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P.O. Box 157, LISMORE NSW 2480 Telephone: (02) 6620 3414 Fax: (02) 6626 9145 APPLICATION FOR ADMISSION DOCTOR OF PHILOSOPHY (and Qualifier) and MASTERS DEGREE BY THESIS (and Qualifier) INSTRUCTION SHEET These instructions will assist you to correctly complete the application form. Note: Applications which are received without the required documents may not be considered. Detach this instruction sheet and associated documents before forwarding the completed application form to: Institut Ranke-Heinemann Institut Ranke-Heinemann Ranke-Heinemann Ranke-Heinemann Institut Ranke-Heinemann Division of Research,Institut Research TrainingInstitut Unit Schnutenhausstrasse 44 Friedrichstrasse 95 Türkenstraße 70 Silberburgstr. 112 Theresiengasse 32 Southern Cross University, 45136 Essen 10117 Berlin 80799 München 70176 Stuttgart 1180 Wien Deutschland Deutschland Deutschland Deutschland Österreich P.O.Tel.: Box 157, Tel.: 0049-201-252552 0049-30-209629593 Tel.: 0049-89-80954030 Tel.: 0049-711-99338627 Tel.: 0043-1-4060224 info@ranke-heinemann.de berlin@ranke-heinemann.de muenchen@ranke-heinemann.de lentz@ranke-heinemann.de wien@ranke-heinemann.at LISMORE. NSW. 2480 AUSTRALIA www.ranke-heinemann.de www.ranke-heinemann.de www.ranke-heinemann.de www.ranke-heinemann.de www.ranke-heinemann.at Applications for admission may be submitted at any time. NAME: Please print your name clearly and in full. If any of your documents (including Academic Transcripts) show a name which is different from the one you have used on the application form, you must present documentary evidence of the change (e.g. marriage certificate, deed poll, statutory declaration) with your application. ADDRESS: All correspondence relating to your application will be forwarded to the address you have indicated. Change of Address: If you change your address after lodging your application, it is your responsibility to advise the University immediately. Please send a letter stating your name and course and indicate your new address, telephone number and fax number, if applicable. RESIDENTIAL STATUS: Full Fee Paying overseas applicants may be considered for admission to postgraduate courses. An overseas applicant is a person who is not: an Australian citizen a New Zealand citizen (however permanent residents of New Zealand are classed as overseas students) a migrant holding a visa giving permanent resident status in Australia; or a refugee. The Category of overseas applicant includes holders of permits for temporary entry into Australia, such as: overseas students diplomats temporary residents who hold permits for work purposes dependents of the above. RULES: Applicants should familiarise themselves with the relevant course rules (attached) before lodging their application. TERTIARY QUALIFICATIONS: 1. All applicants who have completed relevant tertiary studies must submit an original academic transcript which provides evidence of all subjects taken, grades obtained (including failures), stage reached or qualification gained. The transcript must be obtained by the applicant from the institution concerned and submitted with the application. 2. Applicants who graduated from NRCAE, UNENR or Southern Cross University are not required to provide documentation for those particular courses.

