POSTGRADUATE STUDY AT THE
MONASH INJURY RESEARCH INSTITUTE
EXPRESSION OF INTEREST FORM FOR PROSPECTIVE INTERNATIONAL STUDENTS
Thank you for your interest in the Monash Injury Research Institute’s Postgraduate program. Before proceeding, we need
some information from you to enable us to adequately evaluate your background, academic standing and research
interests.
Please complete all the information requested and return this form
along with a CV and academic transcripts to:
Mrs Samantha Bailey
Postgraduate Studies Administrative Officer
Monash Injury Research Institute
Building 70
Monash University, Victoria, 3800 Australia
samantha.bailey@monash.edu
PERSONAL DETAILS
Family Name:
Given Name:
Preferred Contact Name (if different from above):
Date of Birth (DD/MM/YY):
Sex:
Male / Female
Nationality:
CONTACT DETAILS
Email:
Number & Street Name (or PO Box):
Town/Suburb:
City:
State/Province:
Post/Zip Code:
Country:
Telephone:
UNDERGRADUATE DEGREES
Full name and location of institution:
Full name of degree:
Duration of degree:
Grade achieved (attach copy of
academic record showing your marks
for each year of study):
(Repeat above information for each undergraduate degree you hold)
1
Incomplete information may delay
consideration of your interest.
Full name and location of institution:
Full name of degree:
Duration of degree:
Grade achieved (attach copy of
academic record showing your marks
for each year of study):
Full name and location of institution:
Full name of degree:
Duration of degree:
Grade achieved (attach copy of
academic record showing your marks
for each year of study):
POSTGRADUATE DEGREES
Full name and location of institution:
Full name of degree:
Duration of degree:
Type of degree:
 coursework only
 research only
 combination of coursework and research (specify if major or minor
thesis/research project)
 thesis or research project
 major  minor
If a research component was included,
what proportion of the degree was this?
Grade achieved (attach copy of
academic record showing your marks)
Provide outline of research completed
(abstract or executive summary in
English)
AND copies of examiners reports –
including the specific comments
(Repeat above information for each postgraduate degree you hold)
OTHER POSTGRADUATE TRAINING OR QUALIFICATIONS
(List details of any experience since graduation that is relevant to the proposed field of research)
RESEARCH PUBLICATIONS
(List authors, title, journal name and volume, and publication dates)
2
ENGLISH PROFICIENCY
English proficiency must be demonstrated for applicants for whom English is not the first language – attach copy of test
results


IELTS (International Language Testing Service-academic) - achieving a minimum score of 6.5. A score of at least 6 is
required for each individual band and you must undertake the appropriate reading and writing modules. Priority will
be given to IELTS results
TOEFL (American Test of English as a Foreign Language)- minimum test score of 577 with a TWE (Test of Written
English) score of 5. Scores must be available for both TOEFL and TWE
Summary
International English Language
Testing Service (IELTS Academic)
TOEFL (paper based score)
TOEFL (computer based
score)
TOEFL (Internet
based score)
6.5 no band less than 6.0
577
233
100
5.0 or more on the Test of
Written English (TWE –paper
based score)
Essay Rating (ER
Computer based score) of
5.0 or more
with no test score
below 25
(For more information see www.mrgs.monash.edu.au/research/doctoral/chapter2d.html)
OUTLINE OF AREA OF R ESEARCH INTEREST (SAY 50-100 WORDS OR ATTACH A DETAILED SHEE T)
POSSIBLE SUPERVISOR (IF KNOWN)
(If you have discussed your interest with a potential supervisor, please indicate this here.)
TYPE OF CANDIDATURE SOUGHT
 PhD or  MPhil
 External  Internal (on site)
 Full-time  Part-time
FINANCIAL SUPPORT
(Scholarships not applicable to MPhil)
Would you intend applying for a scholarship?
Yes
No 
If internal candidature is sought, how do you intend to support yourself while studying?
Are you aware that the University charges fees for international students?
Yes
No 
Please provide evidence of any government financial support or other scholarship support already offered to you:
Have you accessed the information for international students on the Monash International web site?
3
Yes
No 
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