International Scholarship Application Form

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SEMESTER 1, 2012 APPLICATION FORM FOR INTERNATIONAL RESEARCH SCHOLARSHIPS
INTERNATIONAL POSTGRADUATE RESEARCH SCHOLARSHIPS (IPRS) UNIVERSITY INTERNATIONAL POSTGRADUATE AWARDS (UIPA) TUITION FEE SCHOLARSHIPS (TFS)

GRADUATE RESEARCH SCHOOL

Prior to filling in this form ensure that you have done the following:

• •


Read the Application Guidelines for the Scholarships provided by UNSW located at http://research.unsw.edu.au/international-researchcandidate-scholarships

-

see under Related Links

Reviewed the Guidelines for Commonwealth Scholarships http://www.comlaw.gov.au/Details/F2010L03009/Html/Text#_Toc275939863 Contacted the School and discussed your research proposal with a potential supervisor who is willing to oversee your research degree. Applied online for admission to a UNSW research degree. (Please Note: Applicants who have not applied for admission to a research degree at UNSW will not be considered for an International Research Scholarship).



1. Application Details
UNSW Student number (if known)       UNSW Application number (if known)      

Family Name

     

Given Name

     

Male

Female

Date of Birth

      (e.g. 6 December 1987 = 06/12/87)

Postal address (home) Number & Street:       Suburb, City:       Postcode:       State:       Country:      

Email Address (compulsory)*:       Home phone:       Mobile phone:      

*Please note: successful first round applicants will be notified by email only. All further correspondence will be by email.

2. Proposed Program Beginning/Continuing 2012
PhD Masters by Research Master of Philosophy Proposed Commencement Date:      

Kensington Campus – Sydney (includes COFA) UNSW@ADFA Campus - Canberra Both Kensington & UNSW@ADFA Campuses* *

* Please Note: You are only required to submit one application for admission to a postgraduate degree based on your preference below, however you will also be considered for a scholarship at the alternate campus as appropriate.

In which Faculty do you wish to study? In which School do you wish to study?
* Program Codes can be found in the 2011 Postgraduate Handbook at:

                 

Please provide the appropriate (4-digit) program code* for the program you wish to study:
http://www.handbook.unsw.edu.au/research/2011/index.html

Have you consulted/corresponded with a potential supervisor regarding your proposed research topic?
*(If you answer YES you must provide proof of this correspondence).

Yes*

No

Name of proposed supervisor* with whom you have consulted: The title of my proposed research project is:      

     

* It is not essential that supervision is finalised at the time of application but supervision will need to be confirmed in order to be offered a scholarship

Have you already enrolled at UNSW and commenced your research?
*(If you answer YES you must provide your commencement details below)

Yes*

No

Graduate Research School Telephone: +61 (2) 9385 5500 Facsimile: +61 (2) 9385 6238 Email: [email protected] Web: http://research.unsw.edu.au/units/graduate-research-school CRICOS Provider No: 00098G ABN 57 195 873 179 Version: 01/07/11 1

Actual date of commencement

     

Full time

Part time

3. Residential Status
Are you an Australian citizen or New Zealand citizen or an Australian permanent resident? (If YES, you are NOT eligible for an International Research Scholarship). What is your country of citizenship?       Yes No Yes No

Have you applied for Australian Permanent Resident status through the Department of Immigration and Citizenship (DIAC)? If YES, please indicate the date of application:      

IMPORTANT NOTE: Applicants from countries assigned Australian Student Visa Assessment Level 3, 4 or 5 should contact their local Australian Diplomatic Mission for current information on timeframes for visa application processing, and should lodge applications for Student Visas at minimum 12-16 weeks prior to the expected date of departure from their home country.

4. Sponsorship
Will you be sponsored? eg AUSAID, corporation, home government Yes * No (Go to question 5) *If YES, please attach documentation from the funding organisation and what items are paid for by the scholarship eg OSHC, tuition fees.       What is the sponsoring institution’s name?

5. Eligibility
(a) Application Status: Have you applied for a Master of Philosophy, Masters by Research or PhD at UNSW? If you answered NO you MUST submit your online application for admission to UNSW prior to completing this form. For details on how to apply for a research degree please refer to the following webpage: http://research.unsw.edu.au/how-applypostgraduate-research-study-program To see full details of the information that needs to be submitted electronically with this form please see the checklist found on page 5 of this application form. (b) Prior Study (i) Have you already completed a Master of Philosophy OR Masters by Research degree and propose to undertake another Master of Philosophy or Masters by Research degree in 2012? (ii) Have you already completed a PhD or research doctorate or equivalent? Yes Yes No No Yes No

If NO, you are NOT eligible for an International Research Scholarship until you apply.

