Lentor Health - Volunteer Application Form   义工活动--志愿者申请表格
On behalf of the Management of Lentor Health Group, we thank you for willingly to be our volunteer in our centre.

Kindly fill in the form and we will contact you after receiving your submission.

All application is subject to approval.

Thank you

代表Lentor Health 集团管理层，我们感谢您愿意成为我们中心的志愿者.

请填写表格，我们将在收到您的申请后与您联系。所有申请均需经批准.

谢谢

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Full Name as per NRIC  请填写您的全名(和身份证的名字相同) *
Short Name (preferred name to be addressed)   你希望别人怎么称呼你
Gender  性别 *
Date of Birth  出生日期
Nationality  国籍 *
Languages/Dialect Spoken (Can be multiple)  语言/方言（可选择多个答案） *
Required
Phone Number  电话号码 *
E-Mail  电子邮件地址
Which of our nursing home are your interested in volunteering with? (can tick more than one) 您有兴趣在我们哪一家中心做义工？（可选择多于一家）
Please indicate the activities for which you are available to volunteer (can tick more than one) 请标明您愿意做哪些义工活动 (可选择多于一项）

Do you have any health conditions or a history of convictions in the law that we should be aware of or that require notification?

您是否有需要通知我们或者应该让我们知晓有关您的任何健康状况或法律记录？

 *
By completing this form, you grant permission for Lentor Health staff to contact you regarding present and future volunteer opportunities. If you prefer not to be contacted, please inform us at any time.  通过填写此表格，您同意Lentor Health的工作人员与您联系，讨论当前和未来的志愿者机会。如果您不希望被联系，请随时通知我们。
 *
Thank you for your interest in volunteering with us. We will get back to you soon.

If you have any questions of feedback , please share with us. Thank you.

感谢您的爱心与付出，愿意成为我们的志愿者。我们将尽快与您联系。

如果您有任何问题或反馈意见， 请与我们分享。谢谢。

I hereby declare that the information furnished in this application is true and correct. 

I give consent to having my personal data collected, used and disclosed by Lentor Health for the purposes of the administration of my application to volunteer and all matters related to me being a volunteer.

I understand that any false or misleading information that I have given may result in the termination of my volunteer service as well as restricted or prohibited visitor access to Lentor Health Nursing Homes or Lentor Health Senior Care Centre.

我在此声明所提供的信息是真实而准确的。

我同意由 Lentor Health 收集、使用和披露我的个人数据，用于管理我的志愿者申请和与我作为志愿者相关的所有事务。

我明白，如果我提供了虚假或误导性的信息，可能会导致终止我的志愿服务，并限制或禁止我访问 Lentor Residence 疗养院 或 Lentor Health 老年日间护理活动中心


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