Expression of Interest | By Mineself Collective

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Expressions of Interest Form

Child's First name*

Child's Birthday

Day

Month

Year

Suburb*

Parent/Carer's first name*

Relationship to child*

What service are you interested in? (*Supported Starts is our School Readiness Program)*

Supported Starts - At Home 1:1

Supported Starts - Small Group (2-4 children *best for higher support needs)

Supported Starts - Small Group (5-7 children)

Supported Starts - Play and Practise (12-15children)

1:1 Capacity Building/Tutoring

Personalised Visuals

Other

What Year does your child start Kindergarten?

2027

2028

For Expression of Interest for Supported Starts (School Readiness Program)

Have you enrolled your child in school? (Supported Starts EOI only)

Yes

What school/s are you looking at enrolling in/already enrolled in? *

Any other Questions/Comments *

Preferred contact method*

Phone

Yes, subscribe me to your newsletter.

Connect with Us

Email*

Yes, subscribe me to your newsletter.

0494632561

admin@bymineselfcollective.com.au

Empathy first. Belief always. Support that Empowers.

I acknowledge the Traditional Custodians of the land on which I live and work and pay my respects to Elders past and present. I value neurodiversity, disability, and all identities, genders, and ways of thinking, learning, and communicating. If this space isn’t accessible for you, please reach out.

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