If you answered YES to either of these questions you are NOT eligible for an International Research Scholarship. (c) Previous Scholarships Have you previously held or do you currently hold an IPRS/AUSAID or Australian Governmentfunded scholarship?
*If you answered YES you may not eligible for an International Research Scholarship. Please fill in the questions below. What is the name of the award granted? At which institution was the award granted? For which qualification was the award granted? What is the annual monetary value of the award?                        

Yes*

No

Graduate Research School: Telephone: +61 (2) 9385 5500, Email: [email protected] Web: http://research.unsw.edu.au/units/graduate-research-school CRICOS Provider No: 00098G, ABN 57 195 873 179,

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What was the exact duration of the award? Please provide exact dates:

     

Have you been awarded any other primary award or stipend for 2012 to support you in your studies at UNSW? If YES please indicate the name & dollar value of the award(s):      

Yes

No

6. Academic Qualification – Undergraduate & Postgraduate
Details of Previous Study
e.g. B.E

Institution

Years of Enrolment
From 2007 To 2010

Year Graduated
2011

Average Mark
87

Position in cohort
23rd out of 650

Normal Full-time Length of Qualification
4 yrs

University of XYZ

                       

                       

                       

                       

                       

                       

                       

                       

If you are currently enrolled in a course please indicate name of course and expected completion date: Course Name:       Expected Completion Date:      

Important Note: All Honours results, MPhil/M(R) thesis examination outcomes &/or other grades required for determining Honours 1 equivalence must be finalised and provided by 15 January (for Semester 1 scholarships) or by 15 July (for Semester 2 scholarships). If results will not be finalised by these dates candidates should apply for the subsequent scholarship round.

7. Relevant Research Experience
(a) Employment Describe briefly your research experience (you may need to provide a separate statement):      
Please note: Applicants for the College of Fine Arts (COFA) are also required to submit a CV including information on exhibitions etc.

Have you ever been employed in the area that is related to your field of study? If Yes please provide details: Employer # 1:       Duties:       Employer #2:       Duties:       (b) Publications Has your research been published? Yes* No       Period of employment:      

Yes year s

No       months

y ears

     

months

*If YES, give names and dates of the publications/journals/books and the names of co-authors (include all publications to which you have contributed and in which you are named). Indicate in no more than 50 words your contribution to the publication(s) (eg) 50% of primary experiment design, 70 % of all experimental work, 40 % of primary data analysis, 2nd author. For journal articles & conference proceedings you must submit an electronic (or scanned) copy of the publication. For books, only full citations are required, you do not need to submit a copy of the book. If you do not provide an electronic (or scanned) copy of a publication, or a full citation, it may not be considered.
* If you have contributed to more than 2 publications the additional details should be indicated in a separate document or in your CV

(i)

1st Publication

Publication (or Article) Title:       Journal/Book Name:       Journal ranking (indicate ranking group / system):       Author’s Name(s) (in order):       Publication Date:       Applicant’s contribution to publication:       (ii) 2nd Publication
Graduate Research School: Telephone: +61 (2) 9385 5500, Email: [email protected] Web: http://research.unsw.edu.au/units/graduate-research-school CRICOS Provider No: 00098G, ABN 57 195 873 179, Version: 01/07/11

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# 2 Publication (or Article) Title:       Journal/Book Name:       Journal ranking (indicate ranking group / system):       Author’s Name(s) (in order):       Publication Date:       Applicant’s contribution to publication:       (c) COFA Applicants - Applicants for postgraduate research programmes offered by COFA are required to provide supporting documentation such as a curriculum vitae which includes awards/grants/prizes, exhibitions/publications, and a portfolio of artwork/designs (preferably in electronic file format, or alternately posted separately to the Graduate Research School in CD, DVD or slide formats).

