BACHELOR OF SCIENCE (VETERINARY BIOSCIENCE) 2016 ADMISSION QUESTIONNAIRE Domestic applicants Please ensure you have applied through SATAC and read the 2016 Admissions Guide Domestic Applicants before submitting this questionnaire This requirement applies to domestic applicants only (i.e. Australian or New Zealand citizens or Australian permanent residents) applicants only. Requirements for INTERNATIONAL APPLICANTS are available at http://www.sciences.adelaide.edu.au/future-students/undergraduate/apply-vetbio/ ** This Questionnaire must be typed and converted to a PDF document before submitting. ** SECTION 1: PERSONAL DETAILS Current SATAC number Date of Birth Given Name(s) Gender Family Name Telephone Preferred Name Mobile Male / Female Primary Email Alternative Email Please provide an alternative email address if your primary email is a school based address QUESTIONNAIRE FOR DOMESTIC APPLICANTS Page | 1 Postal Address Suburb/Town State: Postcode: State: Postcode: Home Address (please leave blank if same as postal address) Suburb/Town INTERVIEW SCHEDULE To be considered for an offer into the Bachelor of Science (Veterinary Bioscience), you must be able to attend an interview at the University of Adelaide Roseworthy campus during the set interview periods. Dates for the interviews are still to be determined but will occur sometime between 7th - 9th, 14th - 16th December 2015 and 5th - 6th January 2016. If you have extenuating circumstances and are not available on specific days / times during the above mentioned periods, you can detail these below. We will try to accommodate a request as much as possible but we cannot guarantee we will be able to do so. Dates/Times NOT available during the interview periods: Reason for special request: SECTION 2: ACADEMIC INFORMATION Please complete the relevant sections below. PART A – SECONDARY SCHOOL To be completed if you are a current Year 12 student Name of School Address of School Suburb/Town State: Postcode: PART B – CURRENT UNIVERSITY STUDIES To be completed if you are currently studying at university Name of University Name of Degree Length of Program Year commenced Expected completion If you are or have studied at the University of Adelaide please state your student ID Number: QUESTIONNAIRE FOR DOMESTIC APPLICANTS a Page | 2 PART C – COMPLETED UNIVERSITY STUDIES To be completed if you have previous university qualifications Degree University Year Commenced Year Completed PART D – OTHER QUALIFICATIONS / CERTIFICATES / AWARDS To be completed if you have gained any other relevant qualifications / certificates or awards Qualification / Certificate / Award Institution / Organisation Year obtained Evidence Attached ☐ ☐ ☐ ☐ SECTION 3: INTEREST IN VETERINARY SCIENCE To gain entry to the Bachelor of Science (Veterinary Bioscience) program, applicants should be able to demonstrate an informed interest in veterinary science, animals and their welfare, and articulate a clear understanding of, and commitment to, the breadth and intensity of training which is required in a veterinary program. 3a. ANIMAL HUSBANDRY / VETERINARY EXPERIENCES Please complete an entry below for each relevant animal husbandry / veterinary experience you may have had (up to 10), listing the activities you performed. Entries may include time spent on family farms, animal husbandry experience working with one or more types of farm animals (including aquaculture), experience working with pet animals, horses or wildlife, experience working and/or interacting with veterinarians in practice or other fields of veterinary work, and other experiences relevant to the practice of veterinary science, such as work in laboratories or abattoirs. It may help your application if you attach documents (validations, references, statements from employers, certificates, etc) to support each experience, including family enterprises, as a single PDF document to support your questionnaire. Experience 1 Name of organisation or place where animals were kept Type of organisation ☐ Please tick if you have provided validation for this experience Contact Name List the activities you performed: Dates (e.g. Mar – June 2014 / 2011-2014) QUESTIONNAIRE FOR DOMESTIC APPLICANTS Estimated Total Days Page | 3 Experience 2 Name of organisation or place where animals were kept Type of organisation Experience 3 Name of organisation or place where animals were kept Type of organisation Name of organisation or place where animals were kept Experience 4 Contact Name Estimated Total Days ☐ Please tick if you have provided validation for this experience Contact Name List the activities you performed: Dates (e.g. Mar – June 2014 / 2011-2014) Type of organisation Estimated Total Days ☐ Please tick if you have provided