Candidate's Interest Form
Thank you so much for expressing interest in the YMCA-Inclus Train & Place Series. Please fill in this form to help us get to know you better. One of our community partners will contact you soon upon receiving your form.
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Full Name *
Date of Birth *
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Mobile Number *
Email *
Are you currently employed?
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Which company are you currently working at or most recently worked for? *
If you have never been employed, please indicate 'Have never been employed'.
What is your current, or most recent previous, job role? *
If you have never been employed, please indicate 'Have never been employed'.
When did you start your current employment, or left your most recent employment? *
If you have never been employed, please indicate 'Have never been employed'.
Are you currently studying? *
Highest Level of Education *
At which school did you pursue your highest level of education? *
What is your special needs condition? *
Please describe more about your special needs condition. *
In which year were you diagnosed with your special needs condition? *
Please share any ongoing therapy that you have *
If you do not have any ongoing therapy, please indicate 'None'.
Please share your medical history *
If you do not have any medical history, please indicate 'None'.
Are you fully vaccinated? *
Which Social Service Agency are you currently supported by? *
e.g. SPD, ARC, MINDS. If you are not supported by any agency, please indicate 'None'.
Who is your primary caregiver? *
Caregiver's Name *
Caregiver's Mobile Number *
Caregiver's Occupation *
If your caregiver is not working, please indicate 'Full-time Caregiver'.
Are you able to travel independently? *
Why do you want to work? *
What are your hobbies and interests? *
Did anyone help you with filling this form? *
How did you find out about this programme? *
Is there anything else that you wish to let us know? *
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