EPIC Testability Academy

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?

I didn't attend high school

Year 10

I graduated from high school

I graduated from a trade or TAFE

I graduated from University

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

Yes, I am registered with EPIC

Yes, I am registered with another provider

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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.

Choose File

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* 11. Please attach your resume

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File

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

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File