Address:
Contact Number: / Email:
ABOUT YOUR CHILD/REN WITH SPECIAL NEEDS
AGE / DISABILITY / GENDER / AGE / DISABILITY / GENDER
How did you hear about iCare Special Needs Group Inc.?
Newspaper Word of mouthSchool NewsletterOther ______[please elaborate]
MEMBERSHIP FEE STRUCTURE
- Individual Concession Membership & students [proof must be shown]$10
- Individual or Family Membership $20
- Professional Membership$50
As of 1st January 2013 the annual membership fee will be tiered. Membership fees must be paid at the beginning of each new year regardless of when you join. A new year will denote mandatory requirement for membership renewal.
Please note that membership& regular attendance [minimum 5 sessions per term] is COMPULSORY if you wish to attend/participate in iCare activities. This is to ensure fairness & equality to all members.
iCare Confidentiality Clause: You are required to preserve the confidentiality of any information discussed during iCare Special Needs Group sessions/discussions, activities, etc regardless of format, content & involved parties. All information discussed herein is highly private, personal and sensitive in nature and is not to be repeated in any way, shape or form without prior consent and approval from the relevant member and/or collectively - the iCare group. This obligation shall continue indefinitely. A breach of this requirement will be regarded as gross misconduct and as such will be grounds for blacklisting from the group.
Two exceptions you should know about:
There are two exceptions where you must report information.
- If you suspect that a child is or may be in need of protection.
- If someone declares a plan to harm him/herself or another adult.
Please print your name, sign & date to confirm you have understood and agreed to the above terms & conditions of membership with iCare Special Needs Group Inc, this section must be witnessed.
Applicant ______
Signature ______Date______
Witness ______
Signature ______Date______
iCare Special Needs Group Inc.
SpringsideCommunity Pavilion – Function Room
24 - 50 Becca Way, Caroline Springs 3023
Mobile: 0499 429 969
iCare Special Needs Group INC.
Mission Statement
iCare provides
A medium for honest sharing of personal experiences and feelings.
A place to share common concerns with people who are going through similar experiences.
A safe non-judgmental environment to enable participants to explore and verbalize powerful emotions they might otherwise keep to themselves.
An opportunity to learn coping skills.
An environment of positive reinforcement, emotional support and hopefulness.
An opportunity for group members to pool information about everything from resources for legal, medical, or financial help to referrals for finding the best plumber, mechanic, or decorator.
An opportunity for personal growth.
iCare is not a
Therapy group where facilitators diagnose or treat emotional and/or behavioural problems. The group interaction, however, can be very therapeutic.
Group led by counsellors, though they are led by facilitators who can steer the session and ensure that the meeting is not dominated by a few individuals.
CONFIDENTIALITY
“Generally speaking, confidentiality means never discussing, without direct consent, the
circumstances of another group member.”
iCARE MISSION STATEMENT
iCare Special Needs Group Inc. isa parent support group dedicated to the inclusion and equality of children/young adults with disabilities and their families throughout the broader communityby connecting people, enriching lives and empowering children and families to achieve lifelong successesby building community capacity, advocating for individuals with disabilities and their families. Members have access to peer support, literature, internet access, carers’ workshops, guest speakers and respite activities.
iCARE CONSTITUTION
Please refer to the iCare Special Needs Group Inc. Constitution which will be available to you in print format or digital copy. The constitution is a document that outlines the laws that the management committee of iCare Special Needs Group Inc. have made and agreed upon to govern the group. The constitution contains fundamental political principles, establishment of the group, procedures, powers and duties, of the group also known as iCare Special Needs Group Inc.