Beyond Embrace Expression of Interest Form
  • Beyond Embrace – Expression of Interest (EOI) Form

    This form helps us understand you, your goals and the support you need so we can create the right starting point in the Beyond Embrace pathway.
  • Participant Details

  • Is this form being completed by a parent, carer, plan manager or support coordinator?*
  • Contact Person (if applicable)

  • About You
    We want to get to know you as a person, not just your work goals. This section helps us understand your interests, strengths and what matters to you outside of work.

  • Have you worked or volunteered before?*
  • Your Employment Goals
    This section helps us understand what you would like to work towards. You might already have a goal, or you might still be figuring it out, both are okay.

  • What would you like to get out of this program?*
  • Embrace offers a range of roles across our business. This helps us understand what you are curious about and where you might like to start learning. Which areas of the business are you interested in exploring? (Choose as many as you like) *
  • Support Needs NDIS Funding
    Everyone learns and works differently. This section helps us understand what support works best for you and whether you currently have NDIS funding for a Job Coach during the Learn Program. 

    The Learn Program includes 1:1 Job Coach support during each shift. 
    This support is funded through your NDIS plan under: 
    Assistance with Social, Economic and Community Participation. 

  • Do you currently have funding in your NDIS plan that can be used for 1:1 support during work or community participation?*
  • If you do not currently have this funding, that is okay. We can still support you by: 

    • Providing information for your next NDIS plan review  
    • Helping you understand what to request  
    • Staying in touch for future program opportunities  
  • Availability
    Embrace is a multi-site business across Canberra and operates 7 days a week. This section helps us understand when you are available and how many hours feel right for you, so we can plan shifts that support your goals, routine and wellbeing.

  • Which days are you available for shifts?*
  • What times of day suit you?*
  • Transport

  • How will you get to and from shifts?*
  • Do you have NDIS funding to support transport?
  • Additional Information
    This section confirms your understanding of the program and what happens next. It also gives us permission to contact you and begin planning your pathway. 

  • Consent

  • *
  • Should be Empty: