Student Mobility Fund: Internship Grant Application
Submit to: Senior Administrative Officer (International Programs), Student Services, Faculty of Law, Building 12, Clayton Campus
The following application for funding from the Law Faculty Student Mobility Fund (SMF) should be completed by students
who have been accepted into a Faculty Managed, External or Student Organised internship.
Personal Details
Student ID number
Surname
Given Names
Date of Birth
_________________________________________________________________________________
Postal Address for
correspondence
______________________________________________________________________________
Postcode: ___________________________
Student email address
______________________________ @student.monash.edu
Mobile phone number
____________________________________________________
Home phone number
____________________________________________________
Course detail
Course Name
________________________
Course Code
__________________
Course Start Date
________________________
Expected Completion Date:
__________________
Course status
Full time /Part time
Internship Details
Name of Internship: ________________________________________Country: _________________________________
Total Length of Internship: ________________weeks/months
From __________________ to _______________
Please indicate the type of internship this application relates to:

Faculty Managed

External or Student Organised
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Supporting Documentation

CV

Statement of results (can be downloaded from WES)

Evidence of acceptance into internship

Internship Endorsement Form (Student Organised and External Internships only)

Personal Statement outlining information relevant to the granting of funding. Relevant information may include
departure location relative to the internship; length of internship; accommodation arrangements; eligibility for funding
from other sources. In the case of Student Organised Internships, students should also include a personal
statement demonstrating a proven interest in the work and mission of the organisation; for example, through
elective units undertaken, extracurricular activities or work experience.
Applicant’s Declaration
I declare that :
•
•
•
•
I have not previously received a Faculty Internship Grant.
I have adequate financial resources to fund all associated internship costs in the event that any grant provided does
not cover all costs.
The information provided on this form and the information given to support my application is correct and complete. I
acknowledge that the Faculty of Law reserves the right to vary or reverse any decision on the basis of incorrect or
incomplete information.
I acknowledge that applications are to be submitted four (4) weeks before the internship departure date.
This is to allow processing of the application by the Faculty of Law and Monash Abroad.
Applications after this date are at risk of not being processed.
I agree to:
1)
2)
Refund all grant money received from the SMF to the Faculty should circumstances prohibit me from attending the
internship. The application for a refund must be submitted to the International Programs Officer in writing with a full
explanation. (Where non-refundable deposits have been made, it is at the discretion of the Director International to
waive refund of these costs).
Co-operate with the Faculty in publicising my involvement in the program undertaken and in sharing information, as
appropriate, about the internships and its outcomes.
Signature:
Date:
Privacy Statement:
The information on this form is collected for the primary purpose of assessing the Internship Grant application, to decide the amount of funds to be
granted and to monitor Internship Grant applications. The information on this form may be retained by the University for the duration of your current
enrolment.
If you choose not to complete all the questions on this form, it may not be possible for the Faculty to process the application for the Internship Grant.
You have a right to access personal information that Monash University holds about you, subject to any exceptions in relevant legislation. If you wish to
seek access to your personal information or inquire about the handling of your personal information, please contact the University Privacy Officer on
+61 3 9905 6011.
Supporting Documentation
Director of International Use Only
•
� Application for funding accepted (circle)
•
� Funding awarded (circle) $500 / $1,000 / $1,500 / $2,000 / $2,500
•
� If no, reason for rejection
YES / NO
_______________________________________________________________
•
Signature of Director International: _______________________________________ Date: _______________________
Office Use Only
•
� Student notified via phone and/or email
•
� Memo sent to Finance
•
� Student Notified by Mail
•
� Details recorded - spreadsheet
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