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Hobbies/activities participant enjoys:
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(Select all that apply)
Interests:
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How are you funded?
Select relevant funding source
NDIS Plan Managed
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Please provide some information about your disability and the type of support you will need:
Hours of support required (time, recurrence):
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Fill out the form below if you're interested in becoming a mentor
First Name:
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Contact number:
What suburb are you located in?
Interests:
Please provide some information about your background, any relevant qualifications and experience, your interests and activities you would like to assist with:
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Fill out the form for all general enquiries and we'll get back to you ASAP.
contact@kickstartvic.com.au
Call now: 1800 229 736
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