the rights path project eoi

First Name *

Last Name *

Phone Number *

Email Address *

Age *

Gender *

Address *

Street address *

Suburb *

State *

Postcode *

Are you a NDIS participant or NDIS participant carer or family member? *

NDIS ParticipantNDIS Participant Carer or family memberCommunity LeaderNDIS Provider

Please specify the community language you represent

Do you require an interpreter *

YesNo

Which language?

Will you be available to attend any workshops or consultations for the duration of the project, as needed? *

YesNo

Are you willing and able to participate in both online and face-to-face workshops and activities as required by the project? *

YesNo

Online

YesNo

Face-to-face

YesNo

Do you have any special requirements to attend the workshops? *

YesNo

Example: accessibility, dietary requirements

Please list your special requirements

I declare that the information provided in this expression of interest form is accurate to the best of my knowledge

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