Program Referral

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Submit an Expression of Interest

[/heading][vc_custom_heading text=”If you would like to see if Breakaway would be a good fit for your child, please fill the below referral form and one of our staff members will follow up with you.

Please note that this is only an expression of interest and not every child will be automatically accepted in the program. By completing the form fully and accurately, we will have a better chance to assess the suitability of the program.” font_container=”tag:p|text_align:left|color:rgba(10%2C10%2C10%2C0.6)” use_theme_fonts=”yes” css=””][/vc_column_inner][/vc_row_inner][/vc_column][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_direction_desktop=”horizontal” column_element_alignment=”center” column_element_spacing=”default” desktop_text_alignment=”default” tablet_text_alignment=”default” phone_text_alignment=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_backdrop_filter=”none” column_shadow=”none” column_border_radius=”none” column_link_target=”_self” column_position=”default” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1/2″ tablet_width_inherit=”default” animation_type=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid” column_link=”https://www.christianjobs.com.au/jobs/70294540-funding-officer-at-breakaway-youth” column_padding_type=”default” gradient_type=”default”][image_with_animation image_url=”7300″ image_size=”full” animation_type=”entrance” animation=”None” animation_movement_type=”transform_y” hover_animation=”none” alignment=”center” border_radius=”none” box_shadow=”none” image_loading=”default” max_width=”100%” max_width_mobile=”default” overflow=”hidden” screen_reader_text=”Program Referral”][/vc_column][/vc_row][vc_row type=”in_container” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overflow=”visible” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none”][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_direction_desktop=”default” column_element_spacing=”default” desktop_text_alignment=”default” tablet_text_alignment=”default” phone_text_alignment=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_backdrop_filter=”none” column_shadow=”none” column_border_radius=”none” column_link_target=”_self” column_position=”default” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1/1″ tablet_width_inherit=”default” animation_type=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][vc_raw_html css=””]JTIwJTIwJTIwJTIwJTNDaWZyYW1lJTIwc3JjJTNEJTI3aHR0cHMlM0ElMkYlMkZicmVha2F3YXl5b3V0aC5zdXBwb3J0ZXJodWIubmV0LmF1JTJGcGFnZXMlMkZwcm9ncmFtLWV4cHJlc3Npb24tb2YtaW50ZXJlc3QlMjclMEElMjAlMjAlMjAlMjAlMDlpZCUzRCUyN3BhZ2VzLXByb2dyYW0tZXhwcmVzc2lvbi1vZi1pbnRlcmVzdC1pZnJhbWUlMjclMEElMjAlMjAlMjAlMjAlMDlzdHlsZSUzRCUyN2JvcmRlciUzQSUyMG5vbmUlM0IlMjB3aWR0aCUzQSUyMDEwMCUyNSUzQiUyNyUyMGFsbG93JTNEJTI3cGF5bWVudCUyNyUzRSUwQSUyMCUyMCUyMCUyMCUzQyUyRmlmcmFtZSUzRSUwQSUyMCUyMCUyMCUyMCUzQ3NjcmlwdCUzRSUwQSUyMCUyMCUyMCUyMCUwOXdpbmRvdy5hZGRFdmVudExpc3RlbmVyJTI4JTI3bWVzc2FnZSUyNyUyQyUyMCUyOGV2ZW50JTI5JTIwJTNEJTNFJTIwJTdCJTBBJTIwJTIwJTIwJTIwJTA5aWYlMjAlMjhldmVudC5kYXRhLnVybF9wYXRoJTIwJTIxJTNEJTIwJTI3JTJGcGFnZXMlMkZwcm9ncmFtLWV4cHJlc3Npb24tb2YtaW50ZXJlc3QlMjclMjklMjByZXR1cm4lM0IlMEElMjAlMjAlMjAlMjAlMDlkb2N1bWVudC5nZXRFbGVtZW50QnlJZCUyOCUyN3BhZ2VzLXByb2dyYW0tZXhwcmVzc2lvbi1vZi1pbnRlcmVzdC1pZnJhbWUlMjclMjkuc3R5bGUuaGVpZ2h0JTIwJTNEJTIwZXZlbnQuZGF0YS5oZWlnaHQlMjAlMkIlMjAlMjdweCUyNyUzQiUwQSUyMCUyMCUyMCUyMCUwOSU3RCUyQyUyMGZhbHNlJTI5JTNCJTBBJTIwJTIwJTIwJTIwJTNDJTJGc2NyaXB0JTNFJTBBJTIwJTIwJTIwJTIw[/vc_raw_html][/vc_column][/vc_row]