Autism Friendly Enquiry Form

Thank you for your interest in an Aspect Autism Friendly Consultation/Training.

Once we have received this completed form, our team will follow-up within 7 business days.

If you have any questions regarding this form, please call us on: 1800 277 328 or email: customerservice@aspect.or.au

Organisation Details & Contact Person

Organisation Name *

Contact's first name *

Contact's last name *

Job Title/Position

Email *

Mobile *

How did you hear about Aspect? *

Please provide *

Size or Organisation - number of employees ?

Average # of customers/week who engage with your service

Consultation / Training

Autism Friendly partners with organisations to create environments which support and include Autistic people.

Please tell us more about why you are getting in touch? *

Please indicate the services your organisation would like a quote for : (tick any that apply) *

Development of an Autism friendly environment Development of Autism Friendly resources such as sensory map, visual story or quiet room Partnering with usWorkplace training Support for an Autism Friendly event such as Quiet Hour or Early BirdsAutism Friendly accreditationAutism Friendly employment Other

Choose as many options that apply

If other, please specify *

When would you like the service to take place? *

Approximate # of attendees?

How would you like the training delivered? *

Face-to-faceWebinarBoth

*Please note travel and accommodation costs are extra (if applicable).

Estimated duration of training *

Half dayFull day2 hours Other

Please specify desired timing *

Is there any other information you would like to share with us?

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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