Life and Social Skills Group Subsidy Application
Please select the age bracket that applies
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Kindergarten
Prep
Grades one to three
Grades four to six
Grades seven to ten
Young adult
What Hear and Say centre is the group being held at?
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Brisbane - Ashgrove
Brisbane - Mt Gravatt
Gold Coast
Rockhampton
Sunshine Coast
Toowoomba
Townsville
Online
Parent/carer first name
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Parent / carer last name
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Email address
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Phone number
Participant's first name
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Participant's last name
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Participant's date of birth
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Is there a reason you do not have NDIS funding?
Would you like support in applying for NDIS funding?
Yes
No
Have you enquired about any funding opportunities, scholarships, or sponsorships for your child to attend programs?
This may include any camps, social programs, or extra-curricular activities.
Why are you interested in your child attending the social and life skills group? What benefits do you hope your child will get from attending? Please provide a brief overview of your child’s hearing loss history and current educational and social setting.
Are you happy to share your experience with any grant or funding partners?
I understand that by completing this application I will be considered for a reduced rate of attendance.
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