Hello, Welcome to the Gig Buddies participant application form.

For more information about the Gig Buddies project, please read:

FAQs (frequently asked questions)

NDIS info (more information about Gig Buddies and the NDIS)

About Us (about ACL Disability Services and the Gig Buddies team)

The Gig Buddies Project is for

adults (18+years)

with mild to moderate learning disability and/or autism

in the greater Sydney area (Sydney and suburbs) and Central Coast

The standard charge for Gig Buddies participants is 3 hours per month (see categories on NDIS info webpage).

This administration charge supports the project with recruiting, vetting, matching & training volunteers to partner with a participant.

This admin charge also includes full access to monthly Gig Buddies group social events.

The Gig Buddies team provide ongoing support to all participants and volunteers; promoting and supporting social inclusion, enabling an experience beyond the limitations of a disability specific event.

Paired-up buddies catch up once a month to build a friendship and attend live music, sport as well as other recreational or social events.

If you do not currently have NDIS funding available for Gig Buddies or you would like to find out more about the NDIS and Gig Buddies, please contact Gig Buddies Sydney on 02 9419 6951 or info@gigbuddiessydney.org

This document will automatically save each time you select the "Next" button.

The form may take about 30 minutes to complete.

You can exit at any time and pick up where you left off by entering your name and date of birth on this page.

If, at any time, you wish to have your data permanently deleted, please contact Gig Buddies staff.

If you have any questions please contact Gig Buddies Sydney - 02 9419 6951 or email info@gigbuddiessydney.org

By entering your name and date of birth and clicking "Next" below you agree to the above information.

*This Gig Buddy application was created in collaboration with the "Soul Fly Buddies", our user led service group.

Your Name

Date of Birth

The Gig Buddies project is an initiative of ACL Disability Services, an organisation with 50 years' experience providing assistance to adults with mild to moderate learning disabilities and autism.

In line with ACL Disability Services' mission statement, the Gig Buddies project only provides assistance to adults with mild to moderate learning disabilities and autism.

Before proceeding with your application, please read the statements below and tick the boxes below to confirm that you have read and agree to this statement.

Gig Buddies Photo and Video Privacy

Photo and Video Privacy Agreement (please scroll to read)

click here to download easy-read version of this policy

The Gig Buddies team may like to use video and/or photos of you at our social events or with your gig buddy. Photos help promote the Gig buddies project to other people.

Videos and photos may be used to help people know about the work of the Gig Buddies project.

Digital photos or videos

The Gig Buddies team may put video or photos of you with your buddy or at a Gig Buddies event on the internet, which means anyone will be able to see it.

Printed photos or videos

They may also use it in leaflets and other publicity (we will ask permission before a photo is used on a brochure or in a news story in a magazine or newspaper).

We never put your name or details with a photo or video of you (unless you agree to a specific request eg. We write a story about you and your gig buddy).

Do you consent to the Gig Buddies project using video and/or photos of you to help promote our work to other people ?

Yes - that's ok No - I do not agree to having my images used Maybe - I will decide later

Gig Buddies Privacy Agreement

Privacy and Collection of Information Policy (please scroll to read)

click here to download easy-read version of this policy

To give you support, ACL Disability Services and the Gig Buddies project needs to keep information about you.

For example, who you are, where you live and what type of support you need.

This is your personal information.

Your personal information provided to ACL Disability Services and Gig Buddies will be held in hard copy and managed in a secure recruitment file, in a cloud based network, or on a computer.

A law called the Privacy and Personal Information Protection Act NSW 1998 says that the Gig Buddies project must keep this information private and secure.

Access to information is restricted to ACL Disability Services personnel and on a need-to-know basis.

Only people that need to know your information can see it. This is so they can give you the support you need (for example, your support worker).

*This will only happen if you say this is ok or if we need to keep you safe.

There is another section in this application form where you can say who you do and don’t want information shared with.

ACL Disability Services is committed to taking all reasonable steps in order to protect your privacy and personal information from misuse, loss or unauthorised access, modification or disclosure.

Your name will not be used in any data results that are collated by ACL Disability Services and will not be given to any third parties.

ACL Disability Services will retain your information on a secure database and your information will be kept for no longer than necessary.

If you request your personal information to be removed from ACL Disability Services records, we will ensure reasonable steps are taken to dispose of your information promptly and securely.

The Gig Buddies project will only use information about you to make sure you get the right support and to help find you a gig buddy.
You can decide not to let staff share certain information at any time.
You can stop your involvement with the Gig Buddies project and ask to have your personal information removed from the database at anytime.

I understand that Gig Buddies and ACL Disability Services will keep my personal information private.
The Gig Buddies project will only use information about me to make sure I get the right support and to help find me a gig buddy.
I can decide not to let staff share certain information at any time.
I can stop my involvement with the Gig Buddies project and ask to have my personal information removed from the database at anytime.

I accept and agree to the above Privacy and collection of information policy

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Please enter the address where you live

Please enter your gender

Please enter your contact telephone number

If you have an email address, please enter it here

If your parent, support worker or carer has an email, please enter it here

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Emergency Contact 1

Full Name

Relationship to You

Telephone

Address

Emergency Contact 2 (optional)

Full Name (optional)

Relationship to You (optional)

Telephone (optional)

Address (optional)

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If you choose to join the Gig Buddies project, the cost will be 3 hours per month from your NDIS funding.

