Application for Scholarship 2012
Please ensure that all relevant sections are completed and the requested documentation is attached to your application. One (1) copy of the application documentation should be submitted by the deadline, 26th August 2011 for the Semester 1, 2012 scholarship round, or 24th February 2012 for the Semester 2, 2012 round, or 31st August 2012 for the Semester 1, 2013 scholarship deadline. Applications received without all the required documentation, will not be eligible for consideration. ICE WaRM accepts no responsibility for incomplete or illegible applications. Please note that the scholarship covers tuition fees ONLY.
CANDIDATE CHECKLIST
Please tick and ensure that you have included the following documentation as necessary: ESSENTIAL (REQUIRED): A completed ICE WaRM Application form Certified transcripts of previous studies indicating subjects and grades (a parchment is insufficient) ‐ the Australian Embassy/ High Commission, Justice of the Peace or local Police Station can certify transcripts. A certified copy of passport details (your passport must be valid at least 6 months beyond the expected study period) or birth certificate. 2 written references (one academic referee and one referee from your relevant industry work experience) using the Confidential Referee’s Report Hard copies of English language evidence ‐ IELTS or TOEFL results (an IELTS of 6.5 or equivalent TOEFL result is required). Curriculum Vitae including published journal articles, chapters of books, conference papers, where applicable
Candidates are responsible for ensuring that the Confidential Referee’s Reports are received by ICE WaRM by the application deadline.
NORMAL MAIL: Send applications and documentation to:
ICE WaRM International Liaison Programme Scholarships GPO Box 860 Adelaide SA 5001 AUSTRALIA
COURIERING: Send to:
For more information, contact: Project Coordinator
[email protected] Ph: +61 8 8236 5200 Fax: +61 8 8236 5236
ICE WaRM International Scholarship Programme Level 4, 33 King William Street Adelaide SA 5000 AUSTRALIA
Scholarships, Application form
Current as at May 2011
www.icewarm.com.au
Scholarships, Application form
Current as at May 2011
Application for Scholarship 2012 Personal Details
Title: Mr Mrs Miss Ms Dr Other ______________ As appears on passport: Family Name: THILAKRATHNE
Given Name(s):
BANDARA MUDIYANSELAGE MADUSANKA NUWAN MADUSANKA
Preferred Name:
Male
Female
Date of birth
SRI LANKA
01 1987 18 ____/_____/_____ (dd/mm/yyyy)
Country of Birth: Citizenship:
SRI LANKAN
Address for correspondence Street Address: Suburb/City: State: 600/4
AIR PORT ROAD
ANURADHAPURA Country: NCP
SRI LANKA 50000
Post/Zip Code:
Permanent home address (if different from above) Street Address: Suburb/City:
State: Other Contact Details Email Address:
Country: Post/Zip Code:
[email protected]
Home telephone 94252236749 number: Work number: Facsimile Mobile number: 94718227534 number:
Scholarships, Application form Current as at May 2011
Academic Background
University Studies List all university programmes completed (undergraduate and postgraduate), and any incomplete and/or current studies.
Programme/award Institution UNIVERSITY OF
PERADENIYA Faculty of Engineering
Year began / completed
2007/ 2011
Country
SRI LANKA
Language of instruction ENGLISH
GPA
3,45
B.Sc in Civil Engineering
Academic awards and academic/industry memberships Please list below any additional awards and professional memberships that do not appear on your academic record/s.
Scholarships, Application form
Current as at May 2011
Work Experience (please attach an extra page if space provided is insufficient)
Dates of employment
e.g. Sept 99‐ Oct 2006
Full or part‐ time
Full Time
Description of position and duties
Water Quality Manager managing and implementing projects quality control
Organisation
SA Water
Publications (journal articles, chapters of books, conference papers).