8. Referees Report Contact Details
I have provided contact details for two Academic Referees who are familiar with my area of study &/or my research ability I have completed the Applicant Section (Section A) of the Referee Report form (found at http://research.unsw.edu.au/international-research-candidate-scholarships under Related Links) and then provided it to both of my referees. I have requested my referees return their completed Referee Report forms to the Graduate Research School via email address: [email protected] prior to the application closing date: 31 August 2011. Referee #1 Title (ie) Dr, Mr       First Name       Surname      

Institution Name & Address

     

Position held:

      Phone number:      

Academic Relationship to Applicant:

      Email Address:      

Fax Number: Referee #2 Referee # 2 Title (ie) Dr, Mr

     

     

First Name

     

Surname

     

Institution Name & Address

     

Position held:

      Phone number:      

Academic Relationship to Applicant:

      Email Address:      

Fax Number:

     

9. Electronic Document Submission Guidelines
Graduate Research School: Telephone: +61 (2) 9385 5500, Email: [email protected] Web: http://research.unsw.edu.au/units/graduate-research-school CRICOS Provider No: 00098G, ABN 57 195 873 179, Version: 01/07/11

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All supporting documentation (eg. transcripts, testamurs, grading systems, research proposals etc) for both scholarship and admission applications should be provided electronically, as scanned pdf files, word documents or other standard electronic file types. All electronic supporting documentation files must be named using the file-naming convention below. Please note, you will require a UNSW ID number in order to name your files correctly. If you do not have a UNSW ID you will need to apply online (https://apply.unsw.edu.au/portal/dt?desktop.suid=uid=anonymousApplicant,ou=People,dc=unsw,dc=edu,dc=au) to obtain your UNSW ID. Please allow 3-5 working days after applying online to receive your UNSW ID. Electronic supporting documentation file naming conventions: Please name all electronic files using the following format: ID FAMILYNAME, Given name – document description (eg) 1234567 NGUYEN, Minh – SCHOLARSHIP APPLICATION FORM S1 2012 1234567 NGUYEN, Minh – TRANSCRIPT UNDERGRADUATE 1234567 NGUYEN, Minh – TRANSCRIPT POSTGRADUATE 1234567 NGUYEN, Minh – PROOF OF SUPERVISOR CONTACT 1234567 NGUYEN, Minh – RESEARCH PROPOSAL 1234567 NGUYEN, Minh – CV etc etc

10. Checklist
The following checklist is designed to assist you and the Graduate Research School ensure that all the required documentation is submitted in order for us to process your application. Please complete the checklist. Where you are still waiting on information please indicate in the comments box provided (eg) Academic transcript ordered from University of XYZ - will be submitted on 04/09/2011. If there is any information that you are unsure of, or if you require further information, please refer to the 2012 Application Guidelines for International Research Scholarships found at http://research.unsw.edu.au/international-research-candidate-scholarships I have: Additional Yes No Fully completed the International Research Scholarship application form Comments       I have attached to my application email certified copies* or scanned originals of the following: Yes No Academic transcripts, and grading systems, including evidence of graduation for all previously completed degrees/diplomas. Where the course is not complete the current transcript must be provided and the final transcript submitted as soon as it becomes available. Please note: original documents will need to be provided to the Graduate Research School for verification prior to or at time of enrolment Yes No Proof of my Visa application. Please note: If you have not provided proof of your Visa application you may still apply for an International Research Scholarship. If you are awarded a Scholarship you must commence before 27 Feb 2012 (Semester 1). You cannot defer the offer. Please ensure you leave enough time for the processing of your Visa application. To determine how long your Visa application processing may take, please contact your local Australian Diplomatic Mission. Certified proof of name change (if applicable).      

     

Yes I have: Yes Yes

No

     

No No

Yes Yes

No No

Submitted an online application for admission to a UNSW research degree at: https://apply.unsw.edu.au/portal/dt? desktop.suid=uid=anonymousApplicant,ou=People,dc=unsw,dc=edu,dc=au Contacted the School to discuss my research proposal with a potential supervisor who is willing to oversee my research degree. Please note: It is not essential that supervision details are finalised at the time of application but supervision will need to be confirmed in order to be offered a scholarship. Attached or submitted to the Graduate Research School, proof of correspondence between me and my proposed/potential supervisor relating to discussion of my proposed research topic. Provided the Referee Report form weblink to my two nominated referees and asked them to return the completed form to the UNSW Graduate Research School by email to [email protected], on or before the application closing date. (Where possible the Referee Report form document should be named using the file naming convention: Student ID FAMILY NAME, Given name – REFEREE REPORT from Prof G Smith (eg) 1234567 NGUYEN, Minh – REFEREE REPORT from Prof G Smith)

           

           

