Employee Discount Application Form

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Employee Discount Application Form_V1.1 Created 12/12/2024

Employee Name:

First

Last

Employer:

Children/s Names:

Ambrose service children attending:

DECLARATION

I acknowledge by signing below if my circumstances change to be eligible to receive the employee discount, I am to inform the Ambrose Family Support team via email, within 5 working days of the change taking effect ([email protected]). Failure to notify, resulting in monies owed if receiving the discount when I am no longer eligible, will be payable to Community Ventures.

I acknowledge

I acknowledge by signing below I have read and understood the Employee Discount for Ambrose Services Policy and will adhere to the requirements of the Policy.

I acknowledge

Employee Email:

Employee Signature – please sign with mouse or finger

Clear Signature

Date

Employee Discount Application Form

DECLARATION

ENROL NOW or contact an Ambrose Service near you

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