3. Applicants who are currently enrolled in an institution are asked to present their examination results and/or assessment notification immediately it is available. 4. Applicants who have completed overseas tertiary studies and have documents which are not in English MUST submit Certified English Translations as well as copies of the original documents. 5. If your academic records are not from NRCAE, UNE-NR or Southern Cross University, consideration of your application will be affected if this University cannot make a comparison with our standards, particularly in relation to grades. For overseas qualifications, you should consult us or obtain official assistance. For informal advice from this office, write or telephone the Research Training Unit (02) 6620 3414. You may have to leave your name and phone number for a response. For official help, contact the National Office of Overseas Skills Recognition (NOOSR) at GPO Box 1407, Canberra ACT 2601, or telephone (02) 6240 7663. You may ask the Head of the Department, School or Faculty in which you worked or the College director or Director of Research and Research Training of the School you seek to enter at Southern Cross University for a written opinion of the equivalence of your degree to an Australian grade of Honours, which you can attach to your application. Note that the people concerned are not obliged to provide you with such a certificate. If you have a Masters degree you will assist your case by providing official evidence of: (a) the proportion of research culminating in the thesis that you completed towards the total requirements for the degree. Note that not less than 50% research and thesis is usually required for entry to this University s PhD course; (b) the class of pass, if any, e.g. Honours I; (c) whether you completed in minimum time. ADMISSION: To be admitted, applicants should normally possess Honours I or IIA for a PhD or Honours I or II for a Masters by thesis, or equivalent tertiary qualification. However, applicants may be admitted on the basis that their work experience and/or published or other written material together constitute the equivalence of Honours at the level required. It is nevertheless the applicant s responsibility to convince the Higher Degrees Research Committee by submitting all relevant details. and those with Permanent Resident Status, applications for admission will be considered only if a place is available and at least one of the following criteria has been satisfied: 1. The thesis topic is compatible with the Principal Supervisor s research area; or 2. In the view of the Higher Degrees Research Committee, the proposed Principal Supervisor has a demonstrably outstanding track record in successful supervision of HDR candidates, and/or has a demonstrably outstanding national or international track record in research in the area of the proposed topic; or 3. The applicant has been awarded an externally funded stipend scholarship (other than an APA) to undertake the project, and the value of the stipend is at least equivalent to the value of the stipend for an APA (currently $20,007 p.a.); or 4. The applicant has completed a Qualifier at the University which was commenced prior to 1st July, 2001. To qualify for this criterion, an application normally should be received within 6 months of completing the Qualifier. ENGLISH LANGUAGE PROFICIENCY: If your undergraduate studies were not undertaken in English or if your first language is not English, you must convince the University that your standard of English is sufficient for you to study successfully here. You must submit: (a) an original IELTS test result, showing a score of 6.5 or better, including a minimum score of 6.0 in the sub-bands (http://www.ielts.org); or (b) an original TOEFL test result showing a score of 580 or better (min score of 237 for computer based), and a Test of Written English (TWE) score of at least 5.0 (http://www.toefl.org). Other evidence of ability to study in English may be considered, and any evidence should not be more than two (2) years old at the date of application. For citizens of some countries, an IELTS test is required by the Government of Australia for the granting of a student visa. You are advised to contact the nearest Australian diplomatic mission to clarify this http:www.immi.gov.au/wwi/index.htm) CONSULTATION: You must contact the Director of Research and Research Training, the Head of School and the proposed supervisor to discuss your eligibility, the work to be carried out and the availability of resources before submitting your application. In addition, in the case only of Australian citizens

NOTICES TO APPLICANTS: Receipt of an application will not normally be acknowledged until dealt with by the Committee. ALL applicants will be notified by mail. Successful applicants will be sent an offer of admission which will contain instructions regarding the procedure to be followed to accept the offer of a place and complete formal enrolment with the University. SCHOLARSHIPS: The following scholarships are available: Australian Postgraduate Award and International Postgraduate Research Scholarship. Applications for APA and IPRS/ SCUPRS close at the end of October. HECS no longer applies in the case of applicants commencing a PhD or Masters by thesis. COURSE: Information concerning admission requirements and specific advice regarding the suitability of proposed research topics and the availability of supervision may be obtained from the relevant Director of Research and Research Training. Courses offered are listed below. When completing the application for admission you must include the relevant Course Name and the School or College within which you wish to work. Course Name Doctor of Philosophy Master of Arts Master of Business Master of Education Master of Education (T&D) Master of Laws Master of Science Masters Qualifier PhD Qualifier School/College/Dept School of Environmental Science and Management College of Indigenous Australian Peoples Department of Psychology Department of Nursing and Health Care Practices Department of Natural and Complementary Medicine Department of Exercise Science and Sport Management School of Commerce and Management Graduate College of Management School of Tourism and Hospitality Management School of Arts and Social Sciences School of Education School of Law and Justice Further information may be obtained by contacting: The Director, Research Training Division of Research Southern Cross University PO Box 157 LISMORE NSW 2480 AUSTRALIA Phone: (02) 6620 3414 Fax: (02) 6626 9145 Overseas Enquiries: Phone: 61 +2 +6620 3414 Fax: 61 +2 +6626 9145

