Family Support Group Request for Training Form

Autism Association of South Australia trading as Autism SA, ABN: 98 164 545 215

PO Box 304 Marleston DC SA 5033

P. (08) 8379 6976, F. (08) 8338 1216, W. www.autismsa.org.au

Date of Request *

Name of Support Group *

Group Leaders Name *

Organisation *

Venue Address *

Suburb *

State *

Postcode *

E-Mail Address *

Mobile *

Phone

Fax

The goal of the Family Support Group Trainings is to provide parents and carers with practical information about a particular topic. It is our goal that families and carers leave with increased knowledge on the topic, information about strategies to support the individual they care for and greater knowledge about services available.

Family Support Groups are entitled to TWO FREE Training sessions per a calendar year. (PBS sessions count as one session each)

Please go to Autism SA, Family Workshops, http://www.autismsa.org.au/family-workshops for a full list and description of the workshops on offer.

Please identify which sessions your group requests and please identify a first and second preference for a time/date for each session.

Session One: *

1st Preference for Time *

1st Preference for Date *

2nd Preference for Time *

2nd Preference for Date *

Session Two *

Session 2 - 1st Preference for Time *

Session 2 - 1st Preference for Date *

Session 2 - 2nd Preference for Time *

Session 2 - 2nd Preference for Date *

Please note that the sessions are available to support groups in the Adelaide metro and inner country regions only and are run at the discretion of Autism SA. Minimum attendance numbers apply. Regional groups may access a Q&A session using Skype, please call the Training and Consultancy Coordinator for further information on 8462 0638