Information Sheet for Applicants for

Employers of Indonesia Candidates for "Kangoshi"

Information Sheet for the Institution

Institution ID Number 1000020

Vacancy
4
Reference No. 1000020-A

2
Number of
Acceptance in the
Facilities listed on Facility
the right column Reference No. 1000020-B

2
 Information Sheet for the Facility

Institution ID
Number 1000020

Reference Number 1000020-A

Region/Prefecture Region: Kanto Prefecture: Kanagawa

Total Number of Beds: 199
Number of beds in
each category General beds: 199 Long-term care beds: Mental beds:
Beds covered by medical
insurance
Tuberculosis beds: Infectious disease beds: Other beds:
Psychosomatic
Internal Medicine Psychistry Neurology
Internal Medicine
Neurological
Respiratory Gastroenterology Gastrointestinal Medicine
Internal Medicine

Cardiology Allergy Rheumatology Pediatrics

Surgery Orthopedics Plastic Surgery Cosmetic Surgery

Cardiovascular Pediactric
Neurosurgery Thoracic Surgery
Surgery Surgery
Dermatology
Dermatology Urology Venerology
and Urology
Obstetric
Proctology Obstetric Gynecology
and Gynecology
Broncho- Rehabilitation
Ophthalmology Otolaryngology
esophagology Medicine

Radiology Anesthesiology Dentistry Orthodontics

Dentistry and
Pediatric Dentistry
Oral Surgery
Specialization
Others
 General beds: 10 to 1 Long-term care beds: to 1 Mental beds: to 1
Average number of inpatients per day: 188 Average number of outpatients per day: 592

Average length of stay: 16.1

Doctors: 68 (Full-time: 29 Part-time: 39 )

Nursing-Patients
Registered Nurses: 141 (Full-time: 127 Part-time: 14 )
Ratio and etc.
Beds covered by medical Public Health Nurses: (Full-time: Part-time: )
insurance
Midwives: (Full-time: Part-time: )
Assistant Nurses: 10 (Full-time: 10 Part-time: )

Total Number of nursing staff: 151

【Labor Conditions】

Vacancy 2

Duration of Contract 3 years

Place of Work At the facility

Job Description assistant work of nursing service in ward, ( after acquiring qualification ) nursing service in ward

1. Opening/Closing Hour
(1) Opening hour ( ) (2) Closing hour ( )

【When the following systems are applied to workers】

(2) Modified working hours system: Modified working hours or shift system on a
(weekly/monthly/yearly) basis, based on the following combination of working
hours
Opening/Closing
Opening hour: ( 8:30 ) Closing hour: ( 17:00 ) Day applied: ( )
Time, Rest Periods,
Change in Shift Opening hour: ( 16:30 ) Closing hour: ( 9:00 ) Day applied: ( )
Work, and Overtime
Opening hour: ( ) Closing hour: ( ) Day applied: ( )
Work
Opening hour: ( ) Closing hour: ( ) Day applied: ( )

Opening hour: ( ) Closing hour: ( ) Day applied: ( )

2. Rest 60 or 120 minutes

3. Presence of Overtime work Yes / No
of every week, National Holidays, Others ( other one day per week,
・Regular; Sunday
from 30th December to 3rd January )
Rest day ・Irregular; days per ( week / month ), Others ( )

・In case of modified working hours system for each year: days

1 Annual paid leave： For those working continuously for 6 months or longer days

For those working less than 6 months ( Yes / No )

Leave ( 10 ) days after working ( 3 ) months

2 Other leave: Paid: leave of congratulation or condolence, summer holidays etc.

Unpaid: maternity / child - care leave, family - care leave

 1 Basic Salary

Before obtaining qualification After obtaining qualification

a. Monthly wage more than \ 164,700 more than \ 227,600

b. Daily wage more than \ more than \

c. Hourly wage more than \ more than \

2 Amount of allowance and method of calculation

Method of rate of allowance × times
a.( night work allowance \ 6,500 (before acquiring )
calculation qualification)
Method of rate of allowance × times
b.( day duty allowance \ 1,500 (before acquiring )
calculation qualification)
Method of rate of allowance × times
c.( night work allowance \ 15,000 )
calculation (after acquiring qualification)

