Accommodation Services

PWS Accommodation Expression Of Interest Form

By completing the Expression of Interest form you will be assured of an efficient and timely response by an Interaction representative from our PWS Accommodation team, who will discuss your application further.

If you would like to download the form instead of filling in the form below, please click here: Download PWS Accommodation Expression Of Interest Form 

Participant Name

YesNo

If completing on behalf of participant:

YesNo

Diagnosis

Medical conditions

Type of accommodation service required?

For a detailed description of each category please click on the category name. If the location required is not listed in this section, please refer to ‘Preferred location’ section further on.


Shared & Supported – Sydney
24 hour active24 hour sleepover
Transitional Living – Central Coast
24 hour active24 hour sleepover
Empowered Living Apartments™
24 hour less intensive - Mt Gravatt, QLD24 hour less intensive - Cranebrook, NSW

Preferred location for accommodation and level of support required (eg 24 hour active night, 24 hour sleepover).

Who will help or be involved in transition?

Parents/GuardianLocal Area CoordinatorSpecialist Support CoordinatorSupport CoordinatorCurrent service provider

Who would you like to live with?

Males onlyFemales onlyMixed gender

Is there a requirement for equipment or aides?

YesNo

If Yes, Please Specify:

Is there support required with personal care routine?

YesNo

If Yes, Please describe support required:

Is there support required to access the community?

YesNo

If Yes, please specify:

Is there support required with domestic skills?

YesNo

If Yes, please describe support required:

Communication

VerbalNon VerbalAuslan

How are participants personal funds managed?

Independently manageRequire staff support to manageCarer or parent managesUnder Financial Management

Employment

EmployedDay ServiceOther

Is there a Behaviour Support Plan?

YesNo



Previously lived in supported accommodation?

YesNo

What is important to you, (or the person on whose behalf you are completing this for) in relation to preferred accommodation services?

Any other comments?