Dementia Knowledge to Action Program Expression of Interest

Working frontline in residential aged care and community services in Australia (this program is not suitable for acute or primary care workers).
Knowledgeable about dementia and have at least 2 years of experience in supporting people living with dementia.
For individuals: Have support from management to complete all program requirements during work hours. You need to provide the name and contact information of your manager.

To be contacted by our team, you need to fill out all the required information fields.

Are you completing this form for:*

Yourself (or an individual)

Your staff (organisation/workplace)

Organisation Name*

Organisation Type (Care Setting)*

Primary Work Address*

Street Address Suburb State ZIP / Postal Code Country

Decision Maker*

Please enter the name of the decision maker/manager who will support this application

Decision Maker Position*

Please enter the position of the decision maker who will support this application

Decision Maker Contact Email*

Please provide a valid email address for correspondence with decision maker/manager

Decision Maker Contact Phone*

Please exclude country code from number (+61)

How did you find out about DTA?*

Other*

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