Cross-institutional study application form

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Cross-institutional enrolment If you are currently enrolled in a degree program at another recognised tertiary institution, you may apply to study units on a cross-institutional basis as part of your current course. You will not be enrolled in a Monash University degree program will not receive an award at the completion of study; however you can purchase an official transcript of your results. You are advised to contact the teaching faculty prior to lodgement of application to establish any additional requirements for entry. Units available You can select from a wide range of units. Specific unit outlines are available in the Monash University hbook http://www.monash.edu.au/pubs/hbooks/ English language requirements All applicants must satisfy the minimum English language requirements of Monash University for admission to single units provide evidence of meeting these, as indicated on Section F of this application form. Prerequisites Where specified in unit outlines, you must provide evidence of meeting prerequisites as indicated on Section G of this application form. Off Campus Learning Some units are available by distance education. If you select this mode of study you must indicate your preferred exam location in Section H. A list of exam locations is available at http://www.monash.edu.au/exams/off-campusexam-venues.html Lodgement of applications You must provide a certified copy of your academic transcript from your home institution with your application. Information on how to certify documents can be found at http://www.adm.monash.edu.au/humanresources/forms/certified-copies.html Caulfield campus Art, Design & Architecture I.T. students submit to the Student Service Centre All other faculties submit directly to your faculty office. All other Australian campuses Applications should be submitted to the faculty you are applying to study with. If you wish to study units in more than one faculty you will need to submit a separate application to each faculty. Sunway campus Applications should be submitted to the Finance Department, Monash University Sunway Campus with RM100 application fee. Faculty information closing dates Closing dates are available online at: http://www.monash.edu.au/service-centre//forms.html Enrolment Approval is at the discretion of the faculty. Enrolment is determined on a semester-to-semester basis no guarantee of subsequent enrolment can be made. You will be advised in writing of the outcome of your application enrolment details. Fees Fees are payable to Monash University for all enrolled units. Australian Campuses When your fees have been assessed you will receive notification via your Monash email account to view your fee statement at https://my.monash.edu.au/wes/ Sunway Campus When your fees have been assessed you will receive an invoice. Commonwealth Supported Place (CSP) If you are enrolled in a CSP at your home institution the cross-institutional unit(s) you are applying for at Monash is a core requirement of your course (this confirmation must be provided in the approval letter from your home institution), you will be charged at the CSP rate subject to selection criteria the availability of places. If the unit(s) you are applying for at Monash is an elective, you may be charged at a CSP or a domestic full fee-paying rate. If you are successful in being offered enrolment in a CSP, you must complete a Request for Commonwealth Support HECS- HELP form before the census date for the unit(s). CSP students transitional arrangements If you wish to be considered as a pre-2010 student you must submit an application to be assessed for transitional eligibility attach specified documentation. The form is available from the student service centre website at http://www.monash.edu.au/service-centre//forms.html Transitional information is also available at http://www.monash.edu.au/enrolments/loans/csp-pre-2010- rates.html Full fee-paying places Tuition fees for fee-paying students are set on an annual basis vary according to the enrolling faculty. For more information please see http://www.monash.edu.au/fees/ Privacy Statement The information on this form is collected for the primary purpose of assessing your application for cross-institutional study. Other purposes of collection include communicating with you, coordinating, administering managing your enrolment deidentified statistical analysis. Personal unit enrolment information may be disclosed to a relevant tertiary educational institution for verification of your studies unit enrolment management administration purposes. If you do not complete all questions on this form it may not be possible for the application information to be assessed by your enrolled faculty. You have a right to access personal information that Monash University holds about you, subject to any exceptions in relevant legislation. If you wish to seek access to your personal information or inquire about the hling of your personal information, please contact the University Privacy Officer sss.privacy@monash.edu RECEIVED Please retain this copy as proof that your application has been submitted Student ID number Tracking number Faculty Stamp

