APPLICATION FOR DIRECT ADMISSION TO THE GRADUATE DIPLOMA OF FLIGHT MANAGEMENT

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1 DIR APPLICATION FOR DIRECT ADMISSION TO THE GRADUATE DIPLOMA OF FLIGHT MANAGEMENT 1. PROGRAM OF STUDY 4140 Graduate Diploma of Flight Management [Nathan] Attendance: Full-time Location: External Closing date: 31 October 2. PRIOR CONTACT WITH GRIFFITH UNIVERSITY Are you or have you ever been a student or staff member at Griffith University? Yes (Please indicate Griffith Identification Number if possible) Previous Family name if changed: 3. PERSONAL DETAILS Name: Mr Miss Ms Mrs Other: Date of birth: Family name: / / First name: Gender: Preferred name: M F X Do you hold an Aviation Reference Number (ARN)? Yes Will you be aged 17 by the first day of the semester you enrol in? Yes Do you hold a current Civil Aviation Safety Authority (CASA) Class 1 Medical certificate? Note: If NO please be aware that this is part of admissions requirement and you will need to obtain this prior to an offer being made. Yes Have you participated in 100% of the Mentoring Aviators Through Educational Support (MATES) program as per admission requirements? Yes Have you passed the Flight Training Preparation assessments completed through MATES - Graduate Diploma Quiz with a minimum mark of 80%? Total Score: /30 Yes Have you completed and passed the Pilot Aptitude Assessment (PAA)? (Please attach results) Yes Note: if you answer NO to any of the above, you will need to obtain these admission requirements prior to an offer being made. 4. CONTACT DETAILS Address: Home telephone number: Work/mobile telephone number: (please print clearly) Permanent home address: No and street: Mailing address: If your Mailing Address is the same as your Permanent home address please write same as home address No and street: Suburb/town: State: Suburb/town: State: Country: Postcode: Country: Postcode: CONTROLLED FORM - APPLICATION FOR DIRECT ADMISSION TO THE GRADUATE DIPLOMA OF FLIGHT MANAGEMENT [DIR-4140] CRICOS PROVIDER 00233E [Page 1 of 7]

2 5. RESIDENCY STATUS Are you an Australian Citizen? Yes Are you a New Zealand Citizen? Yes Have your been granted a Permanent Humanitarian Visa in Australia? Yes Have you been granted a Permanent Residency (Other than a Permanent Humanitarian visa) in Australia? Yes 6. PROFICIENCY IN ENGLISH Is English your first language? Yes Were your secondary/undergraduate studies conducted in English? Yes 7. ELIGIBILITY 1. Have completed a minimum of 180 credit points under the Bachelor of Aviation (Pilot Stream) offered by Griffith University. 2. Have attended the professional development program referred to as MATES (Mentoring Aviators Through Educational Support) whilst enrolled in the Bachelor of Aviation (Pilot Stream). 3. Have successfully completed specified preparatory training within MATES related to the practical program. This preparatory training includes aeroplane preparatory training, study and assessment of standard operating procedures, aeroplane technical knowledge, pre-flight, in-flight and post-flight procedures. 4. Hold a current Class 1 Medical Certificate for Commercial Pilot Licensing. The medical must be carried out by a Designated Aviation Medical Examiner (DAME). A full list of the DAMEs is available on the Civil Aviation Safety Authority (CASA) website: 5. Have an Aviation Reference Number (ARN). 6. A Pilot Aptitude Assessment is strongly recommended prior to commencement in the Graduate Diploma of Flight Management. 8. FLYING TRAINING CREDIT Students can apply to gain credit of up to 10CP (up to General Flight Progress Test) for prior flight experience by lodging written confirmation from the flight training provider for flight practicum deemed as completed as a result of prior flight experience together with a credit transfer application form. Aviation Reference Number (ARN): Qualification Yes/No If yes, please list Date of Issue GFPT Have you passed any of the following pilot theory examinations? Examination First Solo First Area Solo BAK Date Passed 9. CURRENT ACADEMIC DETAILS Are you currently enrolled in the Griffith University Bachelor of Aviation (1028)? Yes Are you currently enrolled in Pilot Stream? Yes What are the total Credit Points (CP) you have completed (as at the end of your last full semester of study)? CP CONTROLLED FORM - APPLICATION FOR DIRECT ADMISSION TO THE GRADUATE DIPLOMA OF FLIGHT MANAGEMENT [DIR-4140] CRICOS PROVIDER 00233E [Page 2 of 7]

