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* 1. What is your business' name?

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* 2. What is your e-mail address?

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* 3. What is your business' Tasmanian postcode?

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* 4. Describe the service or program your business provides.

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* 5. Which category does your program best fit into? 

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* 6. Is this program best described as being autism-specific, all disabilities, or mainstream & autism inclusive?

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* 7. Is your program delivered online or face-to-face?

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* 8. Is there a cost to access this program?

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* 9. Is this program NDIS registered?

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* 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).

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* 11. What supports are in place? e.g. Participants may bring a friend or support worker.

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* 12. Is there anything further you'd like to tell us about your program?

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* 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.

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* 14. Which category does your program best fit into? 

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