GPO Box 2100
Adelaide 5001
Australia
Faculty of Social and Behavioural Sciences
SCHOOL OF PSYCHOLOGY
APPLICATION FOR ADMISSION TO THE HONOURS COURSE IN PSYCHOLOGY
IN THE YEAR 2015
Please type (or neatly print) all entries, abbreviating where necessary. This form must be returned so that
it arrives no later than 25th November, 2014. Please see Instructions for Applicants and address overleaf.
Note: a minimum requirement for eligibility to the Psychology Honours program is a Grade Point Average (GPA) of at least
5.25 for 2nd and 3rd-year Psychology topics/units on your academic transcript (see the Honours Information booklet).
Student No.
Name:
(if currently or previously a Flinders student)
Title
Last Name
Given Names
Address:
Previous Name
Sex:
Date of Birth:
Male
Female
Day
City/Suburb
State
Postcode
Email:
PROPOSED DEGREE:
Honours Bachelor of: Psychological Science
Mobile:
Home Telephone:
Work Telephone:
Behavioural Science
(
(
Arts
Month
Year
)
)
Science
(Please check one box based on undergraduate degree completed. Graduate Diploma students please select
Psychological Science.)
STUDENT DETAILS:
Residency Status:
P/F*:
(Please enter relevant code from list below)
*P/F = Part/Full time Enrolment (Please tick one box above)
Residency Status:
A- Australian Citizen
N- New Zealand Citizen
V- Student, Temporary Resident or Visitor Visa
HPX-
Full-Time
Part-Time
Permanent Humanitarian Visa Holder
Permanent Resident Status (include date residency granted)
None of the Above
If you are an international student, you will need to apply through the International Office:
http://www.flinders.edu.au/international-students/study-at-flinders/applications/applications_home.cfm
Country of birth
(if not Australia)
Aboriginal or Torres Strait Island Status:
Year of entry
(to Australia)
Aboriginal
Torres Strait Islander
Main language
(spoken at home)
Both Aboriginal and TSI
None of the Above
OFFICE USE ONLY
Internal Course
Transcripts:
Yes
No
____ / ____ / ____
___________________________________
Application received by Faculty:
____ / ____ / ____
___________________________________
Application entered on Student One:
_____________________________________________________________
Decision:
____ / ____ / ____
___________________________________
Authorised:
____ / ____ / ____
___________________________________
Entered:
_____________________________________________________________
Comments:
__________________________________________________________________________________________________
____ / ____ / ____
___________________________________
Student Advised:
____ / ____ / ____
___________________________________
Placed on Student File (Records Office):
ACADEMIC QUALIFICATIONS:
Did you complete Year 12 (or its equivalent) in Australia?
If Yes, in which state/territory?
Yes
No
And in which year?
State degree(s) or other qualifications held or being completed. Give title of degree, institution and date of award or
expected completion.
Name of Degree/Awards
Date of Expected
Institution
Date of Award
(And Major, if not in Psychology)
Completion
If you are NOT a graduate of Flinders University, attach a
 COMPLETE Official Transcript of your academic record, including the explanation of codes, grades, etc.
 IF your degree came from a non-Australian institution, also attach details of the program structure (a copy can
be obtained from your University Calendar)
IF you hold (or will complete) a Graduate Diploma in Psychology from Flinders or elsewhere
 Please also include a copy of your academic transcript for your previous degree if it is not a Flinders degree.
Instructions to Applicants
If a complete academic record is not available in time to meet the deadline for submission, the application must be
submitted by the due date, accompanied by the most recent information. It will not be possible to consider late
applications. For non-Flinders graduates, any additional information required to complete the academic record
should then be submitted as soon as possible. It is the applicant’s responsibility to provide the additional
information as soon as it becomes available. However, consideration of applications cannot be postponed, and offers
will be finalised on the basis of the information that has reached the School at the time the Selection Committee meets
(usually around the 16th December). The Committee regrets that applications for which insufficient information is
available at that time (i.e., incomplete academic records) cannot receive later consideration.
Ensure that Full or Part-time enrolment has been specified on page 1. Students who convert from full-time to parttime after the commencement of the academic year are expected to continue with their thesis.
Enquiries can be directed to the School of Psychology Office (Ph: (08) 8201 2416, or email: psychology@flinders.edu.au).
The Psychology Honours Information handbook can be found at http://www.flinders.edu.au/sabs/psychology/studyingpsychology/courses/honours.cfm.
Mail a hard copy of your application to: Administrative Assistant (Honours Applications), School of Psychology,
Flinders University, GPO Box 2100, ADELAIDE SA 5001.
Do not send any materials by certified or registered mail.
STUDENT DECLARATION:
I certify that to the best of my knowledge all documentation and information submitted or made available by me to the
University, whether in relation to any course of study or otherwise, is true, accurate and complete. I acknowledge that the
provision of inaccurate or incomplete information by myself, or a certifying authority, may result in the withdrawal of any offer
of enrolment, or the cancellation of any enrolment allowed on the basis of acceptance of that offer. I consent to the
collection, storage and disclosure of information relating to record falsification or other irregular acts in accordance with
Australian Vice-Chancellors’ Committee procedures. I authorise Flinders University to obtain from other educational
institutions details of my enrolment and academic record at those institutions.
I understand that Flinders University may disclose the personal information I have given in this application to the
Department of Education, Science and Training (DEST) and that DEST will collect and store my personal information in the
Higher Education Information Management System.
Signature: .................................................................
PLEASE NOTE: Electronic signatures are not acceptable.
Date: