By filling this form, you agree:

1. That we can save your Name, Email, password to the system. Please read more here for Terms and Conditions and Privacy Policy.
2. That we can feature your profile on RETA and other DAS webpages and on DAS social platforms (i.e. Facebook. Instagram. email blast) with the purpose of marketing RETA membership and my teaching services.

The application process will take between 2 to 8 weeks.

IMPORTANT to NOTE: Due to security purposes, your application will NOT be saved on the WEB. Application is received via our email once applicant submits.

As such, where amendments are required (either fields are not completed correctly or attachments are not correctly uploaded – missing attachments or certificates not verified), you will be requested to re-submit.

An admin fee is required to be paid when application is submitted by non-DAS staff. In a situation where there are missing documents and/or details, you will be required to submit the necessary within 3 months. Should the supporting documents and/or details not be received within the 3 months window, we will close your application and no refund will be given for the admin fee. A re-submission will be required.

If you are unsure of how the form needs to be completed and what documents are required, please email the RETA Admin at info@reta.sg for further clarification. Thank you.

Upload Your Photo

(Photo can be Image, jpeg, png and max file size 5MB)

PART 1 PERSONAL PARTICULARS

Name as in Passport / NRIC

Postal / Home Address

E-mail

Password

Password

Mobile Number

Home Numbers

Office Numbers

Preferred Name to appear on Register & Membership Card

Gender Select Gender Male Female

Date of Birth

Place of Birth

Nationality

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PART II EDUCATIONAL/PROFESSIONAL QUALIFICATIONS

Please list qualifications in chronological order starting with the latest achieved, and attach certificates. Your certificates need to be sighted and verified (stamped with "Certified True Copy"). If you are based in:
i) Singapore - You could get your HR to do this or you could visit us at either Rex House or Jurong Point in person to certify true copies of certificates. Please notify us before coming down via email and please bring along either your NRIC or passport.
ii) Overseas - Please provide photocopies of certificates and verification from institutions.

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Remove

Year

Qualifications Obtained

Institute/University

File Upload (File accept pdf and max file size 5MB)

Add more

If you are presently attending any course(s), please give details of Course / Institution

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PART III EMPLOYMENT

Present Occupation

Present Occupation

Employer/ Organization

Name & Address of Business

Length of employment

Former Occupation

Remove

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Former Occupation

Employer/ Organization

Name & Address of Business

Length of employment

Add more

If you are Flexi DAS staff, AED or public member, please upload your resume. (File accept pdf and max file size 5MB)

Area of Expertise (indicate the field of SpLD e.g. Dyslexia, Autism, etc)

Number of Years Teaching/Tutoring in Dyslexia and/or SpLDs*

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PART IV TWO REFEREES

(Please attach copies of testimonials from referees listed )

Referee 1

Name

Relationship

Contact Numbers

Email Address

Attach file 1 (File accept pdf and max file size 5MB)

Referee 2

Name

Relationship

Contact Numbers

Email Address

Attach file 2 (File accept pdf and max file size 5MB)

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WHAT IS YOUR USER GROUP?

Public User DAS Staff Allied Educators

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PART V PRIVATE CONSULTATION (Not Applicable to DAS Staff and Allied Educators)

If you are available for private consultation, please indicate your preferred mode of contact, so that members of the public can contact you. Please also indicate your preferred zones within Singapore (e.g. East, Central, West, etc). Please ensure before filling out this section that making yourself available for Private Consultation is not in conflict with your Ministry of Education (MOE) employment contract.

Private Consultation? *

Yes No

Preferred Mode of Contact *

ALL Phone Email

Preferred zones within Singapore *

ALL North South East West Centre

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DECLARATION

Please complete the following to the best of your knowledge. We thank you for your kind co-operation.

Have you ever been convicted of a criminal offense, felony or misdemeanor?*

(If yes, please state nature of offense. Note: An affirmative answer will not necessarily result in disqualification)

Yes No

Have you ever been convicted of any offence involving sexual, child, physical or drug abuse, or fraud of dishonesty?*

(If yes, please state nature of offense. Note: An affirmative answer will not necessarily result in disqualification)

Yes No

Have you ever been dismissed, discharged, terminated or suspended from employment?*

(If yes, please state under what grounds)

Yes No

Have you ever had, or are you suffering from any mental illness?*

(if yes, please state the condition)

Yes No

IMPORTANT NOTES*

The following checklist provides a guide to the completion of the application. Please check off () the following items as completed. The information that I have provided in this form is complete, genuine and accurate

I understand that provision of false particulars or suppression of material facts will disqualify me from joining the Register

Payment mode: Paypal. Bank Transfer (details will be emailed)

My certificates have been certified true copy and/or I have attached verification of my qualifications from awarding institutions

I have attached two testimonials from my referees

I allow my profile to be featured on RETA other DAS webpages and on DAS social platforms (i.e. Facebook. Instagram. email blast) with the purpose of marketing RETA membership and my teaching services.

I have read and approved the Terms and Conditions and Privacy Policy.

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Administrative Fee $20

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