APPLICATION CRICOS Provider Code: 00586B FOR ADMISSION AND SCHOLARSHIP for Higher Degree Research Candidature (PhD, Research Masters and Professional Doctorates) at the UNIVERSITY OF TASMANIA. Scholarships If you wish to be considered for a 2016 living allowance scholarship you must submit your application for admission and scholarship by: International Candidate Applications close: 30 September 2015 Domestic Candidate Applications close 31 October 2015 There is no closing date for applicants who wish to apply for admission to candidature only. Your application form and all supporting documents must be scanned and emailed to the relevant Hub. Arts, Business, Law (ABL) Research Hub Humanities Social Sciences Tasmanian College of the Arts Business and Economics Australian Innovation Research Centre Law Tasmanian Institute of Learning and Teaching Email: Research.ABL@utas.edu.au Mail: ABL Research Hub, Private Bag 84, Hobart, TAS, 7001 Location: Centenary Building, Level 3, Room 303, Sandy Bay Domain Research Hub Health Sciences Medicine Menzies Research Institute Email: Research.Domain@utas.edu.au Domain Research Hub, Private Bag 23, Hobart, TAS, 7001 Location: Medical Science 2 Building, 17 Liverpool Street, Hobart TAS 7001 Cradle Coast Campus Research Hub Institute for Regional Development (IRD) Email: Research.CCC@utas.edu.au Mail: CCC Research Hub, Locked Bag 1410, Launceston, TAS, 7250 Location: 16-20 Moorville Rd, Burnie, TAS, 7320 Institute for Marine and Antarctic Studies Email: Research.SET@utas.edu.au Mail: IMAS Graduate Research, Private Bag 129, Hobart, TAS, 7001 Location: 20 Castray Esplanade, Battery Point, TAS, 7004 Science, Engineering & Technology (SET) Research Hub Land and Food Architecture and Design Biological Sciences Physical Sciences Engineering and ICT Email: Research.SET@utas.edu.au Mail: SET Research Hub, Private Bag 55, Hobart, TAS, 7001 Location: Life Sciences Building, Room 352, Sandy Bay Launceston Research Hub Education Australian Maritime College (AMC): National Centre for: o Marine Conservation & Resource Sustainability o Maritime Engineering and Hydrodynamics o Ports and Shipping (Maritime Business and International Logistics) Email: Research.Launceston@utas.edu.au Mail: Launceston Research Hub, Locked Bag 1410, Launceston, TAS, 7250 Location: Building A, Level 1, Room 176, Launceston INCOMPLETE APPLICATIONS WILL DELAY THE APPLICATION PROCESS. Applicants must discuss their proposed course, potential research project and supervision arrangements with the School they intend to enrol through. A list of Graduate Research Coordinators for each School is available at: http://www.utas.edu.au/research/graduate-research/supervisors/graduate-research-coordinators If you have any questions about your application, please contact your relevant Hub, before submitting an application. Applicants are advised to read the Rules and Procedures of Graduate Research before signing this form. These are available at: http://www.utas.edu.au/research/graduate-research Notes: Please complete this application as a WORD document and return electronically. All documentation that is submitted electronically to the relevant Hub should be in WORD or PDF format. If your application form is not signed please ensure your email includes the following statement: “I certify that I have read and agree to the Statement by Applicant as set out in the attached Application for Admission and Scholarship form” Please email scanned electronic copies of your supporting documentation to the relevant Hub. Please ensure all documentation is clearly labelled with your name and contact details. An offer of candidature cannot be made to an applicant until these documents are received. A completed application will consist of; o Application Form completed and signed by the applicant (or email as referred to above) o School Recommendation, completed and signed by the School/Centre/Institute o All supporting documentation scanned and emailed. You may be required to present original documents if requested. o Two completed and signed referee reports o Other documentation or forms as required by the Graduate Research Office or Hub. HDR Admission and Scholarship Application – Part 1 Application Page 1 10 August 2015 V 2.2 1. Personal Information UTAS Student ID Number (if previously enrolled at UTAS) Title: Family Name: Given Names: Former Name (if applicable): Gender: Male Female Date of Birth Day Month Year Citizenship: Check the appropriate box Australian Citizen - if born overseas you must attach a copy of either your current Australian passport, Certificate of Citizenship by Descent or Certificate of Australian Citizenship New Zealand Citizen – attach a copy of your current New Zealand passport or New Zealand Citizenship Certificate Australian Permanent Resident- attach a copy of your Visa Date of Permanent Residency (if applicable): Other – please provide your current passport as proof of citizenship Country of Birth: Date of Arrival in Australia: (If a permanent resident or you have been granted citizenship) Day Month Are you an Australian Aboriginal or a Torres Strait Islander? Year Yes No Disability/medical condition Do you have a disability, impairment or long term medical condition that may impair your ability to undertake the proposed research training program? Yes No If you have a disability, impairment or long term medical condition, please indicate: Hearing Learning Mobility Mental Health Vision Medical Other Do you require support for this disability, impairment or long term medical condition to conduct your research training? Yes No If