** Please attach a copy or partial copy of articles/papers for supporting evidence** Please attach an extra page if space provided is insufficient
Date published
e.g. June 2006
Journal/Description of paper
International Journal of Environmental Science, Water Quality Management in urban flood water systems
ICE WaRM Scholarship Application
Please indicate which scholarship you are applying for: Full tuition scholarship Part tuition scholarship Please indicate which semester you expect to commence study: Semester 1, 2012 (March) Semester 2, 2012 (July) Semester 1, 2013 (March) Closing date for applications: 26th August, 2011 Closing date for applications: 24th February, 2012 Closing date for applications: 31st August, 2012
Scholarships, Application form
Current as at May 2011
If you are not successful in your application for a scholarship for a full tuition scholarship, would you consider a partial payment of tuition scholarship? Yes No If you are not successful with your application for a full or part tuition scholarship, will you continue with your application for admittance to the Master of Water Resources Management? Yes No
Please indicate your preferred stream and university (please rank in order of preference from 1 (most preferred) to 8 (least preferred). Ensure you address reasons for your preference in your written submission.
The University of Adelaide University of South Australia Flinders University
5
Stream 1 Ecosystem and Catchment Management Stream 2 Management of Water Infrastructure Stream 3 Water Quality and Treatment Stream 4 Groundwater Hydrology/Hydrogeology Stream 5 Irrigation Stream 6 Water Planning n/a n/a n/a
6 3 4
n/a
n/a n/a
2
1
n/a
n/a
n/a
7
n/a n/a
n/a‐ means stream is not available
Scholarships, Application form
Current as at May 2011
For more information about the Master of Water Resources Management programme – universities, streams and courses, go to http://www.icewarm.com.au/page.php?pId=228.
Written Submission
Please write a maximum of 350 words stating the reasons you wish to undertake Master of Water Resources Management programme in Australia including: • why you have chosen the stream indicated; • why you wish to study in Australia; • why you wish to study this course; • outcomes you hope to achieve by completing this course in Australia; • why you have selected to study at the chosen institution/s; • how the qualification will assist in achieving your future career plans; and • your personal qualities that would persuade ICE WaRM to offer you a scholarship.
Scholarships, Application form
Current as at May 2011
Referees
Please provide the contact details for your two referees. It is the candidate’s responsibility to provide each referee with a Confidential Referee’s Report proforma for them to complete and forward to ICE WaRM by the application deadline. Please ensure you complete your details on the Confidential Referee’s Report. Referee 1 Title: Mr
Mrs
Miss
Ms
Dr
Other ______________
As appears on passport‐ Family Name: Given Name(s): Position: Institution/Organisation: Telephone number: Facsimile number: Email address: Referee 2 Title: Mr
Mrs
Miss
Ms
Dr
Other ______________
As appears on passport‐ Family Name: Given Name(s): Position: Institution/Organisation: Telephone number: Facsimile number: Email address:
Scholarships, Application form
Current as at May 2011
Applicants Declaration
I certify that the information provided on this application form and the attachments is true, complete and correct in every particular. I agree to abide by the International Centre of Excellence in Water Resources Management conditions of award and amendments to these. I am aware that providing false or misleading information may affect any offer of award that is made to me. I fully understand the conditions under which the scholarship is offered, and if offered a scholarship I agree to: a) carry out such instructions and abide by such conditions as may be stipulated by both the International Centre of Excellence in Water Resources Management and the University in which I am enrolled and sign an agreement to that effect; b) take up the scholarship in the semester and academic year for which it is offered; c) abide by the rules and regulations governing my student visa; d) maintain a full‐time enrolment, follow the course of study and abide by the rules of the institution in which I undertake to study; e) submit a progress report to ICE WaRM at the end of each semester; f) act in a manner that will not bring disrepute to myself, ICE WaRM, the university in which I am enrolled or my country of citizenship during my award; and g) return home at any time upon formal request of the Australian government. I also agree: h) to the terms and conditions as outlined in the Scholarship Guidelines document; i) to the release of information contained in this application form to relevant authorities to enable placement in a tertiary institution and the ongoing administration of my scholarship; j) to participate in ICE WaRM promotional activities as required; and k) that the Australian government is not responsible for any aspect of my actions while I am in Australia I understand that the law of Australia and various States and Territories will apply to any agreement between myself and ICE WaRM. I am not aware of any medical condition (disability, illness or pregnancy) which might prevent me from completing my study program within the time allowed for the scholarship. I fully understand that if I am granted a scholarship, it may be subsequently withdrawn if I fail to make adequate progress, or for other sufficient cause determined by ICE WaRM or the institution at which I am enrolled. Printed name: Signature of applicant: Date: B,M,M,N THILAKARATHNE
Scholarships, Application form Current as at May 2011