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Expression of Interest:
Circles of Support Workshop
Please note this is an expression of interest only, not a registration. You will be notified of further information as details become available.
A Little About You
Your Name
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First name
Last name
Your Email Address
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Confirm Your Email Address
Your Location
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Address line 1
Address line 2
City/Suburb
State/Territory
Postcode
Your mobile phone number
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Please indicate if you are:
A person with disability
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No
Yes
A family member of a person with disability
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No
Yes
A professional
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No
Yes - Direct support staff
Yes - Disability Employment Service
Yes - Disability Service Provider - not direct support
Yes - Support Coordinator
Yes - Educator
Yes - Other
If you are a professional please provide the name of your organisation/school.
Confirm your interest
Please check the box below to confirm your interest in this workshop:
Circle of Support Workshop - Expression of interest
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What format would you prefer for this workshop?
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One day face-to-face in Canberra
One day online
2 half days online (over 2 weeks)
3 two-hour online sessions (over 3 weeks)
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.
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Please send me newsletters/already receiving newsletters
Please DO NOT send me newsletters
Please check the highlighted fields
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