Aged Care Cultural and Linguistic Diversity - Regional & Metropolitan Training Program
Expression of Interest 2025/26
1. Name of the organisation
*
2. Name of site and address where the training will take place
Site Name
Street Address
Suburb
State
Postcode
3. Name and pronoun of the applicant (person completing this form)
*
Name and pronoun of the applicant (person completing this form)
*
First Name
Last Name
4. Email of the applicant
*
example@example.com
5. Phone number of the applicant
6. Position of the applicant
*
7. Name and role of the senior leader in your organisation supporting this application
8. Select which of the 8 Victorian Regions your organisation operates within
*
Northern Victoria Region
Eastern Victoria Region
Western Victorian Region
Northern Metropolitan Region
North-Eastern Metropolitan Region
South-Eastern Metropolitan Region
Southern Metropolitan Region
Western Metropolitan Region
7. Select which of the 9 Victorian Aged Care Planning Regions your organisation operates within
Western Metropolitan Region
Northern Metropolitan Region
Southern Metropolitan Region
Eastern Metropolitan Region
Barwon-South Western Region
Grampians Region
Loddon-Mallee Region
Hume Region
Gippsland Region
8a. What services are provided by your organisation? You can choose more than one option.
Home Care Packages
Residential Aged Care
Commonwealth Home Support Program
Other
8b. If other, please specify.
9. Are there other organisations in your area/region you would like to partner with in this training?
Yes
No
9. Please share with us the main reason you are interested in training with the Centre for Cultural Diversity in Ageing.
Which of the additional training topics are of interest to include in your training?
Please Select
Understanding culturally and linguistically diverse workforce
Culturally inclusive feedback and co-design
Designing and delivering language services and policies
Designing and delivering culturally inclusive food programs
Designing and delivering culturally inclusive lifestyle and recreational programs
Intersectionality and the Aged Care Diversity Framework
11. Please estimate how many staff you would like to participate in The Centre's training?
What positions or roles are included in the group you wish the Centre to train (e.g. nurses, personal care workers, case managers)
12. What positions or roles are included in the group you wish the Centre to provide training for (e.g. nurses, personal care workers, case managers)
14a. What diversity groups does your outlet (or organisation if one site only) service to? You can choose more than one option.
*
People from Culturally and Linguistically Diverse background
Aboriginal and Torres Strait Islander People
People who are homeless or are at risk of becoming homeless
People who live in Rural, Remote or Very Remote areas
People with Mental Health Problems and Mental Illness
LGBTIQA+ People
People living with cognitive impairment including dementia
People with disability
Parents separated from their children by forced adoption or removal
Care Leavers
Veterans
Social or economic disadvantage
Other
14b. If you chose other, please specify.
13. How many clients does your organisation provide services to?
14. What is the approximate number of clients from culturally & linguistically diverse backgrounds you provide services for at your outlet/site?
15. Do you have a preference for this training to be delivered face to face or online?
Face to face training
Online training
16. Do you have a training room available? (face-to-face training only)
Yes
No
17. Do you have a preference for when this training will be delivered?
Please share how you heard about the Culturally Appropriate Care Training by the Centre:
10a. Please share how you heard about the Centre's Regional & Metropolitan Training Program:
Search engine
LinkedIn
The Centre's newsletter
The Centre's website
AI tool
Word of mouth
Other
10b. If other, please specify
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