Application

Application for Wellbeing Champion

Please fill in your personal details below. We'll be in touch shortly. Thank you.

Full Name (as shown on NRIC/Passport)

Given Name (or name you want to be called)

Mobile

Gender

Female

Male

Others

Date of Birth

Nationality

Last 4 Digit of Your Identity (NRIC, FIN, Passport No)

Company

Your Occupation

Your Professional / Work Experience(s) (please elaborate)

Years of Work Experience

Your Interests / Hobbies

Any Personal or Psychological Concerns? Please tell us more.

Your Short Bio

Where did you hear about us?

Events

Friends or Family

Mass Media (eg. articles, TV, radio or posters)

Others

School / IHL

Social Media

Youtube

Have You Volunteered before? Please elaborate.

Your Goals & Objectives to join the OTR Academy (please elaborate)

Your LinkedIn Profile

Terms & Conditions

I declare that all information given in this application is true and correct and that I have not wilfully suppressed any material fact.

Personal Data Protection Act (PDPA)

We value your privacy and confidentiality, personal information are managed in accordance to the guidelines under Personal Data Protection Act (PDPA) in Singapore.

By completing this form, you allow Over-The-Rainbow to obtain and use this information to process your registration and agree to be contacted by us via the mode of communications provided related to all OTR activities and/or programs.

Reference

Stage of Application

OTR Academy

Destination