application for admission as a postgraduate candidate - University of ...

ENR: 42
APPLICATION FOR ADMISSION AS A
POSTGRADUATE CANDIDATE
Queensland 4072 Australia
Please return this form to: Coursework Applications, Centre for Mined Land Rehabilitation, The University of Queensland, St Lucia QLD 4072
1. PERSONAL DETAILS
Title Given Names Family Name
Date of Birth
Correspondence Address
Day Month Year
University of Qld Student No. (if known)
Day Phone
Evening Phone
Facsimile
E-mail
Are you an international student ? (An international student is one who is not an Australian citizen, Australian Yes No
Permanent Resident or New Zealand citizen.)
2. BACKGROUND
a
If yes, have you previously lodged an Application for Admission as an International Postgraduate Student ? Yes No
English Proficiency – If English is not your native language please indicate level of English proficiency (e.g. TOEFL or IELTS score) and attach
certified copies of your test results or other supporting evidence.
Test: Date Sat: Result:
Other, please specify:
b
c
Financial Support during proposed course (Applications for tutoring positions and scholarships must be made separately):
Tutorial Assistant Internship Scholarship (specify)
Tutorial Fellow
Other (specify, e.g. 'personal means')
Academic Qualifications: Complete certified academic transcripts of degrees and diplomas undertaken must be attached, unless qualifications are
from The University of Queensland. Photocopies and translations must be officially certified as true copies of original documents.
Year Degree/Diploma Class of Honours University or College
d
Professional, Research or Teaching Experience and Publications (if any): Specify dates and type of work. Attach a separate statement if
necessary.
3. PROPOSED PROGRAM
a I wish to apply for admission as a candidate in the course named:
Doctor of Postgraduate Bachelor of Honours
Master (by Research) of
Postgraduate Diploma in
Master (by Coursework) of
Graduate Certificate in
Master of Qualifying/Provisional Postgraduate Preliminary in Faculty of
b
c
in the Department/School (and/or field where applicable) of
In addition, if you will not be physically based in the Department, specify location (e.g. CRC)
Proposed commencement date (Day/Month/Year):
d (i) Attendance Full-time (ii) Mode Internal
Part-time
Remote (PhD applicants must attach a Remote Status Application form)
Other (specify)
e
If you have applied for or intended to apply for a course alternative to this course, please give details:

Page 2
f
For higher degree candidates (Masters and Doctoral programs), is the proposed course primarily or solely by research thesis?
No ? complete Section 4, then lodge the form as instructed
Yes ? complete Section 6, then lodge the form as instructed
4. APPLICATIONS FOR COURSEWORK PROGRAMS
a If possible, enter proposed subject codes for the coming year/semester:
First or February semester codes
Second or July semester codes
Whole year codes
b
If applicable and possible, enter or attach your course plan for after the current year, to assist course coordinators' planning. State the name (and
subject code) of any project title:
c
If seeking credit for previous studies in accordance with course rules, give details:
d
Statement by Applicant:
I understand that I will be accepted as a candidate for the above course only while I pursue the prescribed course of study to the satisfaction of my
supervisor and Head of Department/School, while I attend the University as required and while I complete enrolment requirements set out in the
annual Enrolment Guide.
Signature of Applicant:
Date:
5. APPROVAL OF ADMISSION TO POSTGRADUATE COURSEWORK PROGRAM (OFFICE USE ONLY)
a
Endorsement of Supervisor (if applicable)
b
Statement by Head of Department/School or nominee
(i) The applicant is qualified for admission as a full-time part-time candidate to the
course on the basis of course Rule
is not qualified for admission because
(ii) Does any project require ethical clearance? Yes No If "Yes", give details, including
Status of clearance application and supervisor's name:
(iii)
Having considered the availability of accommodation, funds and appropriate supervision where applicable:
I recommend approval of the applicant's program as shown in Section 4(a).
Other
Signature: Title/Name: Date:
c
Dean's Decision
Not Accepted Accepted as full-time part-time candidate for course as from
under the supervision of
in the Department/field of
Additional conditions/comments:
Signature of Dean:
Date:

