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Join us at 
Melbourne

Melbourne is Australia’s very own mini-New York City. Come witness the bustling city and all of its glorious character from street art to fine dining. A holiday to Melbourne is always a good idea- especially with Empowered!

Cost to the participant

$350 per person + NDIS supports

We leave in

1579824000
Days
Hours
Minutes
Going There: January 24, 2020
Coming Home: January 26, 2020

Activities

Luna Park, Sea Life Aquarium, Melbourne Star Observation Wheel, Queen Victoria Markets & much more

Melbourne

"Providing real experiences which are parallel to traditional community respite."

Current Capacity

Thank you for visiting Empowered Community Services. At present we have the following capacity for new NDIS referrals.

Community Access & Capacity Building

0 Hours

Support Coordination

0 Participants

Specialist Support Coordination

0 Participants

School Leavers Employment Program

0 Participants

Current Capacity

Thank you for visiting Empowered Community Services. At present we have the following capacity for new NDIS referrals.

Community Access & Capacity Building

0 Hours

Support Coordination

0 Participants

Specialist Support Coordination

0 Participants

School Leavers Employment Program

0 Participants

Referral Form

Referral Form

Participant Details

Gender *
Does the participant identify as Aboriginal or Torres Strait Islander? *
Participant is currently;
Additional Details

Primary Contact

Participant Information

Does the participant have a secondary disability?
Does the participant have any allergies?
Does the participant require medication to be administered during support hours?
Does the participant have a companion card?
Services Requested by the Participant
Has the participant consented to this referral?

Please note, Empowered has a minimum shift length of four hours for all new participants.
*Participants who require less than a four support will be subject to approval and will depend on the total number of hours of support required per week*

Preferred Times

Day

Start

End

Details

Monday
Monday Start
Monday Finish
Tuesday
Tuesday Start
Tuesday Finish
Wednesday
Wednesday Start
Wednesday Finish
Thursday
Thursday Start
Thursday Finish
Friday
Friday Start
Friday Finish
Saturday
Saturday Start
Saturday Finish
Sunday
Sunday Start
Sunday Finish

Referral Completed By

Risks
Do you give consent for Empowered Community Services to use my image to share on their social media accounts, website & advertisements? *
How did you hear about us? *
Upload additional information such as participants NDIS plan
Maximum upload size: 516MB

Team Leaders

We encourage all participants to be assigned a Team Leader from Empowered. Our Team Leaders can help with tracking participant goals, developing strategies to assist with support, communicate strategies with staff, and develop reports as requested. If you do not wish to be allocated a Team Leader please notify our administration staff.