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APPLICATION FOR RECOGNITION OF
OCCUPATIONAL THERAPY QUALIFICATIONS
For
Skilled Migration and/or Registration
Stage 1 Desktop Assessment
Note: If you require more space to answer questions, please attach a signed and dated sheet giving the necessary details.
YOUR PERSONAL DETAILS
Family name ………………
Given names ………
Any other names you have used (Marriage Certificate, decree nisi, Deed Poll)
……….
Sex: Male Female
Date of Birth: Day Month Year
Country of birth: …
Address for correspondence: (refer to the explanatory notes about agents, if required):
Name: …………………….
Address: ……
……………………………………………………………………………………………………………………
…………………………………….
……………………………………………………………………………………………………………………
Contact details:
Telephone - Please include country codes and area codes
Mobile: ………………………………………….… Other: ……………………………….……………
Email – please print your email address clearly
……………………………………………………………………………………………………………
English Language Criteria
Details of high school AND tertiary education undertaken in English in one of the following countries:
· United Kingdom
· United States of America
· New Zealand
· South Africa
· Canada
· Ireland
· Australia
Name of high school ……………………………………………………………………………………
Country of high school ………………………………………………………………………………….
Name of tertiary institution ……………………………………………………………………………..
Country of tertiary institution …………………………………………………………………………..
Evidence of high school AND tertiary education in one of the countries listed above must be provided, and all copied documents must be certified correctly in accordance with the details in the explanatory notes.
A certified copy of the educational transcripts or letter must be provided from the secondary school and tertiary institution in Canada or South Africa attesting that courses were taught and assessed in English (including subjects, hours, examination results and, where applicable, details of clinical education when relating to the tertiary education).
If high school documents are unavailable, there is a process below to address this (Documents Unavailable).
OR
complete, to the level specified, one of the OTC-approved English language tests outlined below:
International English Language Testing System (IELTS) examination (Academic Module) – results must be from one test sitting or a maximum of two test sittings in a six-month period:
· a minimum overall score of seven (7) in each sitting;
· a minimum score of 7 in each component across the two sittings;
· no score in any component of the test is below 6.5.
Occupational English Test (OET) – results must be from one test sitting or a maximum of two test sittings in a six-month period:
· a minimum grade B in each of the four competencies (listening, reading, writing and speaking) across two sittings;
· you are tested in all four component in each sitting;
· no score in any component of the test is below C.
PTE Academic - results must be from one test sitting or a maximum of two test sittings in a six-month period:
· a minimum overall score of 65 is achieved in each sitting, and
· a minimum score of 65 in each of the communicative skills across two sittings, and
· no score in any of the communicative skills is below 58.
Test of English Language internet-based test (TOEFL iBT) - results must be from one test sitting or a maximum of two test sittings in a six-month period:
· a minimum total score of 94 and the following minimum score in each section of the test across two sittings:
· 24 listening
· 24 reading
· 27 writing
· 23 speaking
· No score in any of the sections is below:
· 20 listening
· 19 reading
· 24 writing
· 20 speaking
Results for all the recognised tests above will be accepted if:
· the results were obtained within two years prior to the date of application, or
· the results are older than two years if, since the test result was obtained, you have been in continuous employment as an occupational therapist (which commenced within 12 months of the date of the test) in one of the recognised countries where English was the primary language of practice, or
· the results are more than two years old before the date the application is lodged if, in the period since the test result was obtained:
· you have been enrolled continuously in an OTC accredited program of study which commenced within 12 months of the date of the test and undertook subjects in each semester with no break from study apart from the education provider’s scheduled holidays, and
· the application is lodged within 12 months of completing an OTC accredited program of study.
PROFESSIONAL EDUCATION AS AN OCCUPATIONAL THERAPIST
Give details of all post-secondary or higher education courses (that have led to a qualification) that you have completed which relate to your profession as an occupational therapist. If you have more than two qualifications, attach a separate sheet giving the additional details.
Main professional qualification obtained
What is the name of the qualification?