Method of rate of allowance × times

d.( day duty allowance \ 2,000 )
calculation (after acquiring qualification)
Salary
3 Additional allowance for overtime/rest day work/night work

a. Additional allowance for overtime beyond legal working hour 125 %

Additional allowance for overtime beyond scheduled working hour %
b. Additional allowance for work on legal rest day 135 %
Additional allowance for work on scheduled rest day %
c. Additional allowance for night work 150 %
4 Closing day of pay roll: 15th of every month

5 Pay day: 28th of every month

6. Deduction from wages based on the labor-management agreement: Yes / No

7. Wage raise: (Time and etc. )
8. Bonus: (Yes (Time and amount: time: July and December, amount: basic salary ×4.1
months (2007) ), No )
9. Retirement allowance: (Yes (Time and amount: You need work experience 3 or more
years in our facility. ), No )
1. Retirement age system: ( Yes : 60 years old / No )

2. Procedure of resignation for personal reasons: You submit your letter of resignation
through immediate manager at least 30 days prior to expected of retairement date.

3. Reason and procedure of dismissal

Retirement,
Resignation and Those who are to be dismissed are given a 30 days' notice of dismissal or
Dismissal compensation in lieu of notice equivalent to 30 days' pay of the average
salary.
1) They cannot fulfill their duties due to physical or mental disorder.
2) Their work ability markedly declines due to aging or weakening.
3) They have no aptitude for the job as demonstrated by their negligence
of duties or extremely poor work performance.
And so forth
Social Insurance/ *Application of Health Insurance, Welfare Pension, Workers' Accident Compensation
Labor Insurance Insurance and Employment Insurance Yes / No
【System of Training】
Training Program See attached Information sheet of "Kangoshi" Training Program

【Others】
Dormitory Available / Not available

Full Grants (Cost to the Employee: Free)

Full self-payment

Grants (Cost to the Employee: less than \

Partial grants
Accommodations
(Employer shall secure
(Cost to the Employee: less than \ 22,000
accomodation for the
employee)
Floor Plan living-dining room plus kitchen

Distance from 900 m

facility 10 minutes by ( bus / train / walking )
Amount of
average rent in ¥90,000
the neighborhood

(Method to reflect the experience as a nurse in Indonesia to the amount of salary, etc.)
・Work experience at medical institutions in Indonesia is taken into consideration as an
addition to basic salary according to our regulations.
・Nurses from Indonesia are given financial support to take part in volunteer circle
activities and so on to improve their Japanese language competence.
・They are given financial support to keep textbooks, take correspondence courses, take
open mock exams, and take preparation courses for the national examination as steps
toward gaining their nursing qualification.
Other Descriptions ・Their surroundings will be improved to relieve their stress caused by daily
conversation and a different lifestyle.

We are aiming to be the nursing department in which voices and opinions of all staff can
be heard and reflected.
Each member of our nursing department is endeavoring to improve the nursing quality
by belonging to a subcommittee to communicate with the nursing staff of other
departments. Our hospital is located in the suburb of Yokohama City and surrounded
with abundant greenery as its place name suggests.

Comments
 Information sheet of "Kangoshi" Training Program

Institution ID Number 1000020

Reference Number 1000020−A
Region/Prefecture Region: Kanto Prefecture: Kanagawa

System of Training/Instruction
Qualification / Work experience Other descriptions
Licenses: Registered nurse, Public health nurse

Ward nursing
Person in charge Home-visit nursing
of training Ward nursing management
Education in the Nursing department

Licenses: Registered nurse

Ward nursing
Outpatient nursing
Person who On-the-job training instructor
supports training Ward nursing management
Chairperson of Education committee in the Nursing
department
Method of Training
Items Method of Training Other Descriptions
1. Improvement of learning environment
2. Consideration of correspondence education as an option
Subjects for 3. Utilization of preparation courses for the national examination
national offered by various external organizations
examination

1. Possible improvement of self-learning environment

Japanese 2. Utilization of Japanese language learning materials available in
language the local community and on-line as an option
training

