POSTGRADUATE APPLICATION FOR ADMISSION
FULL FEE SESSION PROGRAMMES, NEW ZEALAND
Completed application forms must be lodged with:
The Closing Dates for Applications are:
Session 1, 14
Session 2, 14
Session 3, 14
SCU Postgraduate Programmes Office
Faculty of Business & IT
Manukau Institute of Technology
20 January, 2014
26 May, 2014
22 September, 2014
Private Bag 94006
Manukau 2241
Please print or type boldly in black ink. Please refer to the Instruction Sheet for completing this application form.
Failure to complete any section or provide required documentation may invalidate your application.
A. PERSONAL DETAILS
Family Name
Other Names
Title (Mr/Mrs/Miss/Ms)
Date of Birth (DD/MM/YY)
Sex (M or F)
............ / .......... / ...........
Address - Street Number and Name
Postcode
Home
Phone:
Work
Phone :
Nationality:
Fax :
Fax :
Ethnicity:
Mobile :
Mobile :
B. COMPUTER AVAILABITY
Enrolment assumes access to computer facilities.
E-mail access (tick one) :
Yes
No 

If yes, Preferred: …………………………………………(other) …………………………………………………………………...
Permission to use email address for communication (tick one) :
Were you born in New Zealand?
Yes
No 
 Please attach a certified copy of your Passport or Birth / Marriage Certificate(s)
If not : Date of entry into New Zealand
DD/MM/YYYY:
Yes
Country of Citizenship
Country of Birth
………./………./……….
If you are the holder of a Temporary Entry Permit, or have been granted New Zealand Permanent Resident Status,
you MUST attach a certified copy of your Passport and relevant Visa/s confirming these details to this application.
Main language spoken at permanent home residence, if not English:
(Degree, Diploma, Associate Diploma)
C. TERTIARY STUDIES
List below in chronological order any courses relevant to your application you have attempted at a university, polytechnic, or
other institution of higher education. (Certified documents are required - see Instruction Sheet).
Institution Attended
Title of Degree/Diploma etc
Course Completed
Last Year of course
……………………………………..
………..………………………………………
……………………….
……………...…………
……………………………………..
………..………………………………………
……………………….
……………...…………
……………………………………..
……..…………………………………………
……………………….
……………...…………
(a) Are you seeking advanced standing towards this course for any of your previous studies?
(If YES, see instruction sheet under TERTIARY STUDIES for documentation required).
(tick one)
Yes No
Yes No
(b) Will your advanced standing contribute towards Part C (foundation units)
of the Schedule of Units for the MBA?
Please complete Advanced Standing Application on Page 4.
D. COURSE APPLYING FOR AND SESSION OF COMMENCEMENT
Course Name (tick one) :
Master of Business Administration Master of Professional Accounting
 Master of HR and Organisational Development
Session (tick one) :Session 1 (Feb-May)Session 2 (June-Sept)
Session 3 (Oct-Jan ’15)
E. EMPLOYMENT
List any employment/activity which may be relevant to your application. (Documents are required - see Instruction Sheet.)
Employer
Type of Work
Part-time or
Full-time
Position Held
Employment
Period
…………………………………
…………………………………...
……………...
…………………………...
………….
………….
…………………………………
…………………………………...
……………...
…………………………...
………….
………….
…………………………………
…………………………………...
……………...
…………………………...
………….
………….
…………………………………
…………………………………...
……………...
…………………………...
………….
………….
F. ATTENDANCE MODE / STUDY PROGRAMME
Attendance mode
External
Unit/s selection for
my first period of study
Unit/s selection for
my second period of study
Unit/s selection for
my third period of study
………………………………………………
………………………………………………
………………………………………………
………………………………………………
………………………………………………
………………………………………………
G. ADDITIONAL INFORMATION
Information on this form will be taken into consideration in assessing the suitability of an applicant for admission.
You MUST include a certified copy of required documents as well as the Application Fee of $250.00,
Supporting Letter and a current CV with this application form.
As outlined in the Instruction Sheet in addition it is useful for you to attach a separate page detailing:
(i)
any further details regarding items above which are not included in your CV
(ii)
why you wish to enrol in your chosen course
(iii)
any other experience/interests etc. which you consider relevant
(iv)
the nature and extent of any disability you may have which may impair full participation in course activities
H. CONDITIONS OF APPLICATION AND APPLICANT DECLARATION
I agree to the Terms & Conditions
Applicant Declaration
Important: Please read the following carefully before you agree to the declaration below. Your application will not be considered unless you agree
to this declaration.
Privacy statement:
This statement is provided because Southern Cross University and the Australian Department of Education, Employment and Workplace Relations
(DEEWR) seek personal information about you in this application form. The full text of Southern Cross University’s privacy statement may be
viewed online at www.scu.edu.au/privacy/
Southern Cross University needs information so it can:
Assess your application for admission and administer any enrolment by you in a course in accordance with the University’s policies and procedures
and collect and report your enrolment details to any state or federal government agencies (such as DEEWR and the Australian Taxation Office
(ATO)) to which the University is required to report concerning your enrolment with the University.
