APR '08 : ISSUE 1  
 
WOK THE TALK
Ambassador application form

   
 

Want to share your passion on healthy cooking with your colleagues and family members? Join ‘Wok the Talk’ and be a healthy cooking ambassador!

About Wok the Talk
Wok the Talk is a programme that provides training to the healthy cooking enthusiasts and enables them to share the healthy cooking messages with their family and peers.

Qualified participants of Wok the Talk Ambassador will attend few sessions of training on nutrition, cooking techniques, cookery wares, food safety and presentation skills.

After the training, the ambassadors will conduct sharing sessions for their colleagues and family members. Sounds like fun? Send us your registration form now!

 
 
First Name :
Surname :
NRIC/Passport Number :
Age :
Gender : Male Female
Address :
Email :
Contact Number (Mobile) :
Contact Number (Home) :
Education Level : Primary Secondary Tertiary
Language Spoken :
English
Mandarin
Malay
Tamil
  Others, pls specify
     
 
 
1.
How many sessions of training are you willing to attend?
 
1 - 2
3 - 4
5 - 6
   
2. What is the training duration that is comfortable for you?
 
2 Hours
3 Hours
4 Hours
5 Hours and more
   
3. How often are you willing to conduct sharing sessions?
 
once every 2 week
once a month
once every 2 months
  others, pls specify
   
4. Which location would be convenient for you to conduct the sharing sessions? (you may choose more than one)
 
Community centres
Health Promotion Board (near to Outram Park mrt)
Ikea (Alexandra Road or Tampines)
Places of worship (Churches, temples, mosques etc)
Your home
Your workplace
  others, pls specify
   
5. When is the convenient time for you to conduct the sharing sessions?
 
Saturdays
Sundays
Weekday, day time
Weekday, night time
   
6. Do you mind travelling to an area that is far from your housing area/workplace to conduct the sharing session? (transportation reimbursement will be given)
 
No
  Yes, pls specify area that you are willing to conduct the sharing sessions
   
7. Have you attended any of the following before? (you may choose more than one)
 
Healthy cooking classes
Nutrition talk/ workshop
  Others, pls specify:
   

8.

What motivates you to be a Wok the Talk Ambassador?
 
   
9. How do you come to know about Wok the Talk programme?
 
Workplace
Community centres
TV/ Radio/Media coverage
HPB’s Health@Work enewsletter
Friends
  others, pls specify
   
   
   
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