I CAN Network Schools and Speakers Program

I CAN Network Schools and Speakers Program - Expression of Interest

Thank you for your interest in I CAN Network. Please complete the form below so that we may pass on your information to your I CAN Regional Manager. Your Regional Managers will contact you to provide further information about our Programs and how we can help support your Autistic students.

Please note that this form is only to be completed by school staff. If you are a parent/guardian and are interested in I CAN Network programs please contact your school's Disability Coordinator and encourage them to complete this form.

School Details

School Name

School Suburb

State

Your Details

School Contact First Name

School Contact Last Name

School Contact Position

School Contact Phone

School Contact Email

Which I CAN Programs are you interested in or would like further information on?

I CAN Schools Mentoring Program (Secondary Schools)I CAN Imagination Club (Primary schools)Parent and Family TalksStudent TalksTeacher Personal Development Workshops

Further comments

How did you hear about the I CAN School program and/ or I CAN speakers?

Thank you for your expression of interest, your I CAN Regional Manager will be in contact soon.