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Expression of interest for
Customised Employment Peer Group
Please note expressions of interest will only be considered from people with disability and their family members.
Your Contact Details
Your Name
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First name
Last name
Your Primary Email Address
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Your Address
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Address line 1
Address line 2
City/Suburb
State/Territory
Postcode
Phone
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A little about you
Are you of Aboriginal or Torres Strait Islander origin
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No
Prefer not to say
Yes
Are you from a culturally or linguistically diverse background?
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No
Prefer not to say
Yes
Are you a person with a disability
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No
Yes
Do you or your family member have NDIS funding?
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No
Yes
Are you a family member of a person with disability?
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No
Yes
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Error
This peer group is for family members of people with disability only.
If you are a family member of a person with disability please click 'Back' to correct your previous entry.
If you are not a family member of a person with a disability please cancel your form submission.
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A little about the person with disability
It can be helpful for us to know a little about your family member with disability. We invite you to provide some information below, however this information is not compulsory.
Your family member's first name
Your family member's last name
What is the relationship of this person to you?
Brother
Child
Other
Parent
Self
Sibling
Sister
Date of Birth
School Year of the person with disability (if applicable)
P
K
1
2
3
4
5
6
7
8
9
10
11
12
If you wish to provide details for other family members with disability please do so here.
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Your access needs
Please provide details of any access requirements to enable your full participation
Employment
This peer group will be focused on taking actions using a customised employment approach in finding work for a person with disability. You may be starting with discovery, setting a job up or work experience or looking at how to support a person in a job or self employment.
Please tell us a bit about what you are hope to achieve from this peer group for your family member.
*
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Confirm your interest
Please check the box below to confirm you wish to apply to join the 2024 Customised Employment Peer Group
Customised Employment Peer Group - Expression of interest
2024 Customised Employment Peer Group EOI
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How did you hear about this peer group?
Please tell us how you heard about this peer group. For example, Imagine More's newsletter or website, your school newsletter or inclusion team, from a friend or colleague etc
*
Subscribe to receive updates from Imagine More
We provide regular updates about events and other happenings at Imagine More. Please let us know if you wish to receive newsletters from Imagine More.
*
Please send me newsletters/already receiving newsletters
Please DO NOT send me newsletters
Thank you!
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Please check the highlighted fields
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