This can come from either your Core Support or Capacity Building funding.

You can find more information about Gig Buddies and the NDIS here:

https://www.gigbuddiessydney.org/ndis2

Gig Buddies staff will contact you once you have completed this form.

You will not be charged anything until you have met with Gig Buddies staff and signed a service agreement.

Please contact us if you have any questions:

email: info@gigbuddiessydney.org

phone: ACL Disability Services - 02 9419 6951

Assisted Community Living Limited trading as ACL Disability Services and GIg Buddies is a registered NDIS service provider and charity
ABN 60114099928 - NDIS Reg No 4050003928

Do you have an NDIS package ?

Yes - I have an NDIS package No - I don't have an NDIS package I'm in the process of applying for NDIS

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I give the Gig Buddies project permission to share the information in my files with the following people if they need to see it :

Share information with my family

Yes No

Share information with my family but I don't want this discussed :

Share information with my support staff

Yes No

Share information with my Gig Buddy volunteer. (Emergency contacts, Medical information, disability information)

Yes No

Share information with medical staff in an emergency

Yes No

Other information

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The Gig Buddies befriending project was developed for adults with mild to moderate learning disability and/or autism.

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In this section we ask you about your disability, medical conditions and support needs.

This will help us to determine if the Gig Buddies project is able to accomodate your support needs.

We feel this is important, as it helps ensure all potential participants can get the best experience from the project.

How much support do you need in your daily life?

I am independent with no support I receive some daily support I need full support I need full support (including *personal care support)

*Personal care (above) refers to the support of personal and private hygiene and toileting. This may include requiring assistance with going to the toilet, cutting up food or a specialist mode of transport to accommodate walking aids or wheelchairs etc

Please tell us more about your primary disability and daily support needs.

As an NDIS eligibility requirement* for the Gig buddies project, a participant's primary disability must be mild to moderate learning disability and/or autism.

*Gig Buddies and ACL Disability Services are NDIS service providers registered to provide support and volunteer social support for adults with mild to moderate learning disability and/or autism.

Do you have any of the following medical conditions ?

If you have other disability and/or medical conditions (or allergies) not listed above please enter them below: (*Please include mental illnesses i.e. anxiety, depression, schizophrenia)

Please list any medications you take ? (in case of emergency)

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The Gig Buddies project is all about pairing you with a volunteer who has similar interests so that you can catch up once a month and go to "gigs" together.

A gig can be:

an activity, such as going to a movie or a restaurant, shooting hoops at the basketball court, going to a video arcade, rock climbing etc

or

an event, such as seeing your favourite band, theatre production, musical or comedy show, or watching a sporting match

In the next few pages, please tell us what you are interested in and what you would like to do with a volunteer "gig buddy".

What type of music do you listen to ? (click as many as you like)

Who are your favourite musicians, singers, bands and other types of music not listed above ? (add as many as you like!)

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What sports are you interested in watching (or playing):

Please list other sports you are interested in or your favourite sporting teams

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What are your Interests/Hobbies ?

Your hobbies/interests can include activities you like to do and things you find interesting, such as; bush walking, science fiction, politics, star gazing, train spotting, cars, motorbikes, planes, knitting, bike riding, types of movies, podcasts you listen to, travelling, swimming, surfing, computer games, cooking, baking, art and craft etc...

Tip - You can add things that you have always wanted to do!!

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Thank you for telling us about your interests, hobbies, sporting and music tastes.

We would now like to discuss pairing you with a Gig Buddies volunteer.

We will ask you a few more questions that will help for when you catch up with your gig buddy or come to our group social events.

Please note that it may take some time to pair you with a Gig Buddies volunteer (gig buddy).
Gig Buddies cannot guarantee that they will be able to find you a gig buddy.

What gender would you like your volunteer to be?

Are you able to travel independently on your own ?

Yes No

Please provide more information about your travel (i.e. do you prefer trains?, do you need help with new places? etc)

Do you have any of the following ?

Companion Card Pension Card Photo ID None of these

For more information about NSW Companion Cards, visit https://www.nsw.gov.au/living-in-nsw/companion-card/about-card

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Are you comfortable being in crowds (packed buses or trains, sporting crowds, near the stage of a crowded gig), loud places, tight spaces, etc ...?

Yes No

If you are not comfortable in crowds, loud places, tight spaces, please explain

Is there anything that upsets you? (e.g bright lights, bullies, swearing, drinking, smoking, loud noises or music, clowns, balloons)

Yes No

If there are things that upset you, please explain.

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Which social media do you use ?

You can keep up to date with the Gig Buddies project on social media. See these links: Facebook - Instagram - YouTube - Twitter

How did you hear about the Gig Buddies project?

If you heard about Gig Buddies from a friend, please enter their name below (so we can thank them!)

If you heard about us from somewhere else, please type in the box below.

Are you a part of any social groups ?

Yes No

If yes, what is the name of your social group/ groups ? - How often do you catch up ? - Where do you catch up ?

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One last question!... In your own words, please tell us what your goals are with Gig Buddies ? (a few words will do)

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Want to keep up-to-date with the latest Gig Buddies news?

Yes. I would like to receive your weekly email newsletter No Thanks

Thank you very much for taking the time to complete this form.

Please click the green "Submit Application" button to complete your application.