First Name

Last Name

Email

Mobile Number

Birth Date (DD/MM/YYYY)

NRIC (Last 3 numbers + Letter) e.g. 123B

Gender Male Female

Race Malay Indian Chinese Others

Specify Other Race

Are you in secondary school? Yes No

Which school are you from? Admiralty Secondary School Ahmad Ibrahim Secondary School Ahmad Ibrahim Secondary School Anglican High School Anglo-Chinese School (Barker Road) Anglo-Chinese School (Independent) Ang Mo Kio Secondary School Assumption English School Bartley Secondary School Beatty Secondary School Bedok Green Secondary School Bedok South Secondary School Bedok View Secondary School Bendemeer Secondary School Boon Lay Secondary School Bowen Secondary School Broadrick Secondary School Bukit Batok Secondary School Bukit Merah Secondary School Bukit Panjang Government High School Bukit View Secondary School Catholic High School Canberra Secondary School Cedar Girls' Secondary School Changkat Changi Secondary School CHIJ Katong Convent (Secondary) CHIJ Secondary (Toa Payoh) CHIJ St. Joseph's Convent CHIJ St. Nicholas Girls' School CHIJ St. Theresa's Convent Chua Chu Kang Secondary School Christ Church Secondary School Chung Cheng High School (Main) Chung Cheng High School (Yishun) Clementi Town Secondary School Commonwealth Secondary School Compassvale Secondary School Crescent Girls' School Damai Secondary School Deyi Secondary School Dunearn Secondary School Dunman High School Dunman Secondary School East Spring Secondary School Edgefield Secondary School Evergreen Secondary School Fairfield Methodist Secondary School Fajar Secondary School Fuchun Secondary School Fuhua Secondary School Gan Eng Seng School Geylang Methodist School (Secondary) Greendale Secondary School Greenridge Secondary School Guangyang Secondary School Hai Sing Catholic School Hillgrove Secondary School Holy Innocents' High School Hong Kah Secondary School Hougang Secondary School Hua Yi Secondary School Hwa Chong Institution Junyuan Secondary School Jurong Secondary School Jurong West Secondary School Jurongville Secondary School Juying Secondary School Kent Ridge Secondary School Kranji Secondary School Kuo Chuan Presbyterian Secondary School Loyang View Secondary School Manjusri Secondary School Maris Stella High School Marsiling Secondary School Mayflower Secondary School Meridian Secondary School Methodist Girls' School (Secondary) Montfort Secondary School Nan Chiau High School Nan Hua High School Nanyang Girls' High School National Junior College Naval Base Secondary School New Town Secondary School Ngee Ann Secondary School North Vista Secondary School Northbrooks Secondary School Northland Secondary School NUS High School of Mathematics and Science Orchid Park Secondary School Outram Secondary School Pasir Ris Crest Secondary School Pasir Ris Secondary School Paya Lebar Methodist Girls' School (Secondary) Pei Hwa Secondary School Peicai Secondary School Peirce Secondary School Ping Yi Secondary School Presbyterian High School Punggol Secondary School Queenstown Secondary School Queensway Secondary School Raffles Girls' School (Secondary) Raffles Institution Regent Secondary School Riverside Secondary School River Valley High School St. Andrew's Secondary School St. Patrick's School School of Science and Technology, Singapore School of the Arts, Singapore Sembawang Secondary School Seng Kang Secondary School Serangoon Garden Secondary School Serangoon Secondary School Shuqun Secondary School Singapore Chinese Girls' School Singapore Sports School Springfield Secondary School St. Anthony's Canossian Secondary School St. Gabriel's Secondary School St. Hilda's Secondary School St. Margaret's Secondary School St. Joseph's Institution Swiss Cottage Secondary School Tanglin Secondary School Tampines Secondary School Tanjong Katong Girls' School Tanjong Katong Secondary School Teck Whye Secondary School Temasek Junior College Temasek Secondary School Unity Secondary School Victoria School West Spring Secondary School Westwood Secondary School Whitley Secondary School Woodgrove Secondary School Woodlands Ring Secondary School Woodlands Secondary School Xinmin Secondary School Yio Chu Kang Secondary School Yishun Secondary School Yishun Town Secondary School Yuan Ching Secondary School Yuhua Secondary School Yusof Ishak Secondary School Yuying Secondary School Zhenghua Secondary School Zhonghua Secondary School

Which stream are you from? Express Normal (Acad) Normal (Tech) Madrasah IP

Which secondary level are you at? Secondary 1 Secondary 2 Secondary 3 Secondary 4 Secondary 5

Next of Kin Name

Next of Kin Mobile Number

Next of Kin Email

Do you have any Drug/Food Allergies? Yes No

Do you have any Health Condition? Yes No

If yes, please specify

Are you studying or working? Studying Working Studying and Working Neither

Designation

Which company are you working at?

Industry Architecture & Building Business & Finance Design Education Engineering Government Healthcare Infocomm & Technology Law Media Non-Profit / NGO Science & Research Social Work / Services Uniformed Services Other

Other Industry

Highest Qualification PSLE GCE N Level GCE O Level Diploma Bachelor's Degree Master’s Degree Other

Other Highest Qualification

Last Attended Institution

Have you volunteered with us before? Yes No

Would you like to volunteer with MClub? Yes No

Select group of people you would like to impact Secondary School StudentsITEPre-University Students (JC/Poly)University StudentsYoung ProfessionalsNot Sure

Please indicate the skills that you possess Poster DesignPhotographyVideographyMarketingMedia and CommunicationsData AnalyticsHuman Resources ManagementEvent ManagementWebsite Content ManagementStrategic PlanningPartnerships ManagementProject ManagementNone

Would you like to receive SMS/WhatsApp updates? YesNo

Would you like to subscribe to our mailing list? YesNo You can expect to receive about 2-4 emails a month from us on average.

Please accept to proceed with form submission. Accept

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