Registration form

Fill out this form to register for a free Navigating the NDIS workshop Katoomba 28th November 2017

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* 1. Name

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* 2. Position (e.g. job title, consumer, carer)

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* 3. Organisation

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* 4. Email address

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* 5. Phone number

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* 6. What knowledge do you have about the NDIS?
1 = I have no knowledge/have lodged no applications - 10 = I have lodged multiple applications

1 10
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i We adjusted the number you entered based on the slider’s scale.

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* 7. What knowledge or skills are you hoping to gain by attending this workshop?

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* 8. Please provide an overview of your role including how the NDIS impacts what you do

Thank you for completing the registration form, you will receive a confirmation of enrollment email from MHCC two weeks prior to the workshop.
Please click "Submit" to submit your responses.

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