PO Box 157 Lismore NSW 2480 Phone: 02 6620 3172 Fax: 02 6626 9145 Email: research@scu.edu.au Web: www.scu.edu.au/research/college APPLICATION FOR ADMISSION DOCTOR OF PHILOSOPHY OR MASTERS BY THESIS (including Qualifier) Please refer to attached instructions to complete this form Ensure all relevant sections are completed in ink and all signatures recorded Lodge completed form with the Research Training Unit PERSONAL DETAILS SECTION 1: To be completed by applicant Title:. Family Name:.. Given names:... Date of Birth:.! Male! Female Address:.. Home Phone:.. Work Phone: Mobile: Fax: Email Address (required):. Country of Birth:.! Aboriginal descent! Torres Strait Islander descent COURSE DETAILS Course you are applying for (tick one only):! PhD! Masters by thesis! PhD Qualifier! Masters Qualifier Attendance type:! Full-time! Part-time! On-campus! Off-campus Preferred School or College (see instruction sheet for correct name) Proposed research topic negotiated with Director of Research and Research Training:.. Please attach a 2-3 page research proposal outlining background to the research area, aims and significance of the research, and proposed methods Proposed supervisor/s (if known).. Director of Research and Research Training with whom proposal has been discussed:.

RESIDENTIAL STATUS If you were not born in Australia, please indicate your current residential status:! Australian citizen! New Zealand citizen! Permanent resident If you ticked any of these categories you will need to attach a certified copy of an original birth certificate, citizenship certificate or relevant pages of your passport showing your identity and nationality.! Visa holder (specify type). Country of birth.. Have you applied for permanent residence in Australia? If not an Australian resident in what country do you reside permanently?. If you are an international student, you must have your application assessed by the University s International Office before lodging it with the GRC (include current IELTS Test results with your application). Please indicate by placing a cross in the box if:! English is your first language! Your undergraduate studies were completed in English PREVIOUS STUDY If you have previously studied at Southern Cross University, UNE Northern Rivers or Northern Rivers CAE, please indicate course and year of completion: Course: Year.. Surname used Student ID (if known). If you have studied a higher degree by research course at another university within three years of the date of this application, please indicate: Name of Institution: Student ID:.. Commencement date:. Termination date:.. Periods of approved interruption: Surname used: TERTIARY QUALIFICATIONS, PUBLICATIONS AND EXPERIENCE Please indicate the degrees you hold (if Honours, please note class awarded): Degree Date of graduation University You must attach a certified copy of an English version of your academic transcript if you did not graduate from Southern Cross University. Please attach a 1-2 page summary of your career since graduation, including your name. Please attach a separate sheet listing any theses or publications you have authored and any other research you have undertaken. Give full bibliographic details for all publications and indicate the proportion of total work you contributed to joint-authored publications. Please also indicate whether journal papers have been refereed (peer reviewed).

FINANCIAL SUPPORT If you are to receive any financial support in the form of a scholarship or sponsorship for your study, please give the name of the sponsor or scholarship:.. Please indicate whether you have applied or intend to apply for any of the following:! Australian Postgraduate Award (APA) (only available to Australian citizens and permanent residents)! International Postgraduate Research Scholarship (only available to international students)! Other scholarship (specify). If you intend to be undertaking paid employment during your period of study, please indicate number of hours per week involved: PART TIME AND OFF-CAMPUS STUDY If you are applying for part-time candidature, please describe in an attached sheet the circumstances under which you will be conducting your research and the number of hours per week you expect to devote to it. If you are applying for off-campus candidature and are working from an external site, please indicate which of the following facilities you will have access to:! Library facilities! Computer! Photocopying! Other (specify)! Laboratory facilities! Internet! Printing! Fieldwork equipment! Office facilities! Telephone and fax.. REFEREES Please supply the names and contact details of two academic referees who can be contacted for an opinion on your suitability for candidature: 1. 2... DECLARATION I wish to be considered for entry to the course indicated and I declare that the information submitted is correct and complete. I understand that the University may obtain official records from any tertiary institution previously attended by me. I understand that the University reserves the right to vary or reverse any decision made on the basis of incorrect or incomplete information. I understand that the information about me and my work may appear in the University Research Report unless I specifically advise the Research Training Unit that I do not wish this. My proposed commencement date is: Signature. Date

SECTION 2: To be completed by Principal Supervisor CANDIDATE AND SUPERVISOR DETAILS Name of Candidate: Thesis topic: Principal Supervisor Name: (must be a staff member of the University) Highest Qualification: Relevant expertise and supervision experience: Date of last supervisor training: Co-Supervisor 1 Name: Relevant expertise and supervision experience: Highest Qualification: Date of last supervisor training (if an SCU staff member): Co-Supervisor 2 Name: Highest Qualification: Relevant expertise and supervision experience: Date of last supervisor training (if an SCU staff member): Please note: the University strongly recommends that students have at least one co-supervisor. If no cosupervisor is recommended or available, please indicate what arrangements will be made when the principal supervisor is absent or unavailable: Please note: a letter of acceptance must be supplied for any external supervisor School/College of Principal Supervisor: FIELD OF RESEARCH The following information must be provided (a DEST requirement). Codes may be obtained from the GRC website www.scu.edu.au/research/college. Note that codes ending in zero should not be used. Please enter the most appropriate code for the field of research proposed by the candidate: Research Fields, Courses and Disciplines Socio-Economic Objective Classification