1. Mastering through nursing assistance work

2. Participation in local community activities
Promotion of 3. Sharing of manuals for security and hygiene management
adaptation to 4. Consideration of homestays as an option
workplace/
Acquisition of
Japanese
lifestyle

Other
descriptions
 Information Sheet of Training System of the Facility
ID Number of Institution 1000020
Reference Number 1000020−A

Region/Prefecture Region: Kanto Prefecture: Kanagawa

(1)Training system of special subject

Subsidize expenses for some subjects at correspondence course

Subsidize expenses for some subjects at evening course of training facility/nursing school

Subsidize expenses for some subject at training facility/nursing school/university to health and welfare
)
・Subsidize ( 50 )% of the total expenses Others ( )

Provide an opportunity to take various kinds of training in local areas, etc.

・Field of training ( basic nursing )  ・Training for （ 2 ) days per year

(2) Self-learning environment
Ensure the time for self-learning during working hours

Appropriate 30 hours during 150 hour working hours on a monthly weekly

daily basis

Ensure a place for self-learning

Use a room (meeting room, counseling room, etc.) in the facility

Use a common space in the dormitory

Preparation of materials for self-learning

・ Allow to prepare and lend a book of past questions/simulated questions for the
to supply qualifying test

・ Allow to prepare and lend

a study guide for examination subjects
to supply

・ Allow to prepare and lend one or more dictionary(ies) of field(s) related to the
to supply examination subjects
 ・ Allow to prepare and lend an English-Japanese dictionary, Japanese-English
to supply dictionary, Japanese dictionary, etc.

・ Allow to prepare and lend materials for self-learning independently created by the
to supply facility

・ Allow to prepare and lend

others ( )
to supply

(3) Living environment

Have a dormitory, or arrange a place for boarding and subsidize rent, etc.

furnished including utility costs

Prepare a room of which the boarding fee is ( ) yen
unfurnished excluding utility costs

rent and utility costs of the property rented by the facility

Subsidize ( about 75 )% of the
rent rented personally

30 % across the board

Discount when staff member use a cafeteria in the facility
yen per month as a maximum

 Supply a ticket usable at neighboring restaurants to the extent of yen per month

Others ( )

(4) Support for adaptation to the workplace

Systematically implement training for new employees, and training for all employees

Training for new employees

・Implement for 5 days ・Implement 1 times per year

Training for all employees

・Implement for 5 days ・Implement 3 times per year

Adequately share information concerning outpatients and inpatients through meetings of service staff,
review meetings of cases and implement activities for improvement, etc.
 Allow the Indonesian to participate in the service staff meeting as a team member

 Allow the Indonesian to participate in the case review meetings as a team member

 Allow the Indonesian to participate in other meetings of conference in ward as a team member
Staff Supervisor of Training or Supporter of Training with the following Indonesian or English proficiency
（Experience of using Indonesian or English）
    Have experience(s) of studying in an Indonesian-speaking country(ies)
    Have experience(s) of conducting business in Indonesian
    Have experice/s of studying in an English-speaking country/ies
    Have experice/s of conducting business in an English-speaking country/ies
Others
(Holding Indonesian or English qualifications)
    Test of Practical English Proficiency Grade ( )

Qualified in
TOEFL score TOEIC score
Marked in Marked in
The United Nations Associations Test of English (UNATE) Grade
Qualified in
    The Indonesian Language Proficiency Examination Grade
Qualified in
    Other qualifications Qualified in
Staff Supporter of Training with the following Indonesian or English proficiency
（Experience of using Indonesian or English）
    Have experience(s) of studying in an Indonesian-speaking country(ies)
    Have experience(s) of conducting business in Indonesian
    Have experice/s of studying in an English-speaking country/ies
    Have experice/s of conducting business in an English-speaking country/ies
Others
(Holding Indonesian or English qualifications)
    Test of Practical English Proficiency Grade ( )