Graduate Research School: Telephone: +61 (2) 9385 5500, Email: [email protected] Web: http://research.unsw.edu.au/units/graduate-research-school CRICOS Provider No: 00098G, ABN 57 195 873 179,

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Yes Yes Yes

No No No

Yes

No

If required, I have commenced my pre-visa assessment process. Please note: You will not be able to defer your scholarship offer if you are unable to commence by 27 February 2012 (Semester 1). Provided an up to date e-mail address and where applicable, mobile phone number. Please note: successful first round applicants will be notified by email only. All further correspondence will be by email. Provided the Graduate Research School (or am submitting with this application) electronic copies of all required admission/scholarship application supporting documentation, using the required file naming convention.* (http://research.unsw.edu.au/document-submission-guidelines) Note: Only applicants who include appropriate proof of sponsorship (sponsorship letter(s)) will be considered for a Category 4 Tuition Fee Scholarship COFA Applicants Only: I have provided supporting documentation such as a curriculum vitae which includes awards/grants/prizes, exhibitions/publications, and a portfolio of artwork/designs (in electronic file format, or by post in CD, DVD or slide formats).

                 

     

*For information on who can certify documents, and for guidelines on required file naming conventions for electronic document submission, please see the Document Submission Guidelines information page: http://research.unsw.edu.au/document-submission-guidelines

Graduate Research School: Telephone: +61 (2) 9385 5500, Email: [email protected] Web: http://research.unsw.edu.au/units/graduate-research-school CRICOS Provider No: 00098G, ABN 57 195 873 179,

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10. Privacy Notification
The University of New South Wales (UNSW) acknowledges and respects the privacy of individuals. The information you provide on this application for is “personal information” as defined by the Privacy and Personal Information Act, 1998 (NSW) (the Act). The information you provide is collected and held by UNSW in order to assess your application and for administrative and statistical purposes, or to send you information about UNSW activities that may be of interest to you. You have the right of access to, and alteration of, the information concerning yourself in accordance with the Act and the UNSW Privacy Management Plan. UNSW will not disclose your personal information without consent and without due cause, except as required by law. You have the right to refuse this consent, but if the consent is not given your application may not be processed.

11. Declaration
By submitting this application I am declaring that: I have • Answered all questions on this form truthfully. Read the International Research Scholarship Application Guidelines (http://research.unsw.edu.au/international-researchcandidate-scholarships - see under Related Links) and understand the eligibility criteria for this scholarship. Lodged my online application for admission for a research degree at UNSW & have submitted, or am submitting with this application, the required supporting documentation as electronic files using the required file naming conventions (http://research.unsw.edu.au/document-submission-guidelines)

• •

I agree to • • • • • • Notify the School and the Graduate Research School of any change to the information I have given in this application. Authorise UNSW to obtain from any other educational institution or relevant authority, at anytime, details which relate to my application including information concerning my enrolment record, examination results, enrolment variation and attendance. Abide by UNSW conditions of the award/scholarship as amended from time to time. Comply with UNSW rules on admission, enrolment and other policies on the conduct of research. Permit UNSW to release details of my academic progress to my sponsoring body on request if I am a sponsored student. Undertake to obtain ethical clearance and satisfy any other regulatory requirements before commencing any research to which those requirements may apply. Allow UNSW to contact me by SMS if required for the purposes of making a scholarship offer



I understand that


• • • • •

UNSW may disclose information concerning this application to the Department of Education, Employment and Workplace Relations (DEEWR), the Department of Innovation, Industry, Science and Research (DIISR) and to any person or body UNSW considers has legitimate interest in receiving it and I consent to such disclosure. UNSW may vary or cancel any decision it makes if the information I have given is incorrect or incomplete. I will not be sent notification that my application has been received. I must not receive scholarships from different institutions simultaneously. UNSW is not responsible for the loss of any documents submitted. Submitted documents become property of UNSW. My application processing will be delayed if I have not provided all documents as detailed throughout the form and on the checklist. If I am made an offer of a Scholarship I will not be able to defer that offer. Giving false or misleading information is a serious offence under the Criminal Code (Commonwealth). Date      

• •


Print Full Name (no signature required, please type name)      

Application forms and all supporting documentation should be emailed to [email protected] by the application closing date 31 August 2011

Graduate Research School: Telephone: +61 (2) 9385 5500, Email: [email protected] Web: http://research.unsw.edu.au/units/graduate-research-school CRICOS Provider No: 00098G, ABN 57 195 873 179,

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