SUPERVISION LOAD Please provide the current supervision responsibilities of the proposed supervisors by indicating the number of students currently being supervised in each category: Principal supervisor: Degree Full-time Part-time Total PhD Masters by thesis PhD/Masters Qualifier Total supervision load Co-Supervisor 1: Degree Full-time Part-time Total PhD Masters by thesis PhD/Masters Qualifier Total supervision load Co-Supervisor 2: Degree Full-time Part-time Total PhD Masters by thesis PhD/Masters Qualifier Total supervision load Where any proposed supervisor is supervising, either as a principal or co-supervisor, ten or more postgraduate research candidates, either full or part time, a brief statement from this supervisor must be attached to the application, indicating how he or she can continue to provide adequate supervision of both the new candidate and existing candidates. Please estimate the division of supervisory load for allocation of funding and bonuses (internal supervisors only): Principal supervisor % Co-supervisor 1 % Co-supervisor 2 % Name Name Name School School School Please note: the totals must add to 100%

HONOURS EQUIVALENCE/ QUALIFYING PROGRAM If the candidate does not have an Honours degree, indicate whether:! A case for Honours equivalence is made OR A comprehensive case must be attached to this application with appropriate evidence of research experience and peer reviewed publications! A qualifying program is proposed as outlined below: To complete the Masters or PhD Qualifying Program, the candidate will be required to (tick which requirements apply):! Undertake the following coursework units: Unit name Unit code Grade required F/T P/T INT EXT AND/OR Write a detailed research proposal (minimum requirement) Complete a pilot research project (minimum requirement) Write a mini thesis including a literature review and research methodology (minimum requirement) Submit a draft ethics application Make a formal presentation of their research by (date): Other requirements (please specify): It is expected the Qualifier will be finished by (date): Please specify how the program will be assessed (please note: assessment solely by the supervisor is not sufficient). This section is mandatory.

SECTION 3 To be completed by Director of Research and Research Training RECOMMENDATION Candidate Name: I recommend that:! The above applicant be admitted to the following course! PhD! Masters by thesis! PhD Qualifier! Masters Qualifier Attendance type:! Full-time! Part-time! On-campus! Off-campus OR! The application for admission is not approved for the following reasons: CONDITIONS OF ACCEPTANCE Please indicate whether the following conditions have been met to your satisfaction: The applicant is fit to undertake the proposed program The necessary facilities and supervision are available to complete the project The supervision load is appropriate (or statement has been supplied) Adequate funding is available to support the proposed project The applicant will have ready access to library materials The Honours equivalence case is made satisfactorily (if applicable) The proposed qualifying program is adequate to prepare the applicant for their Research degree (if applicable) SIGNATURES School/College Proposed Principal Supervisor.. Date. Proposed Co-Supervisor 1.. Proposed Co-Supervisor 2.. Head of School/College Date. Date. Date. Director of Research and Research Training.. Date. Please note: a letter of acceptance must be supplied for any external supervisor CHECKLIST

Please check that the following requirements have been met: All relevant sections of the application form have been completed All signatures have been obtained The candidate enclosed a certified copy of their academic transcript!yes!no!n/a The candidate has submitted a 2-3 page research proposal The candidate has supplied identity documents if not born in Australia!yes!no!n/a The candidate has supplied a statement about their career since graduation!yes!no The candidate has supplied details of their publications (if applicable)!yes!no!n/a Any external supervisor has supplied a letter of acceptance!yes!no!n/a Any proposed supervisor with a load of ten or more students has provided a statement about their capacity to supervisor!yes!no!n/a Any proposed supervisor who is not a member of a DAORS has attached a statement making a case for having a suitable track record!yes!no!n/a The case for Honours equivalence has been attached!yes!no!n/a Note: Rules for PhD; PhD Qualifying; Masters by Thesis; and Masters Qualifying can be downloaded from the website: http://www.scu.edu.au/research/college/index.php/dds?cat_id=93#cat93