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 Applicants are advised to read the Rules and Procedures of Graduate Research. These are available at: www.utas.edu.au/research/graduate-research/resources2 Applicants must discuss their proposed course, potential research project and supervision arrangements with the School* they intend to enrol through. If you have any questions about your application please liaise with the nominated contact person in the School in which you are intending to enrol. A list of Graduate Research Coordinators for each area is available at: www.utas.edu.au/research/graduate-research/future-candidates/graduate-research-co-ordinators The School may request additional information and documents from you to determine the quality of the project and/or your suitability for admission. Applications can be submitted at any time. Application Forms and Supporting Documents should be emailed to your School* Graduate Research Co-ordinator APPLICATION FORMS SUBMITTED DIRECTLY TO THE GRADUATE RESEARCH OFFICE WILL NOT BE ACCEPTED INCOMPLETE APPLICATIONS WILL BE RETURNED TO THE APPLICANT. Notes: Please complete this application electronically. All documentation that is submitted electronically to the Graduate Research Co-ordinator 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” Original copies (or certified copies) of supporting documentation should also be forwarded directly to the Graduate Research Office. Please ensure all documentation is clearly labeled with your name and contact details. An offer of candidature cannot be made to an applicant before these documents are received. Graduate Research Office University of Tasmania Private Bag 105 Hobart 7001 Tasmania Australia Email: Graduate.Research@utas.edu.au *School refers to School / Institute / Centre in which you intend to undertake your HDR HDR Admission and Scholarship [2011 v.1] Page 1 1. Personal information UTAS Student ID Number (if previously enrolled at UTAS) Title: Family Name: Given Names: Former Name (if applicable): Gender: Male Date of Birth Female Day Citizenship: Month Year Please provide proof of citizenship or residency (e.g. certified copy of birth certificate, passport, visa) Australian Citizen New Zealand Citizen Australian Permanent Resident Other – please advise citizenship Country of Birth: Date of Arrival in Australia: (if applicable) Date of Permanent Residency: Day Month Are you an Australian Aboriginal or a Torres Strait Islander? Year Yes (if applicable) Day No 2. Contact Details Email: (valid for at least 3 months from submission of this application Mailing Address Street Telephone (home) City / Suburb Telephone (work) State Post Code: Country: Telephone (mobile) Facsimile Permanent Address in home country outside Australia (if applicable) Street Telephone (home) City / Suburb Telephone (work) State Post Code: Country: Telephone (mobile) Facsimile 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 [2011 v.1] Page 2 Month Year 3. Proposed Enrolment Degree (e.g. PhD, MA): In the School / Institute / Centre I wish to commence on: Day as a Month Year Full-time candidate Part-time candidate (minimum of 38 hours per week) Campus of Study: (considered to be 50% of full-time) Hobart Launceston Note: International candidates on a student visa must be enrolled full-time while in Australia. Cradle Coast External (include justification below) External Candidature is not recommended, however, if your project or circumstances require a period of external candidature (for a period of more than 6 consecutive months) 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. External candidature is subject to approval by the Dean of Graduate Research. 4. Academic History Please provide certified 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 a certified copy of your proof of name change documentation. Completed Study Insert additional rows to list additional degrees. 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 [2011 v.1] Page 3 Incomplete Study 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 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. 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 certified copy of a recent academic transcript from that institution. Applicants who have undertaken prior HDR at an Australian institution are also required to provide certified copies of documents that state the Equivalent Full-Time Student Load (EFTSL) you have utilized 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. 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 provide 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 [2011 v.1] Page 4 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: www.utas.edu.au/research/graduate-research/quick-links/forms3 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. I have undertaken an academic IELTS or TOEFL test and my test results meet the requirements specified by UTAS for entry into a higher degree by research - www.utas.edu.au/research/graduate-research/future-candidates/how-to-apply/admission-requirements I have undertaken an academic IELTS or TOEFL test and are awaiting results OR I intend to sit an academic IELTS 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 cannot 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 be conditional upon me meeting the minimum English Language Requirements. Information on English Language Courses and Fees at UTAS can be found at www.international.utas.edu.au/ELC HDR Admission and Scholarship [2011 v.1] Page 5 8. Proposed Project (please consult with your proposed supervisors before completing this section) Research Project Working Ttile: (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 [2011 v.1] Page 6 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 www.utas.edu.au/research/graduate-research/scholarships 9.1 Domestic higher degree research candidates do not pay tuition fees during their candidature. Scholarship support is available for living allowances. I do not require a 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 am applying for a specific scholarship offered by UTAS – please specify 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 International higher degree research candidates are liable for tuition fees for each day that they are enrolled. Scholarship support is available for tuition fees or living allowances. I do not require a scholarship: I am self-funded and have sufficient funds to pay my tuition fees and living expenses. I wish to be considered for a UTAS merit-based scholarship for a living allowance I wish to be considered for a UTAS merit-based scholarship to cover fees I am applying for a specific scholarship offered by UTAS – please advise 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). 9.3 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 [2011 v.1] Page 7 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 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 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. * 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 / Resume * provided evidence that my English language ability meets UTAS requirements forwarded a Referee’s Report form to each of my nominated referees. Sections 1 - 9 of this application are complete. I have signed the Applicant declaration below? * This documentation must also be submitted to the Graduate Research Office at the address advised below. Documentation submitted to the Graduate Research Office must be the original document or a certified copy of the original document (A certified copy is a copy of an original document which has been certified as being a true copy by an authorised person). An offer CANNOT be made to an applicant who has not provided this documentation. Address: Graduate Research Office University of Tasmania Private Bag 105 HOBART TAS 7001 Australia HDR Admission and Scholarship [2011 v.1] Page 8 11. Applicant Declaration The University of Tasmania collects, stores and uses information, including student images, for the purposes of administration of the student’s enrolment and progress in their study, the provision of other services to the student by the University and to comply with the Higher Education Support Act 2003. All information and images are: 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 www.utas.edu.au/governance-legal/policy Students are entitled to access their personal information in accordance with the Freedom of Information Act 1991. Queries about the collection and use of this information can be directed to the Student Centre on 1300 361 928. Students who do not consent to providing the personal information, including their photographic image, will not be able to enrol with the University of Tasmania as their identity for the purposes of managing their enrolment, examination, progression and related services could not be verified. I understand that I: am responsible for ensuring my enrolment is correct for the duration of the academic year; am responsible for the payment of all fees relevant to my course of study at the University of Tasmania within the specified timelines; will receive information and notices in relation to my course of study or general information concerning my enrolment via my University e-mail account; am required to abide by the Rules, Policies and Ordinances of the University of Tasmania and the conditions of use in the University’s Information Technology facilities, and I accept responsibility to obtain and read the relevant documents; consent to the provision of details of my student record to other institutions involved in the delivery of my course of study and as required by law to certain government departments and statutory bodies; consent to the University of Tasmania to obtain or verify any details about my academic record or history from any school, higher education institution or educational authority to enable my application to be considered. Where necessary QualSearch will be engaged to access this academic information. I understand the University of Tasmania is not responsible if any educational body/institution does not supply these records. I understand that the results of the search will be made available to me on request and that an audit of this authority may also be undertaken; and I declare to the best of my knowledge and belief the information given in this form is correct and complete in every detail. Signature: Date: 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) HDR Admission and Scholarship [2011 v.1] Page 9