Personal Details

Please complete this 5 minute survey to register your interest in attending CaPSS' programs (you can select your preferred programs on page 2).

The Salvation Army is committed to caring for people by protecting personal information and upholding the Australian Privacy Principles. To read our privacy policy please visit salvationarmy.org.au/privacy. By providing us with your personal information or by using the website, you are confirming your agreement to the content of our privacy policy.
Note: if you would like to register interest on someone else' behalf, please email capss@salvationarmy.org.au to ask for a referral form.

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* 1. What is your First Name?

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* 2. What is your Last Name?

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* 3. Gender

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* 4. Email address and/or phone number (for link and/or reminders)

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* 5. How did you hear about CaPSS?

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* 6. How do you prefer to be contacted?

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