Qualified in
TOEFL score TOEIC score
Marked in Marked in
The United Nations Associations Test of English (UNATE) Grade
Qualified in
    The Indonesian Language Proficiency Examination Grade
Qualified in
    Other qualifications Qualified in
Staff Supporter of Training with the following Indonesian or English proficiency
（Experience of using Indonesian or English）
    Have experience(s) of studying in an Indonesian-speaking country(ies)
    Have experience(s) of conducting business in Indonesian
    Have experice/s of studying in an English-speaking country/ies
    Have experice/s of conducting business in an English-speaking country/ies
Others
(Holding Indonesian or English qualifications)
    Test of Practical English Proficiency Grade ( )

Qualified in
TOEFL score TOEIC score
Marked in Marked in
The United Nations Associations Test of English (UNATE) Grade
Qualified in
    The Indonesian Language Proficiency Examination Grade
Qualified in
    Other qualifications Qualified in
(5) Training system for learning of Japanese language, acquisition of living habits, etc.

Subsidize expenses to join a Japanese-language school

Subsidize expenses to enter a special department for foreign students at the university center for
international education

Subsidize expenses to attend a volunteer class, circle, etc. for learning of Japanese language

Subsidize 50 % of the total expenses Others ( )

Participation in regional activities, home stay and similar, cooperation with a community, exchange event, etc.

Open the facility to the community at the time of events

Participate in regional events

Implement home stay Exchange with regional schools

Open part of the facility as a venue for regional exchange Accept regional volunteers

Others ( )
(6) Performance of acceptance in the training of nursing and care services

Currently accepting trainees from the training schools for nurses or training facility for
"Kaigofukushishi" for practical training

   Currently accepting trainees from the training school for nurses for practical training

Currently accepting trainees from the training facility for "Kaigofukushishi"

(7) Past experiences of acceptance
   Past experiences of accepting foreign nurses (limited to those who have the status of residence in
the field of "medical treatment")
• Most recent time of acceptance ( ) month ( ) year

• Number of foreign nurses accepted most recently ( )

• Total number of foreign nurses accepted to date ( )

 Information Sheet for the Facility

Institution ID
Number 1000020

Reference Number 1000020－B

Region/Prefecture Region: Kanto Prefecture: Kanagawa

Total Number of Beds: 591
Number of beds in
each category General beds: 120 Long-term care beds: 471 Mental beds:
Beds covered by medical
insurance
Tuberculosis beds: Infectious disease beds: Other beds:
Psychosomatic
Internal Medicine Psychistry Neurology
Internal Medicine
Neurological
Respiratory Gastroenterology Gastrointestinal Medicine
Internal Medicine

Cardiology Allergy Rheumatology Pediatrics

Surgery Orthopedics Plastic Surgery Cosmetic Surgery

Cardiovascular Pediactric
Neurosurgery Thoracic Surgery
Surgery Surgery
Dermatology
Dermatology Urology Venerology
and Urology
Obstetric
Proctology Obstetric Gynecology
and Gynecology
Broncho- Rehabilitation
Ophthalmology Otolaryngology
esophagology Medicine

Radiology Anesthesiology Dentistry Orthodontics

Dentistry and
Pediatric Dentistry
Oral Surgery
Specialization
Others
 General beds: 15 to 1 Long-term care beds: 20 to 1 Mental beds: to 1
Average number of inpatients per day: 574 Average number of outpatients per day: 37

Average length of stay: 286

Doctors: 19 (Full-time: 19 Part-time: 9)

Nursing-Patients
Registered Nurses: 154 (Full-time: 138 Part-time: 16 )
Ratio and etc.
Beds covered by medical Public Health Nurses: (Full-time: Part-time: )
insurance
Midwives: (Full-time: Part-time: )
Assistant Nurses: 36 (Full-time: 31 Part-time: 5)

Total Number of nursing staff: 190

【Labor Conditions】

Vacancy 2

Duration of Contract 3 years

Place of Work At the facility

mainly assistant work of nursing and work pertaining to it ( before acquiring qualification )
Job Description
mainly work of nursing and work petaining to it ( after acquiring qualification )

