Application for Lapsed submission STUDENT DETAILS Family name Given Names ID Number Contact Number Email Postal Address Faculty Department/School RESEARCH PROJECT DETAILS Degree Enrolment status Doctoral ☐ Master’s ☐ Full-time ☐ Part-time ☐ 2013 Enrolment lapsed date ☐ 2014 ☐ On Campus ☐ External ☐ Other year ☐ Do not complete this form. See over for details. Supervision Role Callista ID Number Title and Name Email Address Main Associate SUPERVISOR SUPPORTING STATEMENT Did you maintain contact with the student after the enrolment lapsed? Yes ☐ No ☐ Has he/she successfully completed pre-submission requirements? Yes ☐ No ☐ Do you certify that the research and the writing embodied in the thesis are that of the student except where due reference is made in the text? Yes ☐ No ☐ Do you support the student’s request to submit the thesis under lapse regulations? Yes ☐ No ☐ Eg: Milestones, coursework and/or research skills training Supervisor Name Signature Date Click here to enter a date. ENDORSEMENT Head of Academic Unit (or Delegate) By endorsing this application do you certify that the applicant may submit his/her thesis for examination under lapsed candidature? Yes ☐ No ☐ Head of Academic Unit (or Delegate) Name Signature Date Click here to enter a date. Office use only Application endorsed? Yes ☐ No ☐ Graduate Research Committee Date: Click here to enter a date. Privacy Statement: The information on this form is collected for the primary purpose of assessing your application for submission under lapsed candidature. Other purposes of collection include recording your student declaration, attending to academic and administrative matters and statistical analyses. 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: privacyofficer@adm.monash.edu.au Document version 1.2, 26 March 2015 Application for Lapsed submission Guidelines for Completing the Application The Graduate Research Committee may allow a person whose enrolment lapsed between 1 January 2013 and 31 December 2014 to submit their thesis for examination without requiring a minimum period of re-enrolment. In the event the lapsed submission is approved; the relevant regulations apply to and in relation to that person and thesis as if the person were a candidate, subject to any conditions imposed by the committee. This form should be completed by former graduate research students whose enrolment lapsed between 1 January 2013 and 31 December 2014. Before completing the form, please refer to section 3 of the Graduate Research Re-Admission Procedures. All other lapsed/discontinued students should complete and submit an Application for Re-Admission form. Application Details In order for the thesis to be accepted for examination, clear evidence must be provided of continued contact between the applicant and supervisor over the period of lapsed enrolment, along with a certification by the main supervisor that the work meets the necessary submission requirements. Endorsement Applications to submit as a person with lapsed enrolment must be supported by the main supervisor and Head of Academic Unit (or delegate) and submitted to MIGR via this form. MIGR is unable to assess your application without the written endorsement of the Head of your Academic Unit (or delegate). To obtain this, please scan and send your application form to your Academic Unit Administration Officer. Submitting your Application Once all sections of the form are complete, scan and send your application to migrexams@monash.edu. Please contact the MIGR exams team if you require any assistance with completing your application. Notification of outcome The applicant will be notified via email once the Committee has considered the request. A minimum period of re-admission may apply where the GRC determines that the thesis is not ready for submission and the person requires a period of enrolment in order to prepare the thesis for submission. Any such cases for re-admission will only be considered where the person: Makes a request for re-admission in writing by completing the Request for Re-Admission form; Has the written support of the Head of Academic Unit (or delegate) stating that re-admission is recommended and that supervisory and resource support remains available; Pays any outstanding fees (if applicable); Submits the application within 4 years of the date of lapsed enrolment. Privacy Statement: The information on this form is collected for the primary purpose of assessing your application for submission under lapsed candidature. Other purposes of collection include recording your student declaration, attending to academic and administrative matters and statistical analyses. 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: privacyofficer@adm.monash.edu.au Document version 1.2, 26 March 2015