Southern Cross University may also, and without obtaining any further consent from you:
Access student data for the purpose of conducting authorised research on the basis that the identity of individuals will not be disclosed in any
resulting report or publication unless the individual concerned first gives his or her specific authorisation to do so and release data to authorised
external agencies to conduct mailouts or debt collection activities. These organisations are subject to the same privacy safeguards as Southern
Cross University.
DEEWR needs information so that it can assess your entitlement to Commonwealth assistance under the Higher Education Support Act 2003, and
the allocation of a Commonwealth Higher Education Student Support Number (CHESSN) to you.
Southern Cross University will disclose this information to DEEWR for those purposes. DEEWR will store the information securely in its Higher
Education Information Management System. It may disclose the information to the ATO.
This information will not otherwise be disclosed without first obtaining your consent, unless this is required or authorised by law.
The University is bound by Privacy and Personal Information Protection Act 1998 (NSW) and the Health Records and Information Privacy Act
2002 (NSW). Details regarding SCU's privacy obligations and privacy practices, is contained in the SCU General Privacy Notice for Students and
the SCU Privacy Management Plan available at www.scu.edu.au/privacy/. By agreeing to this declaration below, you consent to the collection,
use, storage and disclosure of your personal information, including health information on the terms and conditions set out in this application form
and the University's General Privacy Notice for Students and Privacy Management Plan.
I (Print your name)
the Applicant declares and agrees:
I have read this application form and the conditions specified in it and agree that I accept those conditions and that all information and documents
provided with this application form are complete and accurate. I acknowledge that it is my responsibility to ensure that I supply complete and
accurate information and documents in connection with this application and the University may withdraw any offer or cancel my enrolment if any
information or documents submitted with this application are incorrect or incomplete.
I authorise Southern Cross University to obtain any further information about this application from other organisations, from by means of an
electronic qualification verification search (such as "QualSearch") and provide information to government, educational, health and other relevant
organisations for the purposes of processing this application or in conjunction with this application or my enrolment. I also authorise other
organisations to supply information to Southern Cross University about this application.
I agree that the University may withdraw any offer made to me on or before the lapse date, even if I have already accepted that offer; I am bound by
and to comply with the University’s statutes, rules, policies, codes or conduct and procedures in force from time to time and that the University
may send information to me electronically.
DECLARATION: No application will be considered if this declaration is not signed.
The personal information you provide on this form is protected by the NZ Privacy Act 1993 and the
Australian Acts as contained in the SCU’s Privacy Management Plan – www.scu.edu.au/privacy/.
Signature ...........................................................................
Date
NZ Director
Recommendation
SCU Course Co-ordinator
Action
OFFICE
USE
ONLY
...........................................................................
Advanced Standing Application
(Please complete this section if you would like credit for prior learning or professional experience)
Southern Cross University policy allows for the granting of advanced standing for previous post-secondary study (normally completed within the last ten years), relevant
professional experience or demonstrable expertise (documentation to be attached). If you wish to apply for advanced standing towards your course, you should complete and return
the Advanced Standing Application form to your relevant School at PO Box 157 Lismore NSW 2480. It is important to apply for advanced standing as early as possible in your
studies, as the amounts of advanced standing you are granted may affect which units you need to enrol in. If you have already applied for advanced standing and have not yet been
advised of the outcome, please contact the Student Liaison Team at your relevant School on: 02 6620 3000.
Personal Details:
Student ID Number:
Title (Mr Mrs etc) Family Name
First Given Name
Other Given Name
Course Information:
Course Name:
Major area/s of study
Do you expect to graduate as a result of this Advanced Standing application?
Yes
No
Previous Studies:
Name of institution
State
Course Name
Course Code
Was course
completed?
Y/N
Last year
of study
Please note: An application for Advanced Standing for previous studies, will NOT be considered unless certified copies of your Academic Transcript and
detailed Unit Outlines are provided.
Industry/Professional Experience:
(consideration may be given for industry experience, professional development, studio performance or artistic expertise).
Is your application made on this basis?
Yes
No
Please note: An application for Advanced Standing for Industry/Professional experience will NOT be considered unless supporting documentation is
submitted, eg: portfolio, curriculum vitae...
List the Southern Cross University (SCU) units you are seeking Advanced Standing for:
In the table below list the Southern Cross University units for which you are seeking Advanced Standing
(refer to the Southern Cross University website www.scu.edu.au for unit information)
SCU Unit Name
Previous Institution
Unit Code
Unit Name
Year completed unit
2445 Advanced Standing as @ 13w/2/08
SCU Unit Code
Declaration
I declare the information submitted 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.
Checklist
Have you submitted your Academic Transcript?
Have you submitted your Unit/Subject outlines?
Student’s Signature
Date
The personal information you provide on this form is protected by the NSW Privacy and Personal Information Protection Act 1998. You should be
aware that you are providing this information of your own free will. The personal information you provide will not be made available to any
person or organisation outside of the University or for any other purpose without your consent. Your personal information will be stored at
Southern Cross University and will be kept for a minimum of one year and then destroyed. You may access and/or ask us to amend any of the
personal information we hold on you.