1. Opening/Closing Hour
(1) Opening hour ( ) (2) Closing hour ( )

【When the following systems are applied to workers】

(2) Modified working hours system: Modified working hours or shift system on a
(weekly/monthly/yearly) basis, based on the following combination of working
hours
Opening/Closing
Opening hour: ( 9:00 ) Closing hour: ( 17:30 ) Day applied: ( )
Time, Rest Periods,
Change in Shift Opening hour: ( 17:00 ) Closing hour: ( 9:30 ) Day applied: ( )
Work, and Overtime
Opening hour: ( ) Closing hour: ( ) Day applied: ( )
Work
Opening hour: ( ) Closing hour: ( ) Day applied: ( )

Opening hour: ( ) Closing hour: ( ) Day applied: ( )

2. Rest 60 or 120 minutes

3. Presence of Overtime work Yes / No
day of every week, National Holidays, Others ( 5 days in year
・Regular; Sunday
－end through New Year )
Rest day ・Irregular; 1 days per ( week / month ), Others ( )

・In case of modified working hours system for each year: days

1 Annual paid leave： For those working continuously for 6 months or longer 10 days

For those working less than 6 months ( Yes / No )

Leave （　10　） days after working （　3　） months

2 Other leave: Paid: leave of congratulation or condolence, summer holidays ( 4 days )

Unpaid: maternity leave, child－care leave, family－care leave

 1 Basic Salary
Before obtaining qualification After obtaining qualification

a. Monthly wage more than \ 164,700 more than \ 227,600

b. Daily wage more than \ more than \

c. Hourly wage more than \ more than \

2 Amount of allowance and method of calculation

night work ( before Method of
a.( acquiring allowance \ 8,500 rate of allowance × times )
qualification ) calculation
day duty ( before Method of
b.( acquiring allowance \ 2,000 rate of allowance × times )
qualification ) calculation
night work ( after Method of
c.( acquiring allowance \ 13,500 rate of allowance × times )
qualification ) calculation
day duty ( before Method of
d.( acquiring allowance \ 3,000 rate of allowance × times )
qualification ) calculation

3 Additional allowance for overtime/rest day work/night work

Salary
a. Additional allowance for overtime beyond legal working hour 125 %
Additional allowance for overtime beyond scheduled working hour %
b. Additional allowance for work on legal rest day 135 %
Additional allowance for work on scheduled rest day %

c. Additional allowance for night work 150 %

4 Closing day of pay roll: 15th of every month

5 Pay day: 28th of every month

6. Deduction from wages based on the labor-management agreement: Yes （mutual
aid society expense 1,500 yen ) / No
7. Wage raise: (Time and etc. April, according to personal evaluation system based on
our facility's rule )
8. Bonus: (Yes (Time: April, December amount: about 4 months's basic salary, you
have to be employed by our facility period subject to bonus ), No )
9. Retirement allowance: (Yes (Time and amount time: You need work experience 3 or
more years in our facility. amount: based on our facility's rule ), No )

1. Retirement age system: ( Yes : 60 years old / No )

2. Procedure of resignation for personal reasons: You submit your letter of resignation
through immediate manager at least 30 days prior to expected of retairement date.

3. Reason and procedure of dismissal

Retirement,
Resignation and Those who are to be dismissed are given a 30 days' notice of dismissal or
Dismissal compensation in lieu of notice equivalent to 30 days' pay of the average
salary.
1) They cannot fulfill their duties due to physical or mental disorder.
2) Their work ability markedly declines due to aging or weakening.
3) They have no aptitude for the job as demonstrated by their negligence
of duties or extremely poor work performance.
And so forth
Social Insurance/ *Application of Health Insurance, Welfare Pension, Workers' Accident Compensation
Labor Insurance Insurance and Employment Insurance Yes / No
【System of Training】
Training Program See attached Information sheet of "Kangoshi" Training Program

【Others】
Dormitory Available / Not available

Full Grants (Cost to the Employee: Free)

Full self-payment
Grants (Cost to the Employee: less than \

Partial grants
Accommodations
(Employer shall secure
(Cost to the Employee: less than \ 22,000
accomodation for the
employee)
Floor Plan type: studio apartment or 1 room and a kitchen

Distance from 200 m

facility 3 minutes by ( bus / train / walking )
Amount of
average rent in ¥50,000
the neighborhood

(Method to reflect the experience as a nurse in Indonesia to the amount of salary, etc.)
・Admission to a Japanese language school to improve the Japanese language skills is
financially supported (50%).
・Rental of learning materials and tuitions for correspondence courses toward gaining
the nursing qualification are financially supported (50%).
・Every effort will be made to improve the surroundings to relieve stress caused by daily
conversation and a different lifestyle.

