I want to be a friend!
Personal Details
Details & Reference Check
Select Youth
Personal Details
Name
Last 4 characters of NRIC
Gender
Male
Female
Birthdate
Contact Number
Email
Address Details
Postal Code
Retrieve
Street Name
Building Name
Unit / House No.
Other Details
Preferred Befriending Location
Please select option
North
South
East
West
Central
North-East
Interests / Hobbies / Skills
Please select option
Arts and Crafts (e.g., drawing, music, dance, photography)
Digital (digital devices, surfing the web, social media, coding)
Eating and Culinary (e.g. Baking, cooking, having meals together)
Nature and Outdoors (e.g., parks, malls, hiking)
Sports (e.g., ball games, cycling, running, swimming)
Stay-at-Home (e.g., computer games, board games, watching movies and shows)
Occupational Status
Please select option
Full-time
Part-time
Contract
Freelance
Do you have any medical conditions, disabilities, mental health
or specific needs that require accommodations?
Please provide details so we can ensure appropriate arrangements
are made to support your participation:
Yes
No
Declarations
Have you ever been charged with or convicted in a court of law in
Singapore or in any other country (other than for traffic violations or
misdemeanors)?
Yes
No
Are you aware of being under any current police investigations in
Singapore or in any country following allegations made against
you?
Yes
No
Part 1: Details & Reference Check
Next-of-Kin
Next-of-Kin Relationship
Next-of-Kin Contact no.
Name of Referee
Referee Contact No.
Referee Email
Other Details
Past Volunteering Experience
Do you have relatives/friends in Rainbow Centre?
(Please indicate full name, relationship and class for RC Students)
Yes
No
Why do you want to become a befriender?
I confirm that I have read and agree to Rainbow Centre’s
Privacy Statement
and I consent to the collection, use and disclosure of my personal data by Rainbow Centre for the purpose of the Good Life Befriender programme.
Part 2: Select Youth
Filter by
Preferred Location
All
North
South
East
West
Central
North-East
Gender
Male
Female
Availability
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Interest
Arts and Crafts
Digital
Eating and Culinary
Games
Nature and Outdoors
Sports
Stay-at-Home
Age
15 - 20
21 - 25
26 - 30
30 - 35
35 and older
Clear All
Filter
Filter by
Preferred Location
All
North
South
East
West
Central
North-East
Gender
Male
Female
Availability
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Interest
Arts and Crafts
Digital
Eating and Culinary
Games
Nature and Outdoors
Sports
Stay-at-Home
Age
15 - 20
21 - 25
26 - 30
30 - 35
35 and older
Clear All
Filter
Did you sign up for GLBF with a friend?
(If yes, type out his/her name and email)
Yes
No
Remarks
(E.g. only comfortable with being paired up with fellow befriender of a certain age of)
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