validation for this experience Contact Name List the activities you performed: Dates (e.g. Mar – June 2014 / 2011-2014) Name of organisation or place where animals were kept Experience 5 validation for this experience List the activities you performed: Dates (e.g. Mar – June 2014 / 2011-2014) Type of organisation Estimated Total Days ☐ Please tick if you have provided validation for this experience Contact Name List the activities you performed: Dates (e.g. Mar – June 2014 / 2011-2014) Name of organisation or place where animals were kept Experience 6 ☐ Please tick if you have provided Type of organisation Estimated Total Days ☐ Please tick if you have provided validation for this experience Contact Name List the activities you performed: Dates (e.g. Mar – June 2014 / 2011-2014) QUESTIONNAIRE FOR DOMESTIC APPLICANTS Estimated Total Days Page | 4 Experience 7 Name of organisation or place where animals were kept Type of organisation Experience 8 Name of organisation or place where animals were kept Type of organisation Contact Name Estimated Total Days ☐ Please tick if you have provided validation for this experience Contact Name List the activities you performed: Dates (e.g. Mar – June 2014 / 2011-2014) Name of organisation or place where animals were kept Experience 9 Please tick if you have provided validation for this experience List the activities you performed: Dates (e.g. Mar – June 2014 / 2011-2014) Type of organisation Estimated Total Days ☐ Please tick if you have provided validation for this experience Contact Name List the activities you performed: Dates (e.g. Mar – June 2014 / 2011-2014) Experience 10 ☐ Name of organisation or place where animals were kept Type of organisation Estimated Total Days ☐ Please tick if you have provided validation for this experience Contact Name List the activities you performed: Dates (e.g. Mar – June 2014 / 2011-2014) QUESTIONNAIRE FOR DOMESTIC APPLICANTS Estimated Total Days Page | 5 3b. PERSONAL STATEMENT – Interest in the veterinary profession Please write a personal statement (in your own words) demonstrating your interest in a career in the veterinary profession and reasons why you believe you should be selected into the veterinary program at the University of Adelaide. Please limit your statement to 400 words. QUESTIONNAIRE FOR DOMESTIC APPLICANTS Page | 6 3c. PERSONAL STATEMENT – Outside interests Please write a personal statement (in your own words) demonstrating some of your activities and experiences which indicate the breadth of your interests (hobbies, clubs, cultural pursuits) and your ability to lead, to succeed at tasks and to contribute to your community. Please limit your statement to 200 words. QUESTIONNAIRE FOR DOMESTIC APPLICANTS Page | 7 Bachelor of Science (Veterinary Bioscience) SECTION 4: DISCLOSURE STATEMENT Bachelor of Science (Veterinary Bioscience) Please read the following information carefully before submitting this application. By submitting an application for the Bachelor of Science (Veterinary Bioscience), you are agreeing to the requirements below. The Australian Veterinary Board Council Inc (AVBC) is the Australian body responsible for accrediting veterinary science programs. At the University of Adelaide, the veterinary science program comprises of two degrees: the Bachelor of Science (Veterinary Bioscience) and the Doctor of Veterinary Medicine. To practice as a veterinarian, students need to complete both degrees (6 years in total). Graduates are eligible for registration as veterinarians in all states and territories of Australia, New Zealand, Hong Kong, Singapore and the United Kingdom. In order to meet these professional expectations, graduates must be able to demonstrate their ability to perform various animal handling, manipulative, therapeutic and diagnostic techniques. The Veterinary Surgeons Board or Veterinary Practitioners Board in any state or territory of Australia may refuse to register a person not deemed fit to practise veterinary science by reason of infirmity, injury, mental or physical illness, habitual drunkenness or addiction to a deleterious drug. In order to meet and maintain accreditation standards with the AVBC, the University of Adelaide is required to train graduate students who are eligible to be registered as veterinarians. The Bachelor of Science (Veterinary Bioscience) and the Doctor of Veterinary Medicine together form a broad program; it is a requirement of the accreditation of the program that graduates have the skills to practice veterinary medicine and surgery across all species of domestic animals and common wildlife species. All veterinary science students must demonstrate the ethical, physical and emotional capacity to participate in the full curriculum and to achieve