The Transition Program 2025

Expression of Interest

To enable us to proceed with enquiries, please ensure permission has been obtained from parents/guardians prior to submitting your expression of interest.

If you are unsure if this program is suitable for your student/s, please nominate them and this will be explored further through the pre-interview phone call.

If you have any questions regarding appropriate referrals, please contact us on 8414 7100.

Please submit form by 12 September 2024.

Thank you, The Transition Team.

School:
Contact Person & Position:
Contact Number:
Email Address:*
Student # 1
Full Name:
DOB:
School Year Level in 2024:
Will 2025 be their final year?
Primary Disability Type:
Parent/Guardian Contact - Name
Phone Number:
Email:
Student # 2
Full Name:
DOB:
School Year Level in 2024:
Will 2025 be their final year?
Primary Disability Type:
Parent/Guardian Contact - Name:
Phone Number:
Email:
Student # 3
Full Name:
DOB:
School Year Level in 2024:
Will 2025 be their final year?
Primary Disability Type:
Parent/Guardian Contact - Name:
Email:
Phone Number:
Student # 4
Full Name:
DOB:
School Year Level in 2024:
Will 2025 be their final year?
Primary Disability Type:
Parent/Guardian Contact - Name:
Phone Number:
Email:
Student # 5
Full Name:
DOB:
School Year Level in 2024:
Will 2025 be their final year?
Primary Disability Type:
Parent/Guardian Contact - Name:
Phone Number:
Email:
If you have more than 5 students, please enter the required information below
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The Transition Program 2025

Expression of Interest

Student # 1

Student # 2

Student # 3

Student # 4

Student # 5