Other Descriptions

We are the long-term care hospital with a number of rehabilitation wards.

There are 596 long-term care beds for patients who need superior rehabilitation nursing
care or care for the elderly.
Wards are divided into 3 functions: rehabilitation during convalescence, long-term
medical care, and long-term nursing care, the purpose of which is to provide cooperative
team-oriented medical treatment and nursing care.
Bedsore care is also emphasized, and its level is so high that we can not only "prevent
bedsore formation" but also "cure even severe bedsores".

Comments
 Information sheet of "Kangoshi" Training Program

Institution ID Number 1000020

Reference Number 1000020−B
Region/Prefecture Region: Kanto Prefecture: Kanagawa

System of Training/Instruction
Qualification / Work experience Other descriptions
・Registered nurse
・Midwife 11 years
・Nursing instructor 7.5 years
Person in charge ・Nursing management 6.0 years
of training

・Registered nurse 21 years

・Clinical instructor 10 years
・Course of study for elderly support completed
Person who
supports training
Method of Training
Items Method of Training Other Descriptions
1. Improve the learning environment
Guarantee 4 hours to study a week
Provide a place to study
Open the in-hospital library to trainees.
2. Support utilization of correspondence education
Subjects for 3. Request nursing schools and colleges to enable our trainees to
national take some classes
examination 4. Utilize preparation courses for the national examination offered
by various external organizations
5. Carry out in-hospital mock exams provided by the Education
committee
6. Support access to information on the Internet

1. Support the self-learning

Support participation in in-hospital circle activities
Support attendance in Japanese language schools
Japanese
language 2. Devise ways of posting information on in-hospital bulletin
boards
training
3. Support participation in circle events in the local community

1. Establish instruction systems for nursing assistance work

Utilize a table to check acquisition levels of basic nursing skills
Promotion of required for new nurses
adaptation to 2. Support participation in local events and volunteer activities
workplace/ 3. Assist living in terms of security and hygiene
Acquisition of Share manuals and provide easy-to-understand information
Japanese
lifestyle

Other
descriptions
 Information Sheet of Training System of the Facility
ID Number of Institution 1000020
Reference Number 1000020-B

Region/Prefecture Region: Kanto Prefecture: Kanagawa

(1)Training system of special subject

Subsidize expenses for some subjects at correspondence course

Subsidize expenses for some subjects at evening course of training facility/nursing school

Subsidize expenses for some subject at training facility/nursing school/university to health and welfare

・Subsidize ( 50 )% of the total expenses Others ( )

Provide an opportunity to take various kinds of training in local areas, etc.

・Field of training ( )  ・Training for （ ) days per year

(2) Self-learning environment
Ensure the time for self-learning during working hours

Appropriate 4 hours during 37.5 hour working hours on a monthly weekly

daily basis

Ensure a place for self-learning

Use a room (meeting room, counseling room, etc.) in the facility

Use a common space in the dormitory

Preparation of materials for self-learning

・ Allow to prepare and lend a book of past questions/simulated questions for the
to supply qualifying test

・ Allow to prepare and lend

a study guide for examination subjects
to supply

・ Allow to prepare and lend one or more dictionary(ies) of field(s) related to the
to supply examination subjects
 ・ Allow to prepare and lend an English-Japanese dictionary, Japanese-English
to supply dictionary, Japanese dictionary, etc.

