VIII GOVERNO CONSTITUCIONAL

SECRETARIA DE ESTADO DA FORMAÇÃO PROFISSIONAL E EMPREGO

DIREÇÃO GERAL DA FORMAÇÃO PROFISSIONAL E EMPREGO
DIREÇÃO NACIONAL EMPREGO EXTERIOR

Expression of Interest
STUDY AND WORK IN AGED CARE

Please complete the form, sign it and email it to enquiries.timorleste@aptc.edu.au

Personal details
Full name

Phone number
Who can we call to reach you if your phone is not working or your phone number
Alternative phone changes? e.g. friend, family member:
number Name:
Phone number:

Email address

Current address

Facebook name

Date of birth / / Age years

Municipality of Origin
Qualifications
1. Do you have any qualifications in
healthcare, nursing, social ☐Yes ☐No
services, community services or
aged care?
2. If yes, please list your relevant i.
qualifications:
ii.
iii.

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Work experience
3. Have you ever cared for an elderly
person(s) before?
4. How long did you care for the
elderly person?
5. What relationship was the elderly
person to you?
(e.g. grandmother, father,
neighbour, paying client)
6. What tasks did you have to do to
look after the elderly person(s)
you cared for?
Please tick all the tasks you did
regularly for that person
English ability
7. Where was the last place you took
an English course?
8. Please provide details of any
English level tests you have done
☐Yes ☐No
If ‘yes’, please answer the rest of the questions in this section.
If ‘no’, please go to the next section on English language
______years ______months
The elderly person I cared for was my____________________
___________________________________________________
☐ Bathing/showering
☐ Dressing
☐ Cooking
☐ Feeding
☐ Helping them get in and out of bed
☐ Helping them walk around
☐ Cleaning their room/house, doing their laundry
☐ Take them out shopping, visiting, to the market
☐ Taking them to medical appointments
☐ Keeping them company, conversing with them
☐ Other – please list any other tasks you regularly did for the
Elderly person:




☐ Secondary school
☐ SOLS
☐ Vocational training centre / DIT
☐ University
☐ Never taken an English course
☐ IELTS General (Level:___________)
☐ IELTS Academic (Level:___________)
☐ TOEIC (Level:___________)
☐ TOEFL (Level:___________)
☐ Cambridge (Level:___________)
☐ Other:
Name of test_______________________ (Level:___________)
Name of test_______________________ (Level:___________)
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Availability to study
9. If a scholarship is provided, are
you available to study at APTC’s ☐ Yes - I am available to study Jan-Jun 2023 in Fiji
Fiji campus from January to June ☐ No - I am not available to study Jan-Jun 2023 in Fiji
2023 ?

Signature: Date: / / 2022

Please check you have completed and signed this form and email it to
enquiries.timorleste@aptc.edu.au