Industry Experience documentation
Signed and dated Declaration
Submit your application to the relevant School
POSTGRADUATE APPLICATION FOR ADMISSION
FULL FEE SESSION PROGRAMMES, NEW ZEALAND
Instruction Sheet
These instructions will assist you to correctly complete
the application form:
A. PERSONAL DETAILS
Note:
Name
Please complete form in black ink, ensuring
required documents are attached.
(On commencement of studies Application Fee will
be credited against unit fees).
Information included with the application will be
taken into consideration in assessing the suitability
of an applicant for admission. Therefore please
attach a separate page detailing :
Please print your name clearly and in full.
If any of your documents (including academic
transcripts) show a name which is different from the
one you have used on the application form, you must
present documentary evidence of the change (e.g.
marriage certificate, deed poll, statutory declaration)
with your application.
i.
why you wish to enrol in your chosen
course
ii.
any further details not included in your CV
All correspondence relating to your application will be
forwarded to the address you have indicated.
iii.
any other experience/interests, etc. which
you consider relevant
Change of Address
iv.
the nature and extent of any disability you
may have which may impair full
participation in course activities or requires
special assistance
If born in New Zealand attach a certified copy of
your passport or birth/marriage certificate(s).
If you were not born in New Zealand please ensure
relevant Visa/s are included with your certified
copy of your passport which accompanies the
completed application.
The closing dates for applications are:
Session 1, 14
Session 2, 14
Session 3, 14
20 January, 2014
26 May, 2014
22 September, 2014
Late applications may not be considered until the
following Session.
Address
If you change your address after lodging your
application, it is your responsibility to notify the SCU
Postgraduate Programmes Office, stating your name,
course applied for, new address, telephone and fax
numbers.
C. TERTIARY STUDIES
1. All applicants who have undertaken relevant tertiary
studies must submit a full certified copy of their
academic transcript which provides evidence of all
subjects taken, grades obtained (including failures),
stage reached or qualification gained. The transcript
must be obtained by the applicant from the
institution concerned and submitted with this
application.
2. Applicants who have indicated previous studies at
SCU, NRCAE or UNE-NR are not required to
provide documentation for those particular courses.
3. Applicants who are currently enrolled in an
institution are asked to present their examination
results and/or assessment notification immediately
they become available.
4. Applicants who have undertaken overseas tertiary
studies and have documents which are not in English
MUST submit certified English translations as well
as copies of the original documents.
5. Do not include hobby, recreation, leisure or personal
enrichment courses in this section. If considered
relevant, these may be included under Additional
Information.
6. Applicants seeking advanced standing (credit) for
previous studies must lodge with the application for
admission an Application for Advanced Standing.
It should include unit or course outlines for each
completed unit (handbook synopses are not
sufficient) for which advanced standing is being
applied, and certified copies of transcripts which
evidence successful completion of the relevant units.
Applicants who are offered admission to the
University will be advised of any advanced standing
recommended as soon as possible, but this may not
be
before
the
start
of
the
session.
Note that advanced standing is not available for units
which have already been counted towards a
university degree or other award of a tertiary
education institution.
Advanced Standing requests received without
appropriate documentation will not be considered.
E. EMPLOYMENT
Vocational achievement is an important factor in the
evaluation of an application for admission to a Southern
Cross University Masters programme. Each applicant
is required to provide a resume of their professional
experience including details of positions held,
employers, relevant dates and duration, description of
duties, and any outstanding career or personal
achievements. A letter of support from an employer,
testifying to your capacity to undertake postgraduate
level study, while not mandatory, will enhance your
application.
DOCUMENTS
Where it is indicated that documents are required,
applicants must submit a copy of the original certified
by the issuing authority or the administration office of a
tertiary education institution or a member of a
profession acceptable to the University (such as a JP,
chartered accountant, bank manager, barrister or
solicitor, the principal of a school or a police officer at
the rank of Sergeant or above).
Alternatively originals can be sighted by the SCU
Postgraduate Programmes office at MIT and copies
will then be made to accompany your application.
ACKNOWLEDGEMENT OF APPLICATION
Receipt of all applications will be acknowledged by
mail.
DEFERMENT
An offer of admission to a full fee session-based
postgraduate course may NOT be deferred. If you are
unable to accept an offer of admission you may request
that your application be retained and considered for
admission to the session in which you wish to
commence studies.
UNSUCCESSFUL APPLICANTS
Every effort will be made to notify all unsuccessful
applicants of the outcome of their application prior to
the commencement of the session. However, due to
time constraints this is not always possible. You may
obtain information regarding the status of your
application from the SCU Postgraduate Programmes
office two weeks prior to the commencement of the
session.
FURTHER INFORMATION
For further information about courses listed in this
application and admissions, contact the:
SCU Postgraduate Programmes Office
Manukau Institute of Technology
Private Bag 94006
Manukau 2241
NEW ZEALAND
Telephone :
Free phone :
Fax :
Email :
09 968 7789
0800 MBA DBA (0800 622 322)
09 968 7783
mba@manukau.ac.nz