Faculty of Medicine, Nursing and Health Sciences
The Honours Degree of Bachelor of Behavioural Neuroscience Application Form
Applications for Semester One 2014 close: 31 October 2013
PLEASE NOTE: IF YOU ARE APPLYING FOR ADVANCED BEHAVIOURAL NEUROSCIENCE (BNS4100/4200)
AND/OR PSYCHOLOGY HONOURS YOU MUST COMPLETE THE WEB-BASED APPLICATION FORM
http://www.med.monash.edu.au/psych/course/4thyear/psych-honours-apply.html
If you are applying to do your Honours year through another School or Department within the Faculty of Medicine,
please return this completed application form and all attachments to the School of Psychology and Psychiatry at the
following address
Emily Cavanagh (Honours Administrator)
School of Psychology and Psychiatry
Level 4, Building 17 Monash University, Clayton Campus.
NOTE: OFFERS ARE SUBJECT TO THE AVAILABILITY OF SUPERVISION
PLEASE READ THE FOLLOWING INFORMATION AND SUBMIT THE FORM TO THE SCHOOL OF
PSYCHOLOGY AND PSYCHIATRY FOR APPROVAL BY THE HONOURS COORDINATOR. ONCE APPROVED,
A REQUEST WILL BE SENT TO THE HONOURS COORDINATOR IN THE DISCIPLINE TO WHICH YOU ARE
APPLYING. THE DISCIPLINE COORDINATOR WILL THEN ORGANISE A MEETING WITH YOU TO DISCUSS
PROGRAM OPTIONS.
Admission Requirements:
Applicants must be qualified, or expect to qualify, for the award of a Bachelor of Behavioural Neuroscience degree
prior to the date of enrolment for the course. To be eligible for entry into the Honours year, students should obtain a
distinction grade average (70 per cent) or above in 24 points of study in relevant units at level three. These 24 points
of study will normally include at least 18 points in the area of study in which students wish to undertake Honours.
Students who have obtained an average of 65 to 69 in their main third-year sequence may also be eligible for
consideration if they have also obtained an average of at least 65 per cent in their remaining level-three units and the
relevant Head of School or Department supports their application.
APPLICANTS PLEASE NOTE:

Successful applicants will be required to enrol in their units prior to the commencement of Semester One 2014.
Enrolment details will be provided in your offer letter in the form of a coursemap.

t is the student’s responsibility to ensure that they have completed all requirements for their undergraduate
degree.

Applicants must be course completed from Bachelor of Behavioural Neuroscience to receive a formal offer.
SECTION A – To be completed by the Applicant
Student ID Number
Personal Details –
Title
Surname
Given Names
Sex
M
F
Date of Birth (DD/MM/YYYY)
/
/
Email address for correspondence
Postal Address (for correspondence)
Number & Street
Suburb
State
Country
Postcode
Phone (AH)
Phone (BH)
Mobile Number
Facsimile
Are you an international student? Yes  No 
If yes please complete an application through Monash International Recruitment
Services at http://www.monash.edu/study/international/apply/
Details of Previous or Current Course
Course Title: Bachelor of Behavioural Neuroscience Course Code: 2341
Specialisation/s?
Campus: Clayton
Completed? Y

