FOR SELF OR CLIENT REFERRALS TO OUR HUB

Humans of Purpose Academy Application

If you feel unsafe right now, please leave this page and call 000. Visit Humans of Purpose Academy website for a list of crisis supports and services.

About Us

We support women with lived experience of domestic and family violence to be financially independent and thrive. Membership includes: unlimited access to our virtual Hub and access to a range of personal and professional development programs to help you on your unique path through masterclasses, peer support, expert coaching, mentoring and more.
To find out more visit www.humansofpurposeacademy.com

Next Steps

Please complete this application form for yourself or your client to join our virtual Hub - open to all women+
Once we receive your application, you will receive an email within 5 business days with next steps to access our Hub and the many supports available to our members including our Fit for the Future of Work Program (NSW Only)

All of the information you provide here is kept confidential. Your safety and privacy is a priority for us and is in keeping with our Confidentiality, Privacy and Safety Policies.

Please note - Humans of Purpose Academy is not case-management and cannot deliver individual case management support.

Questions/Feedback
Email us at academy@humansofpurpose.com

Referral Details

Are you referring your client to the Academy?*

Yes

Applicant/Participant Information

First Name*

Last Name*

Email*

Postcode*

State*

Age range*

How did you hear about us?

Do you have lived experience of domestic and family abuse? (Including coercive control, financial abuse, emotional abuse, sexual abuse, physical abuse, psychological abuse)?*

Yes

Other

In as many or few words as you are comfortable, please tell us a little bit about your personal experience of domestic and family abuse*

Are you currently in an intimate partner relationship, either living together or not, that is abusive?*

Are you in the early days of leaving an abusive relationship?*

Do you identify as*

Preferred Pronouns*

She/Her

They/Them

He/Him

Are you fluent in any languages other than English?*

Yes

Do you have any dependent children?*

Yes

Are you currently employed?*

What industry/sector most interests you for your next role?*

We exist to support women+ with lived experience of DFV to be financially independent and thrive. Tell us, how can we most assist you with your long-term recovery?*

Do you have access to a device like a computer or tablet and an internet connection?*

Is there anything else you'd like to share with us?