Program Information for The A List Question Title * 1. What is your business' name? OK Question Title * 2. What is your e-mail address? OK Question Title * 3. What is your business' Tasmanian postcode? OK Question Title * 4. Describe the service or program your business provides. OK Question Title * 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 OK Question Title * 6. Is this program best described as being autism-specific, all disabilities, or mainstream & autism inclusive? Autism-specific Disability (all) Mainstream (autism inclusive) OK Question Title * 7. Is your program delivered online or face-to-face? Online Face-to-Face OK Question Title * 8. Is there a cost to access this program? No, it's free Yes (please specify cost) OK Question Title * 9. Is this program NDIS registered? Yes No OK Question Title * 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+ OK Question Title * 11. What supports are in place? e.g. Participants may bring a friend or support worker. OK Question Title * 12. Is there anything further you'd like to tell us about your program? OK Question Title * 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. I consent to this information being shared with The A List OK Question Title * 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 OK DONE