N

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SECTION B – To be completed by the Applicant.
Details of Previous or Current Course
Course Title: Bachelor of Behavioural Neuroscience Course Code: 2341 Campus: Clayton
Honours Course Details
I am applying for:
3514 Honours Degree of Bachelor of Behavioural Neuroscience
Have you applied for any other Honours Programs within the Faculty of Medicine or Science for the Semester One
2014 intake? No Yes If Yes, how many?
Study Mode
The course for the Honours degree requires one year of full time study. Part-time study is available in some schools
only. Please indicate your intended mode of study (after consulting with the Honours coordinator in the appropriate
school).
Full-time 
Part-Time 
Details of Honours study
Faculty into which entry is sought:
Discipline/Specialisation:
Research Location (eg. Campus, Building):
Please indicate which Honours Discipline you are applying for: (please tick ONE box only. (If you are applying
for more than ONE Honours program, you must complete a separate application form).
Psychology and Advanced Behavioural
Complete the web-based application form located at:
Neuroscience
http://www.med.monash.edu.au/psych/course/4thyear/psy
ch-honours-apply.html
Anatomy & Developmental Biology (Faculty
• (Dr Robert De Matteo, A/Prof Anne Chidgey, Dr Helen Abud)
of Medicine)
Biochemistry & Molecular Biology
(Faculty of Medicine)
Genetics (Faculty of Science)
Immunology & Medical Biology (Faculty of
• (A/Prof Timothy Cole overseas in Sem 2, 2013 please see
A/Prof Martin Stone)
• (Dr David Chapple)
• (A/Prof Mark Wright)
Medicine)
Pharmacology (Faculty of Medicine)
Physiology (Faculty of Medicine)
• (A/Prof Grant Drummond, Dr Barbara Kemp-Harper)
• (A/Prof Roger Evans, Drs Siew Yeen Chai and Marianne
Tare)
Declaration
I declare that the information supplied on this form and the information given in support of my application is
correct and complete. I acknowledge that the provision of incorrect information or the withholding of relevant
information relating to my application and/or academic transcript may result in the withdrawal of an offer of a
place in the course. I authorize Monash University to obtain official student records from any educational
institution to make an informed decision about the application. I agree to abide by the statutes and regulations of
Monash University.
The primary purpose for which the information is collected is to record the details of your application and for
selection into the Bachelor of Behavioural Neuroscience Honours program. If you choose not to answer all the
questions on this form, it may not be possible for your application to be assessed. You have a right to access
personal information that Monash University holds about you, subject to any exceptions in relevant legislation.
The University’s statement on privacy is available at www.privacy.monash.edu. If you wish to seek access to your
personal information or enquire about the handling of your personal information, please contact the University
Privacy Officer on 9905 6011.
Applicant’s Signature
Date
/
/
NEXT STEP:
SUBMIT THIS APPLICATION FORM TO THE SCHOOL OF PSYCHOLOGY AND PSYCHIATRY FOR APPROVAL
BY THE BACHELOR OF BEHAVIOURAL NEUROSCIENCE HONOURS COORDINATOR. ONCE APPROVED,
YOUR APPLICATION FORM WILL BE FORWARDED TO THE DISCIPLINE COORDINATOR FOR APPROVAL.
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SECTION C – To be completed by the Honours Coordinator or nominated representative
in the School/Department to which the student is applying
School/Department Authorisation
Subject to the student meeting all course requirements and subject to availability of a
supervisor and other relevant resources I recommend that the applicant be accepted as a full
time/part time candidate (please circle)
Please list the enrolled or completed relevant level three units that could count towards the 70%
average. If the listed units are not part of the published major sequence requirements, please provide
the Faculty with a supporting statement/documentation explaining the inclusion of these units in the
calculation of the average.
Comments:
Unit Code
Credit Points
Mark %
Average mark achieved by applicant in relevant level-three units:
__ %
(leave blank if the application is still pending results)
 The applicant has achieved the required average of 70% of at least 24 points (or equivalent) of relevant levelthree units
Honours Coordinator
School/Department:
(or nominated representative)
Name:
Signature:
Date:
/
/
Applicant’s Declaration

I have consulted with the Honours Coordinator (or nominated representative)
regarding the Proposed Honours Program
Student Acknowledgement, Agreement and Consent

I have read the University’s statement on privacy and the purposes for which my personal information
will be used.

I agree to be bound by the statutes, regulations and policies of the University as amended from time to
time and agree to pay all fees, levies and charges directly arising from my enrolment.

I consent to receiving electronically, information and business documents relating to my enrolment from
the university and from the university owned companies that provide support services to students on
behalf of the university.

I agree to access the correspondence sent to my University email account on a regular basis
Applicant’s Signature:
Date: / /
Faculty Authorisation (where applicable) The applicant has obtained a grade below the normal eligibility criteria
for their relevant level-three units. I approve the admission to the honours program in accordance with Faculty
regulations.
Signature of Dean (or nominee):
Date” / /
 Offer
 Conditional Offer
 No Offer
Name:
Signature:
Date:
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Please return to Emily Cavanagh, Honours Administrator, School of Psychology and Psychiatry,
Level 4, Building 17, Monash University, Clayton Campus.
SECTION D – To be completed by the School of Psychology and Psychiatry.
Office use only



Offer
Conditional Offer
Reject
Notes:
Signature (Selection Officer) ___________________________________ Date ______________________
 Logged
__________________________
 Keyed __________________________
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