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I Can Network Logo

I CAN Network - Online Mentoring

6 Week Program - Expression of Interest Form

(Australian and New Zealand residents only)

Cycle Two: 27th April to 5th June 2026

* This an Expression of Interest , NOT a registration form.

ONLINE GROUP MENTORING INFORMATION:

TECHNOLOGY REQUIRED: Access to a device that has both microphone and camera capabilities to access the Zoom platform.

COST: $321.00 AUD for a 6 session program

NOTE: The Dungeons & Dragons Campaign, Minecraft Survival and daytime Minecraft Creative program runs for two hours weekly over six weeks (12 hours total) at a cost of $642.00 AUD.

PROGRAM TIMES:

Daytime: 1pm-3pm AEST

Afternoon: 5pm - 6pm AEST

Evening: 6:30pm - 7:30pm AEST

Spaces are limited. If no place is available, your child will be waitlisted and we will contact you when one opens. For details visit our website or email online@icannetwork.com.au All information is kept confidential.

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Payment

Will you be using NDIS funding for this program? We can issue Self Managed & Plan Managed (Not NDIA Managed) families with an invoice.

YesNo

It is your responsibility to seek advice from your Local Area Coordinator, Support Coordinator, Plan Manager, or the NDIA regarding NDIS funding for our services. You must ensure sufficient funding is available to cover program costs, privately or through NDIA approval. If NDIS funding does not cover costs, you are liable for the balance. Non-payment, including from cancellations or no-shows, may result in recovery of funds through the NDIS and which could lead to your plan being managed by the NDIS Agency. We cannot provide advice on individual NDIS plans or funding.

I acknowledge that I have read and understood my responsibilities

Parent/Guardian Details

Please enter this information even if the participant is over 18 years old.

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Mobile

(please include the zero)

Parent/Guardian Email

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Program Selection

Age groups are broad to simplify selection. Participants will be grouped by age, so please provide the correct age. As a guide: 8–13, 13–17, and 17–22 (may vary for special interest groups).

Please select your first preference of group to enrol your participant in, when a spot becomes available

Please select your second preference of group to enrol your participant in, when a spot becomes available

How did you hear about I CAN Network's online mentoring?

Please tell us how your heard about I CAN Network's online mentoring?

Information is collected and handled in accordance with I CAN Network's Privacy Policy, available here.

I confirm that I have read and understood I CAN Network's Privacy Policy.

Do you consent to receiving I CAN Newsletters via email?

YesNo

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Government/Public (Victoria)	Catholic
Government/Public (Other States)	Private/Independent
Homeschooled (Victoria)	Other
Homeschooled (Other States)	Not Currently Studying

ADD/ADHD	Anxiety
Autism	Deaf or Hard of Hearing
Depression	Dyslexia
Eating Disorder	Global Development Delay
Intellectual Disability	None
Pathological Demand Avoidance	Selective Mutism
Self-harm	Suicidal thoughts
Suicide attempt	Tourettes Syndrome
Vision Impairment

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