Email: *CFS will liaise with the designated contact person on all correspondence related to OEF. All hardcopy documents will be mailed to the address in Section B. (C) ORGANISATION TYPE Please tick [] the relevant box(es) Nursing home □ Day rehabilitation centre □ Day care centre □ Home care □ Others (please specify: ________________________________________) □ Total no. of clients in your organisation Estimated no. of seniors in your organisation, aged 60 old and above Estimated no. of seniors eligible for the Outing for Elderly Fund (i.e. those with dementia, terminally illness or mobility issues) (D) PROGRAMME DETAILS 1 Does your organisation organise social Yes / No outings/events for the elderly? If yes, please state how many outings a year: _______________ 2 If you have answered please Please tick [] the box(es) that apply: ‘yes’ state the usual source of funding for the Corporate donors □ outings/events. Individual donors □ Funded by your organisation □ Others: _________________________ □ 3 Are these outings made available to the Yes / No needy wheelchair-bound and/or If no, please state the reasons: dementia/terminally ill elderly? 4 Elaborate on the desired outcomes that you aim to achieve through OEF. (E) DECLARATION I certify that the information provided above are accurate and complete to the best of my knowledge.
Email: *CFS will liaise with the designated contact person on all correspondence related to OEF. All hardcopy documents will be mailed to the address in Section B. (C) ORGANISATION TYPE Please tick [] the relevant box(es) □ Nursing home □ Day rehabilitation centre □ Day care centre □ Home care □ Others (please specify: ________________________________________) Total no. of clients in your organisation Estimated no. of seniors in your organisation, aged 60 old and above Estimated no. of seniors eligible for the Outing for Elderly Fund (i.e. those with dementia, terminally illness or mobility issues) (D) PROGRAMME DETAILS 1 Does your organisation organise social outings/events for the elderly? Yes / No If yes, please state how many outings a year: _______________ 2 If you have answered ‘yes’ please state the usual source of funding for the outings/events. Please tick [] the box(es) that apply: □ Corporate donors □ Individual donors □ Funded by your organisation □ Others: _________________________ 3 Are these outings made available to the needy wheelchair-bound and/or dementia/terminally ill elderly? Yes / No If no, please state the reasons: 4 Elaborate on the desired outcomes that you aim to achieve through OEF. (E) DECLARATION I certify that the information provided above are accurate and complete to the best of my knowledge.
OEF2018-Guidelines-Application-form.docx