3 10. STUDENT DECLARATION 1. I understand and agree that: (a) (b) (c) (d) If any information given by me in this application is found to be false, or if I am found to have deliberately misrepresented or omitted any relevant information, Griffith University may refuse to consider me further. My selection is the sole responsibility of Griffith University and is subject to holding a current Class 1 Medical Certificate and an ARN. I am required to produce, before commencing training, documentary evidence of my date of birth (i.e. birth certificate or other acceptable documents). An offer of training is not deemed to be valid unless formally made in writing by an authorised University Officer and signed by me as an indication of my acceptance of the offer and conditions set out therein. In addition, included in program cost are other actual additional costs such as the following: (e) (f) (g) All examination fees for CASA specified ground examinations; All test fees for CASA specified performance assessments; All specified reference textbooks related to the CASA specified ground examinations. What is not included in the course cost are: (h) Administrative charges relating to Student Pilot Licence application and issue, aviation security card application and issue, medical renewals and general set up costs; (i) Headset / flight bag / regulatory documentation / maps / charts. Typically these costs are around $2000 and students are required to have this funding available for these items prior to the start of the practical program. (j) (k) (l) I am required to pass GFPT within the Graduate Diploma of Flight Management. GFPT syllabus time may include up to the 10 additional hours allocated for the GFPT phase. I am required to pass PPL within the Graduate Diploma of Flight Management. PPL syllabus time may include up to a total of 25 additional hours (which includes the 10 hours for the GFPT phase). I am required to pass the CPL within the Graduate Diploma of Flight Management. CPL syllabus time may include up to a total of 25 additional hours (additional flying for PPL and GFPT phases) where the value of the additional hours is based on the PPL aircraft rate. (m) I am required to pass the MECIR within the Graduate Diploma of Flight Management. MECIR syllabus time may include up to a total of 30 additional hours (5 hours for CIR phase, 15 hours PPL phase and 10 hours GFPT phase) where the value of the additional hours is based on 25 hours at the PPL aircraft rate and 5 hours at the MECIR aircraft rate. (n) (o) (p) (q) I will be allowed one re-sit of any Griffith University flight training provider or CASA ground examination. Where additional ground instruction time or a re-sit of a ground examination is required, the cost shall be deducted from the value of the additional hours included in the Graduate Diploma of Flight Management program. Where additional simulator training is required, the cost shall be deducted from the value of the additional hours included in the Graduate Diploma of Flight Management program. I agree to commence the flight training as directed by the Program Convenor. 2. Aviation Security Identification Card (ASIC) and Student Pilot Licence (SPL) Under the Federal Air Navigation Act 1920 (CTH) and Air Navigation Regulations 1947 (CTH), Griffith University will require students to be eligible to hold an Aviation Security Identification Card (ASIC) and Student Pilot Licence (SPL). Under Civil Aviation Regulations, Griffith University will require students to be eligible to hold a SPL. I also acknowledge that, where relevant, my enrolment will be conditional on me being eligible to hold an ASIC. 3. Class 1 Medical Certificate from CASA If I were to become ineligible to hold a Class 1 Medical Certificate from CASA that my continued enrolment in the Graduate Diploma of Flight Management will be subject to review, and could include withdrawal from the program. CONTROLLED FORM - APPLICATION FOR DIRECT ADMISSION TO THE GRADUATE DIPLOMA OF FLIGHT MANAGEMENT [DIR-4140] CRICOS PROVIDER 00233E [Page 3 of 7]

4 I declare that the information submitted is correct and complete. I declare that to the best of my knowledge the information supplied by me is true, correct and complete in every respect. I acknowledge that the submission of false, fraudulent, incorrect, incomplete or misleading information may result in withdrawal of my admission offer, cancellation of my enrolment or delays in processing my application. I acknowledge in the circumstance that I supply inaccurate, incomplete or misleading information I shall not be eligible to apply for admission to the University for a period of two years and in the circumstance that I supply fraudulent information, I will be ineligible to apply for admission to the University. I consent to the collection, storage and disclosure of information concerning any acts of record falsification or other irregular acts in relation to my academic record. I authorise and grant the University permission to verify such records through qualification verification services or grant my consent for other educational institutions, admissions centres, government bodies or employers to disclose information about my qualifications and /or experience directly to the University. I authorise the University to obtain information concerning my academic record from any school, university or other institution attended by me. I agree to inform the University promptly should I be excluded, suspended or expelled from any other tertiary institution whilst enrolled at Griffith University. I authorise the University to obtain information concerning my status required under the Higher Education Support Act 2003 (HESA). I have read and accept the statements above to be true and correct. Name in full: Signature: Date / / OFFICE USE ONLY: 1. PROGRAM DIRECTOR APPROVAL I have considered this application and the attached evidence, and (please tick all appropriate boxes): Approve the offering of an unconditional place to this student Approve the offering of a conditional place to this student, based on the following conditions: Approve credit in the amount of CP towards this degree program Do not approve admission (please give reason): ARN Class 1 Medical Certificate t completed preparatory training in MATES MATES attendance insufficient t completed required 18OCP of Pilot Stream of BAvn Other: Program Director Name: Signature: Date: / / 2. PROGRAM OFFICER - AVIATION APPLICATION FORWARDED to Student Admin for processing: Yes Signature: Date: / / 3. STUDENT ADMINISTRATION CENTRE PROCESSING APPLICATION RECEIVED: Yes Signature: Date: / / APPLICATION RECORDED on Peoplesoft: Yes Signature: Date: / / CREDIT PROCESSED: Yes Signature: Date: / / APPLICANT NOTIFIED of outcome: Yes Signature: Date: / / CONTROLLED FORM - APPLICATION FOR DIRECT ADMISSION TO THE GRADUATE DIPLOMA OF FLIGHT MANAGEMENT [DIR-4140] CRICOS PROVIDER 00233E [Page 4 of 7]

5 APPLICATION INFORMATION SHEET LODGING INSTRUCTIONS Application form and any documentary evidence must be lodged by mail or in person, to any campus Student Centre. [ OR electronically via DOCUMENTARY EVIDENCE AND SUPPORTING INFORMATION We will accept scanned documentation; however Griffith University will carry out audits which may require you to provide original documents. Please ensure that the following documentation (where applicable) is attached to your application: A copy of a current CASA Class 1 Medical certificate; and And if applicable: A copy of the results of an English proficiency test completed within two years of the application date A copy of the results of the Pilot Aptitude Assessment PROTECTING STUDENT PRIVACY Griffith University collects, stores and uses personal information only for the purposes of administering prospective, current and graduate student admissions, enrolment and education. The information collected is confidential and will not be disclosed to third parties without your consent, except to meet government, legal or other regulatory authority requirements. For further information consult the University s Privacy Plan at: or Telephone (07) or (07) CONTROLLED FORM - APPLICATION FOR DIRECT ADMISSION TO THE GRADUATE DIPLOMA OF FLIGHT MANAGEMENT [DIR-4140] CRICOS PROVIDER 00233E [Page 5 of 7]

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