MMU GRA Application Form - Institute for Postgraduate Studies

advertisement
Multimedia University Graduate Research Assistant (MMU GRA) Scheme
Application Form
Guidelines:






The application is open to both Malaysian and non-Malaysian candidates.
For Masters level project, applicants must have graduated with a first class honour or CGPA of 3.67 and above.
For Ph.D. level project, applicants must have obtained a Masters degree with a good Bachelor degree and good
performance during Masters degree.
Candidates who are in their final year of studies may also apply but must currently possess a first class honour or CGPA of
3.67 and above at the point of application and must maintain a first class honour or CGPA of 3.67 and above upon
graduation.
Please type in the information required in the form using font Times New Roman and font size 11.
Please submit one hardcopy of the completed form to Institute for Postgraduate Studies through Faculty Research
Committee or University Centre of Excellence.
Please attach your latest
passport-sized colour photo
here
Name:
Title: Mr./ Ms./ ………………
Identity Card/ Passport No.:
Gender: [ ] Male [ ] Female
Email :
Fax No.:
Permanent Address:
Tel. No. :
Mobile No.:
Correspondence Address:
(if different from permanent address)
Level of Postgraduate Degree Applied:
[ ] Masters
[ ] Ph.D.
Faculty:
Ver.1, Rev.1
05.01.2015
Page 1 of 8
Academic/ Professional Qualifications:
University or Degree or
Class or
Institution
Qualification
Cumulative CGPA
Date of Study
From/ To
Date Awarded
Note: Please insert more rows if necessary.
English Language Qualification:
Please provide evidence of any English language qualification which you have obtained. If you have
no qualification, please indicate whether your degree studies has been conducted and examined in
English.
MMU postgraduate study requires candidates to possess one of the followings:
(a) TOEFL (score of 551 and above, or CBT 213 and above, or IBT 79 and above); OR
(b) IELTS (overall band score of 6.5); OR
(c) Credit in 1119 English Examination; OR
(d) MUET (band 4 and above); OR
(e) Any other qualification, which is of equivalent level as determined by the Senate of Multimedia
University
MMU may interview the candidates who have obtained their Bachelor’s or Master's degrees from
institutions where English is used as the main medium of instruction or as one of the mediums of
instruction.
An English Language Proficiency test will be conducted to gauge the proficiency level of the
candidates who do not meet the English Language requirement and fail the English interview (if
applicable).
Candidates who fail to meet the English Language requirement may enroll in the Intensive English
Language Programme (IELP) offered by MMU.
English Proficiency/ Qualification: e.g. TOEFL, IELTS, 1119, MUET
Grade/ Score:
Date Taken:
Degree studies conducted and examined in English : [ ] Yes [
If yes, please provide the followings:
] No
Name of University :
Course :
Year Attended :
Ver.1, Rev.1
05.01.2015
Page 2 of 8
Research Proposal Title selected:
Reason and remarks for selecting this project:
Please describe your justification and remarks for selecting this project in not less than 500 words.
Research Experience and Publication:
Please describe your research experience and publication.
Career Path:
Please describe your career path and what you aim to achieve in the next 5 -10 years.
Subjects that you can teach/ take tutorial session/ lab demo session:
Please list down three (3) subjects:
1.
2.
3.
Note: Kindly refer to the list of MMU undergraduate taught subjects by the relevant faculties at
http://www.mmu.edu.my
Special Needs:
Please outline any special needs and support that you may require in order to fully undertake your
studies as a consequence of any disability or medical condition.
Additional Information:
It would help with the processing of your application if you could name here any member of the
Multimedia University academic staff with whom you might already have discussed your selected
topic of research.
Referees:
Please provide names, positions and addresses of two (2) person who are able to provide references
to support your application who have knowledge of your ability to undertake the proposed study.
Referee 1
Name:
Ver.1, Rev.1
05.01.2015
Referee 2
Name:
Page 3 of 8
Position:
Affiliation:
Correspondence Address:
Position:
Affiliation:
Correspondence Address:
Tel:
Fax:
Email:
Tel:
Fax:
Email:
Declaration:
I hereby declare that to the best of my knowledge the above information is accurate and true, and I
give my consent for my personal information to be processed in accordance with the Personal Data
Protection Act 2010.
I have enclosed herewith:
[ ] Documentary evidence of degree/ qualification
[ ] Transcript
[ ] Evidence of English Language Proficiency
[ ] Resume
Signature: ………………………………
Ver.1, Rev.1
05.01.2015
Date: ……………..
Page 4 of 8
MMU GRA REFEREE REPORT 1
CONFIDENTIAL
Referees are required to fax/ post/ email this recommendation directly to: Institute for
Postgraduate Studies, Multimedia University, Persiaran Multimedia, 63100 Cyberjaya, Selangor,
Malaysia
Tel: +603-8312 5560/ 5182 Fax: +603-8312 5300 Email: ips@mmu.edu.my
SECTION A: TO BE COMPLETED BY THE APPLICANT
Applicant’s Name
Identity Card/ Passport No.
