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Ethni NDIS group EOI
This form is an expression of interest to those who are keen to participate in a group with Ethni
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* Indicates required question
Name of Contact Person
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Your answer
Role
*
Your answer
Organisation Name (if applicable)
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Your answer
Phone Number
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Your answer
Email
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Your answer
Name of participant
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Your answer
Participant's DOB
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Your answer
Where is the participant's location?
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Your answer
Participant's primary NDIS diagnoses if known (please include others as well)
Your answer
Does the participant have a cat they would like to bring?
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Yes! I have a furry friend.
No. I want to hang with your cats Issy and Archie.
Required
Does the participant need to have support staff? If yes, please elaborate
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Your answer
What day of the week would be ideal for the group?
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Monday
Tuesday
Wednesday
Required
What starting time would be ideal for the group
Morning session: 10am start
Afternoon session: 1pm start
Late afternoon session: 3pm start
What other groups would you like to see run
beauty / self-care afternoon
wellbeing group - meditation, grounding activities, socialising
life skills - budgeting, mealprep, etc
employment skills
Other:
Do you have other group ideas you would like to see us run
Your answer
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