JOIN a PEER GROUP - Autism Tasmania

Please complete this online form to express interest in joining, coordinating or facilitating a peer group meeting

What you are seeking from a support group ?*
Interests
Other
What role are you interested in?*
Name*
Pronoun First Name Last Name
Pronoun
Contact details - Email*
Contact details - phone
Year of birth*
Location - post code*
ZIP / Postal Code
Location - region*
NDIS participant ?
- Yes
- No
Have you had previous experience as member of a peer group?
- Yes
- No
Are you interested in participating in a mentoring program to develop Peer Group Facilitators ?
- Yes
- No
Any other information you would like us to know?
- Yes
- No
Other Information for us*
Autism Tasmania Privacy Statement We follow Australia’s Privacy Principles and, as authorised by law, we may collect personal information you disclose for the purpose of providing our services or as required by our funding agreements. Our Privacy Policy can be found on our website and can be sent to you upon request.
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