Application form

Please complete this form to apply for EPIC Testability Academy, commencing in September 2018 in Melbourne. At the end of the form you will be asked to upload some documents.

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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. What is your email address?

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* 4. What is your street address?

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* 5. What is your suburb?

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* 6. What is your postcode?

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* 7. What is your highest level of education?

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* 8. Are you currently registered with a Disability Employment Service provider to help you find work?

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* 9. Visit this site: http://blackboxpuzzles.workroomprds.com/Puzzle01.html. Please explain how the machine works, focusing on relationships, behaviours and reactions when you interact with the machine.

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* 10. Please attach evidence of your Autism diagnosis (from a medical professional)

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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* 11. Please attach your resume 

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* 12. Please attach evidence of your highest level of education

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