the level of competence required by the School of Animal and Veterinary Sciences in order to graduate and be registrable as a veterinarian. There are inherent requirements associated with the Bachelor of Science (Veterinary Bioscience) that prospective students need to be aware of before applying. These requirements include, but are not limited to, physical fitness, physical capacity to learn how to handle a range of large and small animals, required vaccinations (specifically Q fever), and effective written communication. Applicants must read the Inherent Requirements and Vaccination Guidelines before submitting their applications. Details of these requirements can be found at: http://www.adelaide.edu.au/degreefinder/2016/bscpv_bscaspv.html. By applying for this program, applicants acknowledge these Inherent Requirements and Vaccination Guidelines. If you have a temporary or permanent medical condition or disability that may impact on your study in the veterinary science degrees, you should visit the Disability Service http://www.adelaide.edu.au/disability/ or contact them on 08 8313 5962 as soon as possible to discuss whether reasonable study adjustments can be made without compromising the inherent requirements for veterinary registration. Such conditions may include, but are not restricted to, learning disabilities, mental health problems, sensory and physical disabilities, life threatening allergies, immunosuppressive conditions and pregnancy. I have read The School of Animal and Veterinary Sciences Inherent Requirement Statement and I believe that I will be able to achieve the competences and skills required in the Bachelor of Science (Veterinary Bioscience) program. I declare that the information provided in my application for entry into the Bachelor of Science (Veterinary Bioscience) is true and accurate to the best of my knowledge. Since reaching adulthood, my behaviour has been consistent with the ethical requirements specified in the Disclosure Statement. Print name QUESTIONNAIRE FOR DOMESTIC APPLICANTS Date Page | 8 Bachelor of Science (Veterinary Bioscience) SECTION 5: APPLICATION CHECKLIST You must have applied for the Bachelor of Science (Veterinary Science) through SATAC. The SATAC early closing date for applications is advised on their website (http://www.satac.edu.au/). The prescribed questionnaire for the Bachelor of Science (Veterinary Bioscience) program must be emailed to animalvetsci@adelaide.edu.au by 8th October 2015. Late applications (both via SATAC or the prescribed questionnaire) will not be accepted. All documents must be received electronically. You must be able to tick all of the boxes below: ☐ ☐ I have applied via SATAC for 2016 entry by the closing date AND obtained a SATAC reference number. I have or will have appropriate academic results, such as: - a completed year 12 qualification (either currently in progress or previously completed), or - current or previous university level study of more than 6 months full-time (or part-time equivalent), or - a Special Tertiary Admissions Test (STAT) ☐ I have reached or am likely to reach an ATAR of ≥ 90 or have achieved or am likely to achieve the minimum required Grade Point Average (GPA) of ≥ 5.0 on a scale of 7 (or equivalent) for tertiary studies, or have STAT ranking in the top decile (see Admission Requirements for details). ☐ ☐ ☐ ☐ ☐ I meet the necessary subject prerequisite requirements. I have provided a current email address in Section 1 of this prescribed questionnaire. This will be used by the School of Animal and Veterinary Sciences to contact you during the application process if necessary. I have completed this prescribed questionnaire and saved it as a PDF document. The questionnaire must be typed. (hand-written questonnaires will not be accepted). I have scanned all supporting documents for the experiences that I have listed in Section 2 Part D and Section 3 of this prescribed questionnaire (if applicable) into a single PDF document. I will email the following documents to animalvetsci@adelaide.edu.au including in the subject heading: “ADMISSION [your SATAC reference number], [your name]” on or before 8th October, 2015. For example “ADMISSION 123456789 John Smith”: 1) Prescribed Questionnaire (as a PDF document) 2) All supporting documents for the experiences that you have listed in Section 2 Part D and Section 3 (in a single PDF document with a coversheet outlining your name and reference number, if applicable) Failure to provide the required documentation in the specified format as outlined above may jeopardise your application. It is the applicant’s responsibility to ensure a current email address is included in their SATAC application. QUESTIONNAIRE FOR DOMESTIC APPLICANTS Page | 9