A) Company Information

Company Name*

Total Company Staff Strength*

What is your staff demographic at each site? (White Collar % vs Blue Collar %)*

Example - Location 1 HQ @ Ubi (70% White Collar Vs 30% Blue Collar staff), Location 2 @ Jurong (60% White Collar Vs 40 % Blue Collar staff), etc

Where are your preferred on-site talks location(s) and estimated no. of staff at each location?*

When was the last time a similar activity was conducted at the respective location(s), what and how many staff attended the activity?*

"First Time" if the company has never organised before or "Not Sure". :)

Do you have any preferred dates for the respective workplace locations? (if any)*

We will prefer at least 6 weeks lead time and appreciate at least 2 preferred dates from you for each location.

Any special remarks or requests? (if any)*

We will do our best :)

B) Point of Contact (POC)

First name*

Last name*

Corporate Email*

Mobile phone number*

(Please remember to add the Country Code +65)

Contact Number*

(Please remember to add the Country Code +65)

Job Title*

What areas of are you responsible for?*

Compensation & Benefits

Corporate Wellness

Workplace Safety and Health

Employee & Labour relations

Learning & Development

Human Resources Information Systems

Talent Acquisition

Organizational Development

Sports, Social and/or Recreational Club

All Above

Others

Access the ESG Virtual Wellness Series Privacy & Data Protection Policy here.*

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