Faculty of Science: Honours Programs
2015 Application for Admission: Supplementary Form
GENERAL INSTRUCTIONS:
This form is to be completed for all students seeking admission to any honours programs offered by the Faculty of Science (see
below). Before submitting the forms ensure that your internal UTS supervisor has signed the second page of this supplementary
form and completed any necessary supporting documentation. Upon completion, please email this from to the Faculty Academic
Administration Team at science.admin@uts.edu.au.
Please indicate your program preference by ticking the appropriate box.
C04267
Master of Science (Honours) in Biomedical Engineering
C04267
Master of Science (Honours) in Forensic Science
C04267
Master of Science (Honours) in Marine Sciences and Management
C04267
Master of Science (Honours) in Mathematical and Statistical Modelling
C04267
Master of Science (Honours) in Medical Biotechnology
C09020
Bachelor of Science (Honours) in Mathematics
C09021
Bachelor of Mathematics and Finance (Honours)
C09022
Bachelor of Biotechnology (Honours)
C09023
Bachelor of Science (Honours) in Biomedical Science
C09023
Bachelor of Science (Honours) in Biomedical Science – Forensic Biology
C09026
Bachelor of Science (Honours) in Applied Chemistry
C09029
Bachelor of Science (Honours) in Environmental Science
C09031
Bachelor of Medical Science (Honours)
C09035
Bachelor of Science (Honours) in Applied Physics
C09046
Bachelor of Science (Honours) in Nanotechnology
C09050
Bachelor of Forensic Science (Honours) in Applied Chemistry
To be completed by the student:
Family Name: ………………………………………………………………….……….. First Name: ………………………………………………………………………..
UTS Student ID: …………………………………… UTS Student Email Address: ……………………………………………………………………………………..
(NB. an alternate email address can be provided if you don’t have a UTS account, but this must be updated to UTS email address once you officially
enrol)
Phone No: Home: ………………………………………………………………..…… Mobile: ………………………………………………………………………......
Project Title: ………………………………………………………………………………………………………………………………………………………………..…….…
Supervisor (s ):……………………………………………………………………………………………………………………………………….……………………….……..
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2
3
Project overview /Preferences / Areas of interest [cross out those that do not apply]:
…………………………………………………………………………………………………………………………………………………………………………………..…..……
……………………………………………………………………………………………………………………………………………………………………………..…..…………
……………………………………………………………………………………………………………………………………………………………………………..………..……
Signature: ……………………………………………………………………..
Date: ……………………………………………………………………….…..
[For students who have selected a topic and supervisor] Please provide 1-2 page summary of what you will be doing and how. Please attach this summary
to this form.
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A list of projects in order of preference selected from those published by the School.
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3
An area of the discipline you would like to research in your thesis or a project (if you already have agreement from a supervisor).
Faculty of Science supplementary form- Admission 2015
FACULTY USE ONLY
The following section is to be completed by the supervisor(s) prior to submission. [This section applies to all students who
provided a project overview]
Internal Supervisor
I have discussed the above project with this student and I am willing to act as a supervisor.
Name: ……………………………………………………………………………………. Signature: ……………………………………………………………………..
Date: ……………………………………………………………………………..
The following source(s) of funds will be used to support this student:
Research Grant(s) Title: …….……………………………………………………………………………………………………….…………………….………………..
Granting Body(ies): ……………………………………………………………………….… Amount(s):.………………………………………………..………..
School Funds
School: ………………………………………………………………….. Amount: ……………………………………………….……………..
The supporting documentation required for approval of this application includes the following. [Please check the appropriate
box(es).] This documentation is to be forwarded to the School Honours (Advisory/Management) Committee by the supervisor
prior to the approval meeting.
□ EHS Risk Assessment
□Status of Human Ethics Approval
□Status of Biosafety Approval
□EHS Certification by External Supervisor
□Status of Animal Ethics Approval
□Honours proposal (MMB – please use attached)
□Other, please specify
……………………………………………………………………………………………………………………………………………………
External Supervisor/Co-supervisor* (*where applicable)
I have discussed the above project with this student and I am willing to act as a supervisor.
Name: ……………………………………………………………………………… Signature: …………………………………………………Date:……………..…..
Email address: ………………………………………………………………….. Phone number:……………………………………………………………………..
Position: …………………………………………………………………………… Affiliation*: ……………………………………………………………………..…..
Full postal address:…………………………………………………………………………………………………………………………………………………………….….
*The following resources (external to the Faculty) will be made available for the purposes of completing this project:
…………………………………………………………………………………………………………………………………………………………………………………….……
………………………………………………………………………………………………………………………………………………………………………………….……..…
Students, this form may now be emailed to the Faculty Academic Administration Team at science.admin@uts.edu.au.
APPROVALS
To be completed by Head of School
School facilities and resources required for the proposed project will be made available.
School: ……………………………………………………………………………………. Signature: ……………………………………………………………………..
Date: ……………………………………………………………………………..
To be completed by the Chair of the School Honours (Advisory/Management) Committee:
Decision of Faculty Nominee:
o Approved
o Refused
Signature: ……………………………………………………………………..
Date: ……………………………………………………………………………..
The Chair of the School Honours (Advisory/Management Committee) should return all forms to the Faculty Academic Administration Team upon
a decision being made.
Faculty of Science supplementary form- Admission 2015