Thank-you for your interest in the AMSI Intern Program.
To proceed with your application, please ensure you fully complete
the required information, as outlined below.
Student:
University: (including Faculty and specific Discipline)
Research Abstract:
(Please provide ½ page abstract about your thesis; a top line summary in
laymen's terms that clearly outlines how your research piece may address a specific research
challenge or problem that an organisation is facing)
Personal Details
Name:
Address:
Phone:
Mobile:
Is it important to please provide to with the details for BOTH e-mails, Thank-you.
University Email:
Personal Email:
Qualifications Summary
Please list your academic qualifications including Faculty and specific Discipline
Example:
2011-
PhD: Caught Behind – an alternative to the Duckworth-Lewis method
for forecasting match results in Twenty20 Cricket, Australian
National University (Please ensure you provide us with expected
completion date: e.g. August 2014)
2008-2009
Master of Science (Statistics), University of Melbourne
2005-2007
Bachelor of Science (Statistics), University of South Australia
Career Summary
Please list your employment history. You will be asked to provide additional details in the
Career History section
Example
Company
Position
Dates
Australian National University
Research assistant
Aug 2008 – Nov 2009
Statistical Consulting Pty Ltd
Statistician (full time)
Jan 2010 – Jul 2011
What kind of skills do you hope to gain from an industry internship
placement?
(1-2 sentences)
Summary of Key Skills
Please outline the key skills you will bring to the workplace. This should include
 Your technical skills (e.g. key mathematical skills, computer skills)
 Your soft skills (e.g. communication skills, organisational skills, interpersonal skills,
work ethic)
Career History
Please elaborate on your key responsibilities, achievements and the skills you developed in
each of the roles listed in the Career Summary section.
Personal Interests
Example: photography, bicycle polo, Agatha Christie novels, playing the piano
Selected Award & Achievements
Example: Prizes, Dean’s Honours List, Scholarships etc.
Selected Publications
List any publications you have authored. You may also include details of conferences you
have presented your work at. Remove this section if it is not relevant to you
Referees
Please provide the names and contact details of two referees to support your application
Referee 1
Title
Name
Email
Phone
Position
Company
Referee 2
Title
Name
Email
Phone
Position
Company