yes, please provide more detail: Any support needs you have will need to be discussed with your proposed supervisor or the School Graduate Research Coordinator (GRC) prior to application and commencement, to ensure that your needs are understood and reasonable accommodations and adjustments can be made where possible. It may be appropriate for you and your supervisor to meet with a Disability Adviser from the Support and Equity Unit to plan for optimum support and advice throughout your candidature. Failure to provide information may result in you not receiving necessary project adjustments or services to alleviate the implications of your condition and so could jeopardise your research training. HDR Admission and Scholarship Application – Part 1 Application Page 2 10 August 2015 V 2.2 I am aware that the University of Tasmania requires disclosure by me of any illness or injury which might affect my capacity to undertake the duties involved with my research training. I understand and agree that the University of Tasmania may withdraw any offer of candidature/terminate candidature if it is found that any information on which the offer of candidature was based is found to be false or misleading. It is important that every applicant reads the information on support for, and university obligations to, candidates with support needs: http://www.utas.edu.au/students/students/support-development 2. Contact Details Email: (valid for at least 3 months from submission of this application) Mailing Address Street Telephone (home) City / Suburb State Post Code: Telephone (mobile) Country: Permanent Address in home country outside Australia (if applicable) Street Telephone (home) City / Suburb State Post Code: Telephone (mobile) Country: Agent details (for international applicants – if applicable) Name: Email: (valid for at least 3 months from submission of form) Mailing Address Street City / Suburb State Post Code: Country: HDR Admission and Scholarship Application – Part 1 Application Page 3 10 August 2015 V 2.2 3. Proposed Enrolment Degree (e.g. PhD, MA): In the School / Institute / Centre I intend to commence on: Day as a Full-time candidate (minimum of 38 hours per week) Campus of Study: Hobart Month Year Part-time candidate (50% of full-time i.e.19 hours per week) Launceston Cradle Coast Sydney External (include justification below) Note: International candidates on a student visa must be enrolled full-time while in Australia. External Candidature is not recommended, however, if your project or circumstances require external candidature you are required to provide a justification that includes details of how contact will be maintained with your supervisory team. External candidates are still required to meet all candidature requirements and resourcing and access to facilities must be discussed with the school and agreed to prior as part of the application process 4. Academic History Please provide copies of academic records and degree certificates for all previous university studies, complete and incomplete, unless that study took place at UTAS. If your previous qualifications were awarded under a different name you must provide evidence of your name change. Completed Study Duration Degree Institution Country From (MM/YY) To (MM/YY) Completed or expected Completion (DD/MM/YY) Was this degree conducted in English (Y/N) Have you completed a research thesis as part of a higher education degree? Degree Overall Grade for Degree Thesis Component of Degree Mark Awarded (%) for Thesis (if applicable) (% or weight e.g. 8 units out of 12 ) (if available) HDR Admission and Scholarship Application – Part 1 Application Page 4 10 August 2015 V 2.2 Insert additional rows to list additional programs/awards. Program / Course Institution Country Commencement Date (year) Date of withdrawal (DD/MM/YY) Yes No Have you ever commenced but not completed a higher degree by research? Yes No (Go to question 4.2) Are you applying to transfer your higher degree by research candidature? Yes No Have you ever been excluded from any higher education course, faculty or institution? If yes, please provide details. 4.1 Previous HDR Enrolment Previous Topic: Reason for Ceasing / Transferring Study: NOTE: Prior Higher Degree by Research Candidature If you are applying to transfer your higher degree by research (HDR) candidature from any University (including overseas institutions) OR you have an incomplete HDR, undertaken at any Australian institution within the last 3 years, you must provide a copy of a recent academic transcript from that institution. Applicants who have undertaken prior HDR at an Australian institution are also required to provide copies of documents that state the Equivalent Full-Time Student Load (EFTSL) you have accumulated under the Research Training Scheme (RTS) at any other Australian University. If you are/were in receipt of a scholarship please provide details. Please note that in most cases scholarships are not transferable between institutions. 