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SLES Registration Form

School Leaver Employment Supports (SLES)- Registration

To enquire or register for our WDEA Works School Leaver Employment Supports (SLES) program please compete this form.

First Name*
Last Name*
Phone*
Date of Birth*
DD slash MM slash YYYY
Where is your closest WDEA Works site?*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Email*
Do you have an NDIS plan?*
Person Completing Form*
Who is completing this form
Nominee / Representative Contact Details (if applicable)
First Last
Consent
I agree to the privacy policy.
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