Kindy Inclusion Service EOI

First name *

Last name *

Email *

Phone *

Kindergarten / organisation name *

How did you find out about the Kindy Inclusion Service at Hear and Say? *

If other, please provide details *

I am interested in the following for my centre (select all that apply)

Site visit for acoustic audit and coachingProfessional development workshopWebinar (recorded or live)Other

If other, please provide details *

There are children attending my centre who are deaf or hard of hearing (NOTE: this is not a requirement of accessing the Kindy Inclusion Service) *

YesNo

Please share any specific questions or concerns (do not include names of individuals)

My centre would benefit from the following forms of support (select all that apply) *

Handouts / posters of tip sheets and information summariesWebinars attended during work hoursWebinars attended after hoursOnline workshops for interactive discussion of cases, concerns, and questionsSite visits for collaborative planning and modelling of inclusion support1:1 mentoring from an allied health professional.

Topics of interest (select all that apply) *

Hearing loss (the hearing system, hearing loss, hearing technology)Optimising learning and participation (classroom acoustics, inclusive practices)Childhood development (various domains)Early literacy developmentOccupational therapy – sensory integration, fine and gross motor developmentSuccessful transition to school (with hearing loss)Supporting children from culturally and linguistically diverse backgroundsSupporting children with additional disabilitiesI’m not sure – please help!

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