4.2 Have you previously been in receipt of an Australian Postgraduate Award (APA), an Australian Postgraduate Course Award (APCA) or an Australian Postgraduate Award (Industry)? Yes No If yes, please advise the period during which the Award was held: 5. Curriculum Vitae / Resume Please attach your current Curriculum Vitae / Resume to your application. Please give brief details about the highlights of your academic and/or research background and/or sector-based experience, including any prizes and achievements that demonstrate your research potential. Please note: This information will be used by your proposed School of enrolment or the Dean of Graduate Research, to assess your application and suitability for higher degree by research candidature / scholarship. HDR Admission and Scholarship Application – Part 1 Application Page 5 10 August 2015 V 2.2 6. Academic Referees You must nominate two referees who are familiar with your recent academic, research work and/or sector-based experience. Your current supervisor, course coordinator, or head of school are all acceptable as referees. It is your responsibility to forward the Referee’s Report form to your nominated referees. Referee Report forms are available at: http://www.utas.edu.au/research/graduate-research/current-candidates/monitoring-your-progress/forms Name (incl. Title) Name (incl. Title) Organisation: Organisation: Position Position Email: Email: Telephone: Telephone: 7. English Proficiency Proficiency in English language is a requirement for admission at UTAS Please indicate how you meet the English language admission requirements for UTAS English is my first language Within the last 2 years I have completed a minimum of two years of study, instructed and examined in English, from an accredited university in a country where English is an official language. Evidence of this has been provided. I have undertaken an academic IELTS, PTE or TOEFL test and my test results meet the requirements specified by UTAS for entry into a higher degree by research - http://www.utas.edu.au/research/graduate-research/future-students/research-degrees/types-of-research-degrees* I have undertaken an academic IELTS, PTE or TOEFL test and am awaiting results OR I intend to sit an academic IELTS, PTE or TOEFL test – please provide details below: Test Name: Test Date: Expected Results: Day Month Year Day Month Year *Test results are valid for two years from the date of the test, and must be still be valid the month you commence candidature at UTAS or they will not be accepted. I have other qualifications / experiences that demonstrate my English language ability. Please provide details and attach supporting documentation. The Dean of Graduate Research will determine whether this evidence demonstrates English proficiency to the required standard I intend to enrol in English Language Classes prior to commencing my higher degree by research. I am aware that if my application is successful, my offer of enrolment will either (1) be conditional upon me meeting the minimum English Language Requirements prior to commencement or (2) meeting the English Language Requirements after commencing within a prescribed period and failing to do so will result in me failing to progress satisfactorily and my enrolment will be terminated. Information on English Language Courses and Fees at UTAS can be found at http://www.utas.edu.au/international-dev/courses/english-language-centre HDR Admission and Scholarship Application – Part 1 Application Page 6 10 August 2015 V 2.2 8. Proposed Project (please consult with your proposed supervisors before completing this section) Research Project Working Title: (maximum 30 words) Which UTAS academic/s have agreed to be your supervisor/s? Name School Please provide a description of your proposed project, including the significance of the project. This should be done in consultation with your potential supervisor/s (do not exceed the space provided): HDR Admission and Scholarship Application – Part 1 Application Page 7 10 August 2015 V 2.2 9. Scholarship support Scholarships are generally only available to applicants undertaking a HDR on a full-time basis. More information about higher degree by research scholarships is available at http://www.utas.edu.au/research/graduate-research/future-students/scholarships-and-fees. NOTE: the indicative cost of living in 2014 (accommodation, transport, food and electricity) is estimated to be AUD$18,610 per year. 9.1 Living allowance scholarships. Scholarship support is available for living allowances. I do not require a living allowance scholarship: I am self-funded and have sufficient funds to pay my living expenses. I wish to be considered for a UTAS merit-based scholarship for a living allowance I wish to be considered for an ARC Training Centre scholarship (ITTC project) http://www.utas.edu.au/research/graduate-research/futurestudents/scholarships-and-fees/new-other-scholarships I am applying for a specific living allowance scholarship offered by UTAS – please identify below: I intend to apply for, I am waiting on the outcome of an application or already have an externally funded scholarship – please provide additional information below (see 9.3 – Externally Funded Scholarship Information). 9.2 Tuition Fee Scholarships. International higher degree research candidates are liable for tuition fees for each day that they are enrolled unless awarded a tuition fee scholarship. (Domestic higher degree research candidates do not pay tuition fees during their candidature.) I have sufficient funds to pay my tuition fees. I wish to be considered for a UTAS tuition fee scholarship. 9.3 Externally Funded Scholarship Information (both Domestic and International applicants) Please provide details regarding any external scholarship support and provide official documentation from your sponsoring organisation, including any conditions that place restrictions on the field of study, topic of research, or rights to Intellectual Property. 