2024 Expression of Interest Form

Information proviced is essential for Can Do Training to assess the suitability of applicants to ensure the safety of everyone and to maximise opportunities for all.

In the event Can Do Training becomes aware full disclosure was not provided and / or any ‘At Risk’ Behaviours* or information regarding restrictive practices are displayed by the applicant, not stated in the 2024 Expression of Interest Form, enrolment will be suspended.

*At Risk Behaviour: any behaviour that Can Do Training staff considers to be or has the potential to be harmful to the applicant or others (participants / staff members).

Please sign the declaration to indicate that you have read and agree to the information provided and that you have completed this form accurately.

Participants Name

Date of Birth

MM

DD

YYYY

Gender

Male

Female

Other

Diagnosis/Diagnoses

Applicant Contact Number (if applicable)

Applicant Email Address (if applicable)

Primary Contact Person First Name *

Primary Contact Person Last Name *

Email Address *

Relationship to Applicant *

Abilities/Strengths/Special Interests/ Likes *

Dislikes/Sensitivities/Triggers/Behaviours that may require management on site *

2024 Expression of Interest Form

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