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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. Please ensure you fill out all questions so we can process your referral. If a box is not applicable, enter NA:

your full name

date of birth

address (street)

address (suburb)

phone number

mobile

email

nationality

gender/sex

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, for example Depression, Schizophrenia, Bi-Polar Affective Disorder, Anxiety etc

Do you identify with this group?
yes no

Do you feel you want to get and keep mainstream employment
yes no

What is your understanding of work ethics

Why are you looking for employment

How do you believe EDGE Employment could assist you in finding work


Would you prefer to work with a
Female Male Any

As part of our service is to contact you while on our waiting list, we need to ensure that we protect your privacy when calling. For this reason we ask your permission, when contacting you, to leave details about our organisation.

I give EDGE permission to leave details concerning their organisation on my answer phone

I DO NOT give EDGE permission to leave details concerning their organisation on my answer phone

 
         
 

 

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