St. John - St. Margaret's Church Befriender Registration Form

Befriender Details

Image:

Salutation

Mrs

Mdm

Gender

Male

Female

Full Name as NRIC / Passport

NRIC / Passport No.

Date of Birth

Nationality

Ethnic Group

Nationality Other:

Ethnic Other:

Marital Status

Religion

Marital Other:

Religion Other:

Church Attending

Email of Reference Checker

Church Attending Others

Have you attended SJSM’s Befriender Training Course

Yes

Other Befriender Training

Contact Details

Mobile No

Home Tel

Residential Details

Postal Code

Street Name

Building Name

Unit Number

—

Emergency Contact Details

Contact Person

Relationship

Telephone

Postal Code

Street Name

Building Name

Unit Number

—

Befriending Details

Befriending Commitment Period

1 Year

Adhoc

Others

Availability

Time	Mon	Tues	Wed	Thurs	Fri	Sat	Sun
9am-12pm
1pm-5pm

Interested Area (s) of Befriending / Volunteering?

Pastoral Care

Pastoral Befriending

Visitation (Home, Hospital)

Chinese Chapel Service

English Chapel Service

Others

Professional Services

Medical (doctor, dentist, nurse)

Allied Care (OT/PT/ST)

Finance

Legal

Education (Teacher / Trainer)

Pharmacy

Others

Befriender Registration Form

Befriender Details

Contact Details

Residential Details

Emergency Contact Details

Background Information

Occupation Details:

Language Details

Befriending Details

Befriending Commitment Period

Interested Area (s) of Befriending / Volunteering?

Declaration

Statement of Undertaking: