This form is required for all applications for a position in the Doctor of Physiotherapy and is in
addition to an application placed through Macquarie International.
For all up-to-date information and complete details regarding the application requirements and process, please visit:
 The Doctor of Physiotherapy course page http://www.courses.mq.edu.au/2012/Postgraduate/Master/Doctor+of+Physiotherapy
 and the Doctor of Physiotherapy website www.mq.edu.au/physio
For an application to be accepted and considered this form must be completed and signed, hardcopies of relevant unit outlines and transcripts must be attached and delivered to the following address by 5pm Friday 29 th March 2013 AEST. Please complete and print the form and sign the declaration. Late or incomplete submissions will not be considered.
Macquarie International
Macquarie University
Name:
Building E3A, Level 1
NORTH RYDE NSW 2109, AUSTRALIA
Tel: +61 2 9850 7346
Fax: +61 2 9850 7733
Email: iso@mq.edu.au
Date of birth:
Please provide contact details in case we need to contact you to clarify or obtain further information. Please ensure you are able to access correspondence between January and May.
Email:
Telephone:

Name: Date of birth:
1.
List units you have completed that fulfil the essential and desired pre-requisites stated in the application documents.

Attach hard copies of relevant unit outlines such as week-by-week timetable of unit content

Attach hard copies of transcripts

Use highlighter or tags to make information clear.
Essential Knowledge
Area
Human Anatomy:
Human Physiology:
Psychology:
Research Methods:
Desired Knowledge
Area
Biomechanics
Exercise physiology
Neuroscience
Motor learning & performance
Pathophysiology
Pharmacology
Unit of study
Title & Code
Unit of study
Title & Code
Name: Date of birth:
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IMPORTANT NOTE: Students in the Doctor of Physiotherapy will be required to attend clinical placements within the first month of commencement. In order to undertake clinical placements, all students who successfully gain a place in the Doctor of Physiotherapy will be required to:
1.
obtain criminal record clearances and comply with NSW Ministry of Health Employment Screening
Policy PD2008_029 requirements, as amended from time to time;
2.
complete a Commission for Children and Young People Student Declaration
3.
comply with the responsibilities and requirements of the NSW Ministry of Health Policy PD2011_005
Occupational Assessment, Screening & Vaccination against Specified Infectious Diseases as amended from time to time. Students need to understand that there is a risk of contracting an infectious disease while on clinical placement. Compliance with this policy directive is designed to protect both students and clients.
4.
submit a NSW Ministry of Health Form 2: TB Assessment Tool and Form 3: Student Undertaking/Declaration
5.
hold a current CPR (Cardio Pulmonary Resuscitation) and First Aid certificate from St John Ambulance,
Australian Red Cross or other approved providers.
Potential students are advised to become familiar with these requirements and ensure they have enough time to complete them prior to commencement of clinical placements. Failure to complete these requirements by the third week of the program will prevent clinical placement and jeopardize your progression through the program.
International students have additional requirements outlined in the information provided in the links below.
All costs and fees associated with completing these checks and immunisations are the student’s responsibility.
Students who may have difficulty with meeting these requirements are advised to have a confidential discussion with the Course Director prior to application for admission.
Note: All information is current at the time of writing. However, this information is subject to change by parties external to Macquarie University. For further information please visit the links provided below.

NSW Ministry of Health requirements for students undertaking a clinical placement.

NSW Ministry of Health Occupational Assessment, Screening & Vaccination against Specified Infectious
Diseases
DECLARATION
I declare that the information provided in this form is correct and complete. I understand that the University reserves the right to vary or reverse any decision made on the basis of incorrect or incomplete information.
I declare that I have read and understood all information on this form and on the web site www.mq.edu.au/physio relating to entry requirements, regulatory requirements for clinical placement and policies of participation and inclusion.
Signature of Applicant__________________________________________ Date______________
Thank you for your application for a position in the Doctor of Physiotherapy Macquarie University.
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