Elegibilty 
Process 
Supported employment 
Referral Form 
Referrals To EDGE Employment

Referrals can be made via the following methods:
  • Self-referral.
  • Referral by family or partner.
  • Referral by other agencies eg. DWI Case Manager.
  • Referral by your mental health worker or GP.
 If you would like to Refer yourself or a family member to EDGE employment, then you can do so by filling out the form below:

your full name

date of birth

address (street)

address (suburb)

phone number

mobile

email

Are you making referral yourself? yesno

If not, then:
person making referral

relationship

address (street)

address (suburb)

phone number


Are registered with WINZ? yes no
If yes, then:
WINZ Office

customer number

benefit type

IRD Number


EDGE employment is funded to support people whose lives have been affected by experience of mental illness.

Do you identify with this group? yes no