Page 3
6. APPLICATIONS FOR RESEARCH HIGHER DEGREE PROGRAMS (NOT COURSEWORK MASTERS)
a
Proposed program of study and research
Consult Head of Department/School before completing this section. Applicants for research degrees must provide the title of their research here,
attach a 1-2 page outline of their proposed program of study and research on a separate sheet, and submit a request for ethical clearance if required.
Projects involving human or animal experimentation, including behavioural and social sciences research, must conform to NH&MRC guidelines.
Ethical clearance for such projects will be required before commencement of any data collection. Forms and guidelines may be obtained from the
Ethics Officer or Animal Welfare Officer, Office of Research and Postgraduate Studies, Cumbrae-Stewart Building.
(i) Title:
b
(ii) Outline: Attach to this form a 1-2 page outline of your proposed program of study and research, including any coursework subjects to be
taken in addition to the primary research. (Discuss with Head of Department/School and proposed supervisor before submitting this form.)
Part-time attendance
To be completed if studies are related to employment and are to be undertaken with employer's support. Full-time staff of this University are
excepted. Where employment is not related to the research program, the applicant should assure the Head of Department/School that sufficient time
is available to complete the program, to attend the University as required and to interact with the supervisor.
(i) Statement by employer regarding privileges and special facilities for research to be granted to candidate:
(ii) I have discussed the University's proposals with the applicant and agree to the requirement for attendance at the University and for use of
facilities, as indicated above. I also approve the supervision by the University of the project undertaken for the degree.
Signature of Employer:
Date:
c
Statement by Applicant:
I understand that I will be accepted as a candidate for the above course only while I pursue the prescribed course of study to the satisfaction of my
supervisor and Head of Department/School, while I attend the University as required and while I complete enrolment requirements set out in the
annual Enrolment Guide.
Signature of Applicant:
Date:
7. APPROVAL OF ADMISSION TO RESEARCH HIGHER DEGREE (OFFICE USE ONLY)
a
Statement by Proposed Supervisor(s). To be completed by Principal Supervisor nominated by Head of Department/School.
(i) Principal Supervisor
Title and Full Name (PLEASE PRINT)
Department/School or equivalent
I am already principal supervisor of the following NUMBERS
of research masters or doctoral candidates:
Masters
Full-time
Masters
Part-time
PhD
Full-time
PhD
Part-time
If principal supervision load exceeds 5 full-time or 8 part-time PhD candidates, justification of load should be attached, see Section 7b(v).
(ii) Associate Supervisor(s) Attach details of qualifications and contact address if not a University of Queensland staff member.
Title and Full Name (PLEASE PRINT)
Department/School or equivalent
(iii) Does the proposed research require ethical clearance ? Yes No
(iv) If Yes, either: Ethical clearance for the above project was obtained on (date) and
remains current.
or:
I have endorsed the required documentation and have applied for ethical clearance.
(v) Type of clearance required: Quarantine Human Biosafety Animal
Other, please specify
I have discussed the proposed project with the applicant and am willing to supervise the work for the candidature for the above degree.
Signature of Principal Supervisor:
Date:

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b
Statement by Head of Department/School
(i)
EITHER: The applicant is qualified for admission to PhD candidature on the basis of:
UQ Honours Class I or IIA or a completed UQ research masters.
Other UQ qualifications (incomplete research masters, research masters qualifying, PGDip) certified as equivalent in standard to
at least Honours IIA (specify).
Qualifications from elsewhere certified as equivalent in standard to at least UQ Honours IIA or a UQ research masters (specify).
Research publications and/or other work in accordance with PhD Rule 2(2)(e) (specify).
Coursework masters degree under the provision of PhD Rule 2(2)(f) (specify).
OR: The applicant is qualified for admission to the Masters, Masters Qualifying course on the basis of:
Class II Honours or required degree Prerequisite subjects relevant experience
(specify)
(ii) Recommended Status: Provisional Full-time Part-time Remote*
(iii)
*For remote PhD applicants a completed Remote Status Application Form must be attached.
For part-time or remote students, requirement for attendance at UQ (for PhD students, a minimum of 9 weeks during the candidature).
(iv)
If applicable, indicate amount of credit recommended for previous higher degree work.
(v)
If the principal supervisor is responsible for more than the equivalent of 5 full-time or 8 part-time research candidates (see Section 7a),
please justify the supervision load:
(vi)
If student's project is subject to funding, state source
Is alternative funding available ? Yes No
(vii)
Having considered the availability of accommodation, funds, appropriate resources and supervision:
I recommend acceptance of the candidature. Conditions if any, and any coursework subjects to be taken are:
I do not wish to accept the candidature because:
Signature: Title/Name: Date:
c
Dean's Decision (for PhD candidates, Dean of Postgraduate Students)
Not Accepted Accepted as full-time, part-time, provisional candidate for course
as from
with Principal Supervisor
and Associate Supervisor(s)
in the Department/School of
to complete the above project for a minimum period of
Additional conditions/comments:
years.
Signature of Dean:
Date:
8. ENROLMENTS SECTION/PhD ADMINISTRATION OFFICE
Action Init. Date Comments
1. Previous Quals, SRC/AR attached
2. ENR22/PH01/equvalent letter forwarded
3. Noted for DP
4. Placed on mail list for enr material
5. Central Registry to FILE