Beneficiary Sign-up for (1) Health Education for Seniors (2) Savvy Seniors
Thank you for your interest in supporting our programmes. Together let us bring hope and change lives.
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Email *
Your Full Name (as per NRIC) *
Your Contact Number *
Your Age *
Your Gender *
Language You Can Speak *
Required
Where are you from? Please select one. *
Which programme are you interested to participate in? *
Required
Who are you staying with? *
Would you prefer meeting online via Zoom or for volunteers to visit you at home? *
Required
What are your availability for volunteers to visit you? *
10am - 12pm
2pm - 4pm
4pm - 6pm
8pm - 10pm
Not available
Monday - Friday
Saturday
Sunday
Do you currently use a smartphone? *
Have you been vaccinated yet? (in preparation for face to face option, when feasible) *
Yes
No
Completed 2nd vaccine shot
HOPE worldwide Singapore is committed to handling your personal data with care and privacy under the Personal Data Protection Act (PDPA). I consent to the management of my personal data as stated in the Privacy Notice published on HOPE worldwide Singapore website. I also consent to the use of photos, interviews and recordings taken during events that I have attended for publicity purposes. *
Required
Thank you for expressing your interest in our programmes!
For further clarification please contact
Joyce Tan: 93803004 / joyce_tan@hopewwsea.org
Adrian Ng: 96281148 / adrian_ng@hopewwsea.org
Anne Tan: 97986335 / anne_tan@hopewwsea.org
A copy of your responses will be emailed to the address you provided.
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