Application Form (Word 322.9KB)

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Philosophy Program
School of Humanities
Private Bag 41
Hobart Tasmania 7001
Australia
Ph: + 61 3 6226 7581
Fax: + 61 3 6226 7847
CRICOS Provider Code 00586B
Humanities.Admin@utas.edu.au
Applications Form
Tasmanian Buddhist Studies in India Exchange Program - HPA2/376
APPLICATIONS CLOSE: End of August
Information for the exchange program can be found at:
http://www.utas.edu.au/humanities/home/gender-studies/buddhist-studies-in-india-exchange-program
APPLICANT DETAILS
Family Name:
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Given Name(s): Click
here to enter text.
Address:
Student ID No: Click here to enter text.
(If current UTas student)
DOB: Click
here to enter a date.
Home Phone: Click here to enter text.
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Mobile: Click here to enter text.
Email address:
Current Course of Study: Enter text.
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Institution (if not Utas): Enter text.
BRIEFLY COMMENT ON THE FOLLOWING (if insufficient space, please attach a separate word document)
Your academic plans:
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How does the TBSIEP fit into your academic plans?:
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Overseas or multicultural experience (if any):
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ACADEMIC REFEREE
Name:
Position:
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Day time telephone:
Email Address:
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PROGRAM INFORMATION
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Up to fifteen students from the University of Tasmania, and other cooperating institutions, spend one month
at the Central University of Tibetan Studies. The curriculum studied comprises an intensive introduction to
Buddhist philosophy, Tibetan Buddhist Hermeneutics and Tibetan History and Culture;
Eligible applicants must have completed their first year of University study (or expect to complete by
commencement of program);
Exchange Program dates: End of December to end of January;
The Philosophy Program organises all travel, accommodation, full board and limited sightseeing;
Students travelling on University business, including TBSIEP students, have an obligation to follow the
University of Tasmania’s Travel Guidelines and are eligible for cover by the University of Tasmania’s Student
Travel Insurance policy for the duration of the program.
Student financial contribution to the Exchange Program:
Note: students should not rely on receipt of a scholarship alone to fund their program participation.
Approximately $4500 (to be confirmed). This covers airfares from home state to India and return, all
accommodation, full board and limited sightseeing;
This is a HECS assessable unit. Appropriate HECS fees for the 25% unit HPA276/376 as displayed on
the Course and Unit handbook;
Upon selection, a non-refundable deposit of $500 is required to confirm and secure your place;
Further pre-travel advice including passport, visa, medical, insurance and cultural advice will be provided.
SCHOLARSHIP INFORMATION
Students in receipt of any other UTAS grant or scholarship will not be eligible to receive a Utas provided
scholarship (with the exception of OS-HELP loans and Equity Scholarships).
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Tasmanian Overseas Scholarship (up to $3000) – subject to eligibility;
OS-HELP loan (up to $5000).
I confirm I have read and understood the above Program Information;
I have attached a certified copy of my academic transcript from my home institution; or
I am a current or past UTas student: ID No _________________
____________________________________ _____
Signature
/
Printed Name
Office Use Only
_______________________
Date
Date Received: ___ /___ /___
Selection committee comments:
Application Supported:  YES  NO
Scholarship Supported:  YES  NO
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