・ Allow to prepare and lend materials for self-learning independently created by the
to supply facility

・ Allow to prepare and lend

others ( )
to supply

(3) Living environment

Have a dormitory, or arrange a place for boarding and subsidize rent, etc.

furnished including utility costs

Prepare a room of which the boarding fee is ( 22,000 ) yen
unfurnished excluding utility costs

rent and utility costs of the property rented by the facility

Subsidize ( )% of the
rent rented personally

50 % across the board

Discount when staff member use a cafeteria in the facility
yen per month as a maximum

 Supply a ticket usable at neighboring restaurants to the extent of yen per month

Others ( )

(4) Support for adaptation to the workplace

Systematically implement training for new employees, and training for all employees

Training for new employees

・Implement for 20 days ・Implement 3 or 4 times per year

Training for all employees

・Implement for days ・Implement 30 times per year

Adequately share information concerning outpatients and inpatients through meetings of service staff,
review meetings of cases and implement activities for improvement, etc.
 Allow the Indonesian to participate in the service staff meeting as a team member

 Allow the Indonesian to participate in the case review meetings as a team member

 Allow the Indonesian to participate in other meetings of as a team member

Staff Supervisor of Training or Supporter of Training with the following Indonesian or English proficiency
（Experience of using Indonesian or English）
    Have experience(s) of studying in an Indonesian-speaking country(ies)
    Have experience(s) of conducting business in Indonesian
    Have experice/s of studying in an English-speaking country/ies
    Have experice/s of conducting business in an English-speaking country/ies
Others
(Holding Indonesian or English qualifications)
    Test of Practical English Proficiency Grade ( )

Qualified in
TOEFL score TOEIC score
Marked in Marked in
The United Nations Associations Test of English (UNATE) Grade
Qualified in
    The Indonesian Language Proficiency Examination Grade
Qualified in
    Other qualifications Qualified in
Staff Supporter of Training with the following Indonesian or English proficiency
（Experience of using Indonesian or English）
    Have experience(s) of studying in an Indonesian-speaking country(ies)
    Have experience(s) of conducting business in Indonesian
    Have experice/s of studying in an English-speaking country/ies
    Have experice/s of conducting business in an English-speaking country/ies
Others
(Holding Indonesian or English qualifications)
    Test of Practical English Proficiency Grade ( )

Qualified in
TOEFL score TOEIC score
Marked in Marked in
The United Nations Associations Test of English (UNATE) Grade
Qualified in
    The Indonesian Language Proficiency Examination Grade
Qualified in
    Other qualifications Qualified in
Staff Supporter of Training with the following Indonesian or English proficiency
（Experience of using Indonesian or English）
    Have experience(s) of studying in an Indonesian-speaking country(ies)
    Have experience(s) of conducting business in Indonesian
    Have experice/s of studying in an English-speaking country/ies
    Have experice/s of conducting business in an English-speaking country/ies
Others
(Holding Indonesian or English qualifications)
    Test of Practical English Proficiency Grade ( )

Qualified in
TOEFL score TOEIC score
Marked in Marked in
The United Nations Associations Test of English (UNATE) Grade
Qualified in
    The Indonesian Language Proficiency Examination Grade
Qualified in
    Other qualifications Qualified in
(5) Training system for learning of Japanese language, acquisition of living habits, etc.
Subsidize expenses to join a Japanese-language school

Subsidize expenses to enter a special department for foreign students at the university center for
international education

Subsidize expenses to attend a volunteer class, circle, etc. for learning of Japanese language

Subsidize 50 % of the total expenses Others ( )

Participation in regional activities, home stay and similar, cooperation with a community, exchange event, etc.

Open the facility to the community at the time of events

Participate in regional events

Implement home stay Exchange with regional schools

Open part of the facility as a venue for regional exchange Accept regional volunteers

Others ( )
(6) Performance of acceptance in the training of nursing and care services

Currently accepting trainees from the training schools for nurses or training facility for
"Kaigofukushishi" for practical training

   Currently accepting trainees from the training school for nurses for practical training

Currently accepting trainees from the training facility for "Kaigofukushishi"

(7) Past experiences of acceptance
   Past experiences of accepting foreign nurses (limited to those who have the status of residence in
the field of "medical treatment")
• Most recent time of acceptance ( ) month ( ) year

• Number of foreign nurses accepted most recently ( )

• Total number of foreign nurses accepted to date ( )