You can make a difference in needy lives if you have the time or resources. Please fill in the form below to join us as a volunteer!

Full Name
E-mail Address (if any)
Contact Number
Fax Number (if any)
Mobile / Pager Number (if any)
Date of Birth
Current Address

Zip Code/Postal Code

Education Level

GCE 'O' Levels GCE 'A' Levels
Degree & Above  

Religion / Church
Occupation
Company / School

Languages Spoken

English Mandarin
Malay Tamil
Others

Pls indicate days and times that you're available for voluntary work
Morning Afternoon Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Volunteer Activities

Are you prepared to undergo any training?
Yes No
Have you been a volunteer with any organization? 
Yes No
If so, which organization?

Pls state what you would like to do?

Paracounselling Organise outings and activites
Befriending Music enrichment lessons
Tutoring Administrative work
Teach computer skills Others

If others, pls specify
Any other experience, etc.

 

Copyright ©2004. Action Group for Mental Illness.

Website proudly sponsored by Technolabs.