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APPLICATION FOR ACCREDITATION TO PREPARE ADOPTION HOME STUDY REPORTS
PART I - PARTICULARS OF VOLUNTARY WELFARE ORGANISATION/NON-PROFIT ORGANISATION
1)
(a)
Name of Centre/VWO
If you are part of a main organisation,
please state the name of your parent
organisation below in (b)
Agency
Address of Operation
Block/House No.
HouseNo
Street Name
txtStreetName
Floor No. - Unit No.
txtUnitNo
#
-
txtUnitNo
Building Name
txtUnitNo
Postal Code
txtUnitNo
Email Address
txtUnitNo
Tel. No.
txtUnitNo
Fax No.
txtUnitNo
Head of Centre/VWO
Name
txtHeadName
Designation
txtHeadName
(b)
If Centre/VWO reports to a parents
organisation:
Name of Main/Parent Organisation
txtHeadName
Address
Block/House No.
txtHeadName
Street Name
txtParentOrgStreetName
Floor No. - Unit No.
txtParentOrgStreetName
#
-
txtParentOrgStreetName
Building Name
txtParentOrgStreetName
Postal Code
txtParentOrgStreetName
Email Address
txtParentOrgStreetName
2)
Membership
Please tick if you are:
txtParentOrgStreetName
affiliated to the National Council of Social Service (NCSS)
txtParentOrgStreetName
registered under the Registry of Societies;
Date:
& Registration No.
txtParentOrgStreetName
registered under the Accounting And Corporate Regulatory Authority(ACRA),
Date:
txtParentOrgStreetName
& Registration No.
txtParentOrgStreetName
gazetted as a charity under the Charities Act,
date gazetted
txtParentOrgStreetName
PART II HISTORY & INFORMATION OF Centre/VWO
3)
Date of Establishment
4)
Mission Statement & Objectives of Centre/VWO
5)
Brief History of Centre/VWO(Please include a short description of the parent organisation, if applicable)
6)
Activities or Programmes of Centre/VWO (Please state all activities that are run for Children & Young Persons, Family and Parenthood related, etc .)
S/No
Type
Name of Programme
Description
Date of commencement
Frequency
Fee Charge (Y/N)
Fee Charge (S$)
Edit/Delete
Adhoc
Daily
Fortnightly
Monthly
Quarterly
Regular
Weekly
Yes
No
Add
7)
Members of Management Committee
S/No
Name
Designation in Management Office
Profession
Relevant Experience in the Social Service Sector (Years)
Edit/Delete
Add
8)
Centre/VWO's Organisation Chart(please include head of Centre/VWO and line of reporting by department)
9)
Does the Centre/VWO conduct recruitment screening for staff? Are there procedures to check on criminal conviction of staff(e.g. sexual or violent offenses)?
10)
What kind of Training does the Centre/VWO provide for the professional development and enrichment of your staff?
11)
Does the Centre/VWO recruit volunteers and what kind of activities are they engaged in?
12)
What kind of filling system does the Centre/VWO maintain?
13)
Does the Centre/VWO have the system of evaluation for its programmes and organisational needs (e.g. feedback, scope effectiveness, review needs)
14)
Elaborate your agency's existing Network & Collaboration with different Community Organizations and VWOs
15)
Main Sources of Funding for Centre/VWO's Activities (Please attach your Centre/VWO's audited statement of accounts for the last 3 financial years
Please tick where appropriate
Community Chest
txtDecFloorNo
Government,
please specify
txtDecFloorNo
txtDecFloorNo
Other funds/Foundation,
please specify
txtDecFloorNo
txtDecFloorNo
None of the above (Fund raising/Fees Charging)
,
PART III - DECLARATION
Particulars of Person Making Application on behalf of Organisation
Name
txtDecFloorNo
NRIC/FIN No.
txtDecFloorNo
Email Address
txtDecFloorNo
Designation in Organisation
txtDecFloorNo
Contact Address
Block/House No.
txtDecFloorNo
Street Name
txtDecFloorNo
Floor No. - Unit No.
txtDecFloorNo
#
-
txtDecUnitNo
Building Name
Postal Code
Contact Tel No.
ANNEX A
Details of proposed accredited team
Particulars of Chief Signatory Officer/Assessor
Type
Chief Signatory Officer
Assessor
Name
NRIC/FIN No.
Email Address
Designation in VWO
Job description of their current position
Work experience in social work/related human services
year(s)
Work Type
Fulltime
Part time
Casual
EMPLOYMENT HISTORY
S/No
Period
Name of Company
Designation
Remarks
Edit/Delete
from
to
Add
Qualifications:
*
Diploma/Degree equivalent in social work
Diploma/Degree equivalent in psychology
Diploma/Degree equivalent in counselling
Diploma/equivalent in related human services.
Please specify:
Institution where qualifications were obtained
For accreditation/renewal, please indicate the no. of HSRs prepared
Language Proficiency
Spoken
English
Mandarin
Malay
Tamil
Others
Written
English
Chinese
Malay
Tamil
ATTACHMENT
Please attach
(i) background information on your organisation as requested in the attachment;
(ii) your organisation's
audited statement of accounts
for the last 3 financial years;
(iii) an extract of your organisation's Constitution;
(iv) copies of identity card/passport, academic and professional certificates, and curriculum vitae of
Chief Signatory Officer
; and
(v) copies of identity card/Passport and Employment Pass, academic and professional certificates, curriculum vitae of
Assessors,
and a written statement from the Executive Director of agency to state that the Assessors have met all the training requirements.
(vi) Please attach the detailed proposal with this application form. The detailed proposal should cover the key areas which includes the following:
A.
Reason for interest in Adoption Work. Relevance of the Accreditation for HSR's purpose and objectives in relation to the Centre/VWO's Mission, objectives and functional goals?
B.
Method of Service Delivery
Procedural Plans; Intake and timeline
Methods to gather client's information
Include flowchart
C.
The proposed Accredited Team must include at least 1 Chief Signatory Officer and 2 Assessors. Please fill up Annex A and submit copies of their academic and professional certificates and curriculum vitae.
D.
Proposed fee structure (Please refer to Annex B for a sample)
E.
Other services the Centre/VWO will offer and Centre/VWO's plans to collaborate and network with different community organisations and VWOs with the goal to provide assistance to adoptive parents and adopted children
F.
Publicity and Outreach plans.
Note: Compile all documents in one pdf file.
DECLARATION
*
I hereby declare that the particulars given in this application are true. I understand that the government reserves the right to reject my application, and that the reason(s) for which the application is rejected need not necessarily be disclosed. I also understand that the Government reserves the right to suspend the accreditation during the period it is carrying out investigations into complaints against the organisation, the Chief Signatory Officer or the Assessors.
Confirmation
Confirmation
Confirmation
Notification
Confirmation
Confirmation
MINISTRY OF SOCIAL AND FAMILY DEVELOPMENT
ADOPTION PORTAL
Contact Info
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Last Updated on 19 May 2023