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By stuff@digiground.com.au|2020-05-05T02:33:16+10:00May 5th, 2020|Uncategorized|1 Comment

Contact Us

info@idknowyourself.com
(02) 8396 5307

Our Office Address:

145 Cleveland Street, Darlington
NSW 2016.

Mentoring programs:

Carriageworks on a Monday, Wednesday and Thursday

Digital Experience by: DigiGround Pty Ltd

We are registered through ACNC (Australian Charities and Not-for-Profits Commission). Every donation is tax deductable.

Donation Type *

Please select one of the above options (one time or recurring) to donate.

Amount *

Your Donation Amount *

A suggestion is $15 or you can enter your amount to donate

Name *

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Last

Email *

Phone

Address

Address Line 1

Address Line 2

City

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Postal Code

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Stripe Credit Card *

Card

Name on Card

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REFERRAL FORM

Young person’s name: *

First

Last

Gender *

Male
Female

Date of Birth//

Aboriginal Mob/Nation: *

What address does the young person live at? *

Address Line 1

Address Line 2

City

State / Province / Region

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Two Emergency Contact Details:

Name of Contact Person 1: *

Person 1 Contact Number: *

Name of Contact Person 2: *

Person 2 Contact Number: *

Known Allergies: *

If not, please type N/A

Medical requirements:

Medicare Number / Name: *

Give details of any past trauma and experiences in the young person’s life that ID. Know Yourself should be aware of before we commence working with the young person *

How many years/months has the young person been in ‘Out of Home Care’? And how many placements? *

What are the strengths and weaknesses of the young person? What else is there to know about this young person? *

For completed referral forms, please contact for any more information: info@idknowyourself.com

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