Tracking number: Faculty sent to: Campus: Section A Personal details Have you ever applied to, or enrolled at, Monash University? No If yes, please state student ID number Family name Given names Sex (M or F) of birth Day Month Year Postal address Number/Street Suburb/City/ Country State Telephone/mobile Postcode Email address Section B Citizenship status (attach certified proof) I am an Australian citizen I am a New Zeal citizen I am the holder of an Australian Permanent Resident Visa (including humanitarian visa) I am on an international visa (eg student, spouse, diplomatic, temporary, bridging) I am a Malaysian citizen eg birth certificate, passport etc eg identity card Section C Home institution approval (home institution to complete) Name stamp of home institution Institution stamp Name of course Fee status at home institution Will the units applied for in Section D be counted towards the above course? Current CSP Pre-10 CSP Pre-09 CSP Pre-08 CSP Domestic full fee No International full fee Are the units electives or core requirements of the student s course? Core requirement Elective Name position of approving officer Email Telephone Signature

Section D Monash University unit details Please list below the units you wish to apply for. Unit offering details including semester mode of offering are located online at www.monash.edu.au/pubs/hbooks. Unit code Unit title Year Semester Day/DE Evening Campus Office Use Only Approved? Authorised by /No Section E Reason for applying for Cross-Institutional enrolment applicant statement

Section F English language requirements Please tick one of the boxes below to indicate how you have met the minimum Monash University English requirement. You must attach certified evidence of having met these requirements (eg an official transcript of results). You are advised to contact your faculty prior to lodging your application to establish if you will need to meet any course specific English language requirements in addition to those listed below. Secondary schooling or equivalent Completed the last two years of my secondary schooling, or equivalent, in an English medium educational institution. Tertiary study Single higher education units IELTS academic English test Paper-based TOEFL English test Internet-based TOEFL English test Cambridge Certificate in Advanced English (CAE) Cambridge Certificate of Proficiency in English Satisfactorily completed study equivalent to at least 24 Monash credit points (one stard full-time semester) in an English medium educational institution at Australian VET certificate IV level or above, or equivalent. Passed a unit in an English medium higher education institution. Achieved minimum overall score of 6.5 Achieved a minimum score in each b of: Reading: 6.0 Listening: 6.0 Writing: 6.0 Speaking: 6.0 Achieved minimum overall score of 580 Achieved a minimum score in the Test of Written English of 4.5 Achieved minimum overall score of 90 Achieved a minimum score in these components of: Written section: 22 Other sections: 20 Achieved a grade of A Achieved a grade of C Section G Prerequisite requirements Where prerequisite requirements exist for the unit(s) you wish to study, you must attach certified evidence of having met these requirements (eg an official transcript of results). Have you attached certified proof of having met any existing prerequisites? No there are no prerequisite requirements Section H Off Campus Learning students exam location Please indicate your preferred exam location (see http://www.monash.edu.au/exams/off-campus-examvenues.html) Exam location number Exam location centre Exam location place

Section I Check List Have you attached certified proof of your Citizenship? Has your home institution completed approval in Section C? Have you indicated the Monash University unit details you have applied for in Section D? Have you provided an official transcript of results for the English language requirements? Have you attached certified evidence for prerequisite requirement for the unit(s) you wish to study? Applications to Sunway Campus: Have you included the RM100 application fee? No there are no prerequisite requirements Applicant s declaration I declare that the information supplied on this form the information given in support of my application is correct complete. I acknowledge that the provision of incorrect information or the withholding of relevant information relating to my application /or academic transcript may result in the withdrawal of an offer of a place. I authorise the university to obtain official student records from any educational institution necessary to make an informed decision about the application or matters that concern the student s enrolment. I agree to the transfer to my home institution of all information related to my enrolment in the unit. I agree to abide by the statutes, regulations policies of the university as amended from time to time agree to pay all fees, levies charges directly arising from my enrolment. Signed Office use only (faculty/department/school approval) Offer Conditional offer Reject Fee type: CSP Domestic full fee-paying International full fee-paying Selection officer Logged Keyed Letter sent Comments Processed by: