Employment Program - Expressions Of Interest Participant's DetailsName* First Last Date of Birth*Email (this will be our primary method of contacting you)* Contact number*Name of school (if relevant)Current School Year (if relevant)Services & FundingAre you currently receiving therapy services through the Autism Association?*YesNoIf yes, which service are you accessing:If yes, please let us know your Key Therapist's name:Do you have access to therapy funding? (tick all that apply)* NDIS WANDIS DSC block funding Unsure Are you currently accessing any other support services - please provide details:*Contact person for participant (if required):Name and SurnameEmail AddressContact number
