Program Information for The A List
1.
What is your business' name?
2.
What is your e-mail address?
3.
What is your business' Tasmanian postcode?
4.
Describe the service or program your business provides.
5.
Which category does your program best fit into?
Skills building
Sports & recreation
Arts, craft & music
Computers & technology
Games
Animals
Outdoors
Travel & leisure
Special interest
Holiday camps
Community
Peer support
6.
Is this program best described as being autism-specific, all disabilities, or mainstream & autism inclusive?
Autism-specific
Disability (all)
Mainstream (autism inclusive)
7.
Is your program delivered online or face-to-face?
Online
Face-to-Face
8.
Is there a cost to access this program?
No, it's free
Yes (please specify cost)
9.
Is this program NDIS registered?
Yes
No
10.
What age group is this program targeted towards? Keep in mind that The A-List is for autistic teens and young adults (you may select multiple).
12-15
16-18
19-24
25+
11.
What supports are in place? e.g. Participants may bring a friend or support worker.
12.
Is there anything further you'd like to tell us about your program?
*
13.
Please check this box to confirm that you consent to us sharing this information with The A List so that they can contact you about listings.
(Required.)
I consent to this information being shared with The A List
14.
Which category does your program best fit into?
Skills building
Sports & recreation
Arts, craft & music
Computers & technology
Games
Animals
Outdoors
Travel & leisure
Special interest
Holiday camps
Community
Peer support
Current Progress,
0 of 14 answered