Faculty
Proposed Research Topic
Tel. No.
Fax. No.
Email
SECTION B: TO BE COMPLETED BY THE REFEREE
(one of whom must be an academic referee)
Name of Referee: ………………………………………………………………………
Title: ………………………………………………………………………………………
Address of Organisation: ……………………………………………………………..
Phone No.:……………………………… Fax No. : ……………………………………
Email: ……………………………………………………………………………………..
1. Knowledge of the Applicant
Approximately how long have you known this applicant: ……………. years
How well do you know the applicant? [Please mark (x)]
[ ] Casually
[ ] Well
[ ] Very Well
In what capacity have you known the applicant? [Please mark (x)]
[ ] Lecturer
[ ] Research Advisor
[
] Employer [ ] Others (please specify)
……............................
Ver.1, Rev.1
05.01.2015
Page 5 of 8
2. Evaluation: Please rank the applicant as follows:
0 = Unable to Rank
2 = Fair
4 = Very Good
1 = Poor
3 = Good
5 = Outstanding
Description
Knowledge in area of proposed study
Ability to grasp new concepts
Originality and intellectual creativity
Mathematical and logical thought
Written communication skills
Teaching ability (if known)
Research ability (if known)
Perseverance toward goals
Maturity and emotional stability
Ability to work well with others
General preparation for postgraduate work
Rank
Remarks (if any)
3. Recommendation: Considering this applicant’s academic record, special abilities, ambition,
and determination, please indicate your recommendation. [Please mark (x)]
[
] Recommend Strongly
[
] Recommend with Reservation
[
] Recommend
[
] Cannot Recommend
4. Additional Comments: Please add any comments which you feel will assist in evaluating the
applicant’s potential to pursue graduate study.
……………………………………………………………………………………………
……………………………………………………………………………………………
……………………………………………………………………………………………
……………………………………………………………………………………………
……………………………………………………………………………………………
……………………………………………………………………………………………
Signature: ……………………………
Ver.1, Rev.1
05.01.2015
Date: …………………….
Page 6 of 8
MMU GRA REFEREE REPORT 2
CONFIDENTIAL
Referee are required to fax/ post/ email this recommendation directly to: Institute for
Postgraduate Studies, Multimedia University, Persiaran Multimedia, 63100 Cyberjaya, Selangor,
Malaysia
Tel: +603-8312 5560/ 5182 Fax: +603-8312 5300 Email: ips@mmu.edu.my
SECTION A: TO BE COMPLETED BY THE APPLICANT
Applicant’s Name
Identity Card/ Passport No.
Faculty
Proposed Research Topic
Tel. No.
Fax. No.
Email
SECTION B: TO BE COMPLETED BY THE REFEREE
(one of whom must be an academic referee)
Name of Referee: ………………………………………………………………………
Title: ………………………………………………………………………………………
Address of Organisation: ……………………………………………………………..
Phone No.:……………………………… Fax No. : ……………………………………
Email: ……………………………………………………………………………………..
1. Knowledge of the Applicant
Approximately how long have you known this applicant: ……………. years
How well do you know the applicant? [Please mark (x)]
[ ] Casually
[ ] Well
[ ] Very Well
In what capacity have you known the applicant? [Please mark (x)]
[ ] Lecturer
[ ] Research Advisor
[
] Employer [ ] Others (please specify)
……............................
Ver.1, Rev.1
05.01.2015
Page 7 of 8
2. Evaluation: Please rank the applicant as follows:
0 = Unable to Rank
2 = Fair
4 = Very Good
1 = Poor
3 = Good
6 = Outstanding
Description
Knowledge in area of proposed study
Ability to grasp new concepts
Originality and intellectual creativity
Mathematical and logical thought
Written communication skills
Teaching ability (if known)
Research ability (if known)
Perseverance toward goals
Maturity and emotional stability
Ability to work well with others
General preparation for postgraduate work
Rank
Remarks (if any)
3. Recommendation: Considering this applicant’s academic record, special abilities, ambition,
and determination, please indicate your recommendation. [Please mark (x)]
[
] Recommend Strongly
[
] Recommend with Reservation
[
] Recommend
[
] Cannot Recommend
4. Additional Comments: Please add any comments which you feel will assist in evaluating the
applicant’s potential to pursue graduate study.
……………………………………………………………………………………………
……………………………………………………………………………………………
……………………………………………………………………………………………
……………………………………………………………………………………………
……………………………………………………………………………………………
……………………………………………………………………………………………
Signature: ……………………………
Ver.1, Rev.1
05.01.2015
Date: …………………….
Page 8 of 8
Download