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
Please select...
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
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 Talks
Student Talks
Teacher Personal Development Workshops
Further comments
How did you hear about the I CAN School program and/ or I CAN speakers?
Please select...
Amaze Autism Connect
Breakfast Meeting
Education Conference
Facebook/ I CAN Network page
I CAN Newsletter
I CAN website
Neighbouring School
Parent Support Group
Talk by Chris Varney
Talk by I CAN staff member
VDET School Mental Health Menu
Word of mouth
Thank you for your expression of interest, your I CAN Regional Manager will be in contact soon.