Expression of Interest: Neurodiversity Training by DISTRACTD

Your Information: If you’re submitting this form on behalf of your workplace, please share your contact details. Your Name: Your Position/Role: Your Phone Number:

Your Email

Tell us about your workplace: Share a bit about your workplace culture and its current approach to neurodiversity (e.g., awareness level, accommodations, etc.).

Anonymity Preference: Would you prefer that DISTRACTD keep your name anonymous when contacting your workplace?

Option 1 Yes, please keep my name anonymous

Option 2 No, I’m comfortable with my name being identified

Best Contact for Booking or More Information: If you’re not the main contact, please provide details for the best person to reach out to for booking inquiries or additional information. Contact Name: Position/Role: Email: Phone Number:

Additional Comments or Details: Please share any additional information, suggestions, or specific goals you have for neurodiversity training in your workplace.

Interest in Staying Updated:

We’d love to keep you in the loop with news, events, and resources from DISTRACTD. Would you like to receive updates?

ADHD IS A DIFFERENCE NOT A DEFECIT

We respectfully acknowledge the traditional custodians of country throughout Australia and their continuing connection to land, sea and community.
We pay sincere respect to the Elders both past and present and emerging

OUR COURSES