elaborate)

26. How often can you commit to volunteering with Oogachaga? *

F. General Information

It is Oogachaga's policy for us to ask these personal questions. You will have the opportunity to clarify if you wish.

27. Are there any health conditions that we should be made aware of?
[This will allow the organisation to better handle medical emergencies should any occur.] *

No

Yes (pls elaborate)

28. Have you been convicted in a court of law in Singapore or any other country? *

No

Yes (pls elaborate)

29. Are you aware of being under any current police investigations in Singapore or in any other country, as a result of allegations made against you? *

No

Yes (pls elaborate)

F. Emergency Contact Person

Please tell us who to contact in case of an emergency.

Name *

Contact Number *

Relationship to Self *

We thank you for your interest in Oogachaga.

We apologise that only shortlisted applicants will be notified to attend a face-to-face interview.

By submitting this form, I give my consent for Oogachaga to collect, use and disclose the information for confidential and non-commercial purposes only, in accordance with the Personal Data Protection Act 2012. *

I agree.