In English: ………………………………………………………………………………………
………………………………………………………………………………………………………………………
In your own language, if not English:
………………………………………………………………………………………………………………………
Teaching language:
Name of institution:
………………………………………………………………………………………………………………………
Full address, telephone number and e-mail address of institution:
Name of person or title of position for verification of course information:
Normal length of full-time/part-time course, including any compulsory practical or clinical experience:
…………………… years
Date course commenced: Date course completed:
Did you study: Full-time Part-time? (please circle as appropriate)
Other OT qualification obtained (if applicable)
What is the name of the qualification?
In English: …………..
In your own language, if not English:
Teaching language:
Name of institution:
Full address, telephone number and e-mail address of institution:
Name of person or title of position for verification of course information:
Normal length of full-time/part-time course, including any compulsory practical or clinical experience:
…………………… years
Date course commenced: Date course completed:
Did you study: Full-time Part-time? (please circle as appropriate)
CHECK LIST
Documents which you MUST include with this application. All copied documentation must bear original certification in accordance with the certification requirements of the OTC (please see explanatory notes for clarification):
Photograph identification (passport or driver’s licence).
Evidence of English language competence – high school and tertiary education (see English language requirements in the explanatory notes).
Qualification papers (for example, your degree, diploma, certificate etc.) in the original language.
Educational transcript/parchment relating to your qualification showing subjects, hours, and examination results, and where applicable, details of practical and clinical education, in the original language.
Self-declared statement of experience.
Evidence of change of name, eg Marriage Certificate, decree nisi, Deed Poll (this is required if the name on your professional documentation is different from your current name).
Official certified translation into English of any documents originally issued in a language other than English in accordance with the OTC translation requirements (please see explanatory notes for clarification).
APPLICANT'S DECLARATION
You must read and sign this declaration.
I declare:
· The information I have supplied on this form and any attachments is complete, correct and up-to-date.
· I undertake to inform the Occupational Therapy Council (Australia & New Zealand) Ltd (OTC) of any changes to my circumstances (eg address) while my application is being considered.
· I authorise OTC to make any inquiries necessary to assist in the assessment of my qualifications, and to use any information supplied in this application for that purpose.
· I have read and understood the information supplied to me in the explanatory notes accompanying this application.
· I authorise the person nominated below to discuss my application with the OTC (this is not a compulsory requirement):
Third party details:
Name: ......
Contact no.: ......
Date of birth (for identification purposes): ......
Signature: ……………..
Name: ……….
Date:
STATEMENT ON PRIVACY
The Occupational Therapy Council (Australia & New Zealand) Ltd (OTC) is required to observe the provisions of the Commonwealth Privacy Amendment (Private Sector) Act 2000, effective from 21 December 2001. It sets out the requirements for the collection and use of personal information collected before and after that date.
As from 21 December 2001 each of the Application Forms used by the OTC is required to include a statement relating to the OTC’s privacy procedures. Each must be signed by the applicant to give formal consent for the OTC to collect and hold personal information.
If consent is not provided, the OTC will not be able to process your application.
You must sign one of these consent forms for every application form that you are submitting to the OTC.
Your privacy is respected by the OTC. Information collected by the OTC may be used for administering the assessment process and provided to OTC and the Overseas Qualifications Assessment Committee (OQAC), members of the Australian Health Practitioner Regulation Agency (AHPRA), The Occupational Therapy Board of Australia (OBTA), Occupational Therapists Registration Board of New Zealand (OTBNZ) and OT Australia Ltd (National and State Associations).
Consent to Collect Information:
Full name: ………………………………………………………….
Signature: Date:
HOW TO LODGE YOUR APPLICATION
Before lodging this form, please check you have:
· Read the explanatory notes.
· Attached the required documents, certified appropriately.
· Enclosed the correct fee in Australian dollars.
· Signed the Declaration.
You should then mail this form and the relevant documents to:
Occupational Therapy Council (Australia & New Zealand) Ltd
PO Box 959
South Perth WA 6951
AUSTRALIA
OTC – Stage 1 Application for desktop assessment February 2016