Aspect Pathway Program with Victoria University TAFE

REGISTRATION FORM

In partnership with Victoria University, Aspect has developed an innovative program to support Autistic adults who wish to be a part of the workforce. Throughout your study, an Aspect Active Support Worker will assist you with your attendance and participation in your course.

Please register below to interview for the program.

Where: Victoria University Sunshine Campus

438/460 Ballarat Rd, Sunshine North VIC

Building and room number: A211

Once we have received your registration form, you will receive additional information about the program, interview time and enrolment.

Attendee(s) information

First name *

Last name *

Email *

Mobile *

Will anyone else be accompanying you *

Yes No

Please provide their contact details:

First name #2 *

Last name #2 *

Email #2 *

Mobile #2 *

What is their relationship to you? *

Parent/CarerTeacher/Learning & SupportSupport workerOther

Please specify *

Do you have NDIS funding *

YesNo

If other, please specify *

General Information

Do you have any additional comments or questions you would like to share prior to the event?

By ticking this, I confirm that all information supplied at the time of completion is accurate *

This information is being collected for the purpose of determining service eligibility/provision and will be handled in accordance with Aspect’s Privacy of Personal Information and Data policy

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