VII

IGOVERNOCONSTITUCI
ONAL
SECRETARI
ADEESTADODAFORMAÇÃOPROFI SSI
ONALEEMPREGO
DI
REÇÃOGERALDAFORMAÇÃOPROFISSIONALEEMPREGODI
REÇÃO
NACIONALEMPREGOEXTERIOR

Expr
essi
onofI
nter
est
STUDYANDWORKI
NAGEDCARE
Pl
easecompl
etet
hef
orm,
signi
tandemai
li
ttoenqui
ri
es.
ti
mor
lest
e@apt
c.edu.
au

Per
sonal
det
ail
s
Gr
egór
ioBer
eAl
ves
Ful
lname
+67074191377
Phonenumber
Whocanwecal lt
or eachy ouifyourphonei
snotwor
kingory
ourphone
Alt
ernat
ive numberchanges?e.g.fr
iend,famil
ymember :
phonenumber Name: Madal
enaDosSant os
Phonenumber:+(670)75675747
beregr
egori
o19@gmai l
.com
Emai
laddr
ess
Qui
ntal
-Boot
Cur
rentaddr
ess
Gr
egór
ioAl
ves
Facebookname

Dat
eofbi
rt
h 09/
09 /
1997 Age 26y
ear
s
Ai
l
eu
Muni
cipal
i
tyofOr
igi
n
Quali
fi
cati
ons
1.Doy ouhaveanyqualifi
cat i
onsi
n
healt
hcare,nur
sing,social  Yes ☐No
servi
ces,communi t
yser vi
ces
or
agedcare?
2.I
fyes,pleaseli
styourrelevant i
.Soci
alSer
vices
quali
fi
cati
ons:
i
i
.Communi
tySer
vices
i
i
i.AgedCar
e

1
Wor
kexperi
ence
3.Haveyouevercar
edforan  Yes ☐No
el
der
lyper
son(s)bef
ore?
If‘
yes’
,pl
easeanswerther
estofthequesti
onsi
nthi
s
secti
on.I
f‘no’
,pl
easegotothenextsect
iononEngl
i
sh
l
anguage
4.Howlongdi
dy oucar
efort
he
el
der
lyper
son? y
ear
s 6 mont
hs

5.Whatr el
ationshipwast he
elderl
yper sont oyou? Theel
derl
yper
sonIcar
edf
orwasmygr
andmot
herand
(e.g.gr
andmot her, nei
ghbour
father,
neighbour ,
pay i
ngcli
ent )
6.Whatt asksdi dyouhav et
odoto  Bathing/shower i
ng
l
ookaf tertheel der
lyper
son(
s)  Dressing
youcar edf or
?  Cooking
 Feeding
Pl
easeti
ckallt
het asksyou  Helpingt hem geti nandoutofbed
di
dregul
arl
yforthatperson  Helpingt hem wal karound
 Cleaningt heirroom/house, doingt heirl
aundr y
 Taket hem outshoppi ng,v i
sit
ing, t
ot hemar ket
 Takingt hem t omedical appoi ntment s
 Keepingt hem company ,conv ersingwi t
ht hem
 Other–pl easel i
stanyot hertasksy our egularl
ydi
d
fortheEl derlyperson:

Helpt hem getonandof fther oadchai r

Accompanyt
hem t
othebat
hroom


Engli
shabili
ty
7.Wher ewasthelastplaceyoutook ☐ Secondaryschool
anEngl i
shcourse?  SOLS
☐ Vocati
onaltr
aini
ngcentr
e/DIT
☐ Univ
ersit
y
☐ NevertakenanEngli
shcour
se
8.Pleaseprovi
dedet ai
l
sofany ☐ I
ELTSGener al(Level
: )
Englishl
evelt
estsy ouhave ☐ I
ELTSAcademi c(Level
: )
done
☐ TOEI
C( Level: )
☐ TOEFL (Lev
el: )
☐ Cambri
dge (Level
: )

 Other
:
NameoftestEngl
ishf
orBegi
nner
s(Lev
el: I)
NameoftestBasi
cConver
sat
ioni
nEngl
ish(
Lev
el:I
I)
2
3
Av
ail
abil
it
ytostudy
9.Ifascholarshipi
sprov
ided,
are
youavailabletost
udyat  Yes-Iam av
ail
abl
etost
udyJan-
Jun2023i
nFij
i
APTC’sFi j
icampusfrom No-Iam notavai
l
abl
etost
udyJan-
Jun2023i
nFij
i
JanuarytoJune2023?

Si
gnat
ure Dat
e:19/
09/2022

Pl
easecheckyouhavecompl
etedandsi
gnedthisfor
m and
emaili
ttoenqui
ri
es.
ti
morlest
e@apt
c.edu.
au