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Expression of Interest for SHIBUI Workshops and Day programs (2024)
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1.
Who is filling this form out?
(Required.)
NDIS Provider
Charity Organisation
Business
Other
(Please specify)
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2.
What Workshop or Day program are you interested in?
(Required.)
Wellbeing
Relationships
Both
3.
Where are you interested in having the workshop?
Day program - at our facilities
Workshop - at Shibui facilities
Other place
4.
How many individuals do you have interested?
Please specify number, ages, gender
5.
Can you please specify what your disability is.
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6.
Please list some contact details for our team to get in touch with you
(Required.)
Company
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Address
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Address 2
City/Town
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State/Province
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ZIP/Postal Code
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Country
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Email Address
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Phone Number
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If you have an individual who is interested in attending a workshop at our Shibui office, please follow this link to complete an individual form:
https://www.surveymonkey.com/r/shibuiworkshop
