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PSCB Parents Connect Peer Group Application Form

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Yes. You're ready to FLOURISH!

Thank you for your interest in joining Parents Connect, a welcoming group run by and for parents of children with all disabilities.

Please note: the location of the Sydney-based peer group will be determined by the suburb most convenient to the majority of parents in the group.

Whether you're just starting out or well into your journey as a parent of a child with a disability, Parents Connect offers a unique space to transform challenges into wisdom and ideas into action. Here you'll connect, share, learn and grow together. As a welcoming circle of parents we can offer you both support and inspiration in one place, truly understanding your journey. Here we lift each other up, replenish our energy, have fun and learn through whatever comes!

Led monthly in Sydney* by Nicole, herself a parent of a child with a disability, our group offers a nurturing space where parents can come as they are, share lived experience and practical wisdom, be heard and have real conversations, strengthen their self-advocacy, and build a network where all can thrive.
Parents Connect Facilitator

At the heart of our peer group is Nicole, who brings 18 years of lived experience parenting her child with disability. She intuitively understands that the most fulfilling journey involves growing both as an individual with unique passions and interests and simultaneously evolving as a parent. She knows that nurturing your whole self ultimately enriches what you can offer your children and other people in your life.

Facilitator Nicole with her son


About YOU

The following questions will help us understand more about who you are and what you're hoping to gain from our group. Nicole is very much looking forward to getting to know you!

Note: PDCN greatly values your privacy. The information you provide here will be kept confidential and used to help us select the Parents Connect peer group members, as spaces are limited.

For more information, our Privacy Policy is available on our website; https://www.pdcnsw.org.au/privacy-policy/
Let’s get started!

Contact Information
1.First Name:(Required.)
2.Last Name:(Required.)
3.Phone Number:(Required.)
4.Additional Phone Number
5.Email Address:(Required.)
6.Confirm Email Address:(Required.)
7.Suburb:(Required.)
8.Postcode:(Required.)
9.Gender:(Required.)
10.Age Group:(Required.)
11.I identify as:(Required.)
12.What age is your child/children with disability?(Required.)
13.Would having childcare onsite (separate room) make it easier for you to attend sessions?(Required.)
14.Which days/times would work best for you to attend monthly meetings? (Select all that apply)(Required.)
15.What would make your participation in our Parents Connect group particularly meaningful to you?(Required.)
A little bit more about YOU!
Please rate how you identify with the following statements:
(All answers are welcomed!)
16.I enjoy being part of communities where I can both contribute and benefit.(Required.)
Strongly Disagree
Disagree
Not Sure
Agree
Strongly Agree
17.I believe in celebrating small victories in my parenting journey, even when things get hard.(Required.)
Strongly Disagree
Disagree
Not Sure
Agree
Strongly Agree
18.I believe challenges can contain valuable lessons.(Required.)
Strongly Disagree
Disagree
Not Sure
Agree
Strongly Agree
19.I would like to create more moments of fun and play in my everyday life.(Required.)
Strongly Disagree
Disagree
Not Sure
Agree
Strongly Agree
20.Is there anything else you'd like us to know about you or your interest in Parents Connect?
You’re amazing!

We understand how valuable your time is, and we truly appreciate you sharing a piece of yourself with us today. Thank you for your generosity!

Our goal is to bring together a diverse circle of parents who can connect, support each other, and grow together in meaningful ways. We will review all expressions of interest over the next few weeks and will be in touch soon.

We’re looking forward to creating our community!

Team Parents Connect,
with the Physical Disability Council of NSW
21.Privacy(Required.)