1. Scholarship Name: Funding Source: I have Duration: applied for this scholarship Scholarship provides: and / or been awarded this scholarship $AUD Value (per year) $AUD Value (per year) Tuition Fees Overseas Student Health Cover Living Allowance Relocation Expenses Other 2. Scholarship Name: Funding Source: I have Duration: applied for this scholarship Scholarship provides: and / or been awarded this scholarship $AUD Value (per year) $AUD Value (per year) Tuition Fees Overseas Student Health Cover Living Allowance Relocation Expenses Other HDR Admission and Scholarship Application – Part 1 Application Page 8 10 August 2015 V 2.2 International Applicants - Overseas Student Fees for Dependents of Candidates The University of Tasmania has funding to assist with fees for school-age dependents of international HDR candidates. The funding is provided for English language assistance and the dependents must be attending a State Government school in Tasmania. If my application is successful, my partner/spouse will be relocating to Tasmania for the duration of my candidature and I wish to be considered for assistance with fees. Details of Partner/Spouse; Name: Date of Birth (DD/MM/YY): If my application is successful, my children will be relocating to Tasmania for the duration of my candidature and I wish to be considered for assistance with fees. Number of school-age dependents Details of Dependents: Name: Date of Birth (DD/MM/YY): Name: Date of Birth (DD/MM/YY): Name: Date of Birth (DD/MM/YY): Language Spoken at home: 10. Applicant Declaration The University of Tasmania collects, stores and uses information for the purposes of assessing eligibility for admission to the University of Tasmania; the provision of other services to the applicant by the University and to comply with the Higher Education Support Act 2003. All information is collected and stored on a secure server; only accessed by University staff for the purposes for which it has been collected; and will only be used or disclosed in accordance with the University of Tasmania Privacy Policy at: http://www.utas.edu.au/__data/assets/pdf_file/0003/214779/Privacy-Policy.pdf. Applicants are entitled to access their personal information in accordance with the Request for Information Act 2009. Queries about the collection and use of this information can be directed to the Graduate Research Office on 6226 8559. Applicants who do not consent to providing the personal information requested will not be able to apply for admission to the University of Tasmania as their application could not be assessed and verified to determine their eligibility for admission. I authorise the University of Tasmania to store information with respect to my application and to obtain or verify any other information about my academic record or history from any school, higher education institution or educational authority to enable my application to be assessed. I understand that: where necessary QualSearch will be engaged to obtain this academic information and that the University of Tasmania is not responsible if any educational body/institution does not supply these records. the results of the search will be made available to me on request and that an audit of this authority may also be undertaken. the University of Tasmania will disclose the personal information I have given in this application form to the Department of Innovation, Industry, Science and Research and Tertiary Education (DIISRTE) and that DIISRTE will collect and store my personal information in the Higher Education Information Management System. the University of Tasmania may use the contact details provided in this application to contact me with advice and information relating to courses, offers and University services in accordance with the Privacy Policy. Giving false or misleading information is a serious offence under the Criminal Code (Commonwealth) I declare that to the best of my knowledge and belief the information given in this form is correct and complete in every detail. Signature: HDR Admission and Scholarship Application – Part 1 Application Date: Page 9 10 August 2015 V 2.2 What prompted your interest in undertaking a higher degree by research at UTAS? UTAS staff member / student Website (please specify) Internet Search (please advise keywords) UTAS Representative / Agent Exhibition Magazine, Newspaper or Publication (please specify) Other (please specify) 11. Applicant Checklist YES N/A The email address I have given on this form will be valid for at least three months. I have: discussed my research project with my proposed supervisors signed the Applicant declaration above checked sections 1 – 10 of this application are complete. If required, I have: * provided proof of change of name * provided proof of citizenship status (e.g. copy of visa/passport/birth certificate/citizenship certificate) provided a supporting statement for external candidature * provided documentation from my sponsoring organisation * provided transcripts or certified copies (both sides are required) of non-UTAS qualifications included details of my exclusion from a higher education course, faculty or institution * provided information relating to any prior incomplete HDRs included a current curriculum vitae * provided evidence that my English language ability meets UTAS requirements forwarded a Referee’s Report form to each of my nominated referees. Electronic scanned documents must be sent to the relevant Hub. *This documentation must be scanned and emailed to the relevant Hub. You may be required to present original documents if requested. (Note: Original or certified documents are not sent back to applicants. A candidate may, however, go to the Hub and ask for their original documents.) HDR Admission and Scholarship Application – Part 1 Application Page 10 10 August 2015 V 2.2