Study for Professional Development or General Interest

Transcription

1 a Non-award Application 2014 Office Use Only - Date Received: Study for Professional Development or General Interest PLEASE SUBMIT TO: CENTRE FOR OPEN EDUCATION, LEVEL 1, X5B, MACQUARIE UNIVERSITY NSW 2109 o Please print clearly in CAPITAL LETTERS To be a valid application, applicants must complete all sections and attach correctly certified copies of: 1. Proof of Australian Residency Status (Australian birth certificate, Australian citizenship certificate, Australian passport, or Australian Permanent Residency Visa) 2. Proof of Identity e.g. certified Driver s Licence 3. Verified copies of your official academic transcripts (if applicable). 4. Sponsor details - e.g. employer or agency (if applicable). Notification of Application Result You will be notified as soon as possible (usually 2-3 weeks after the final closing date). à If you have previously been a Non-award student, in which year and session did you commence? Year: Session 1 Session 2 Session 3 Not Applicable à If your application is successful, please indicate how you would like to receive the enrolment package: Hard copy Soft copy Macquarie Student Number (if known): PERSONAL DETAILS Preferred Title: Dr Mr Mrs Ms Miss Family Name: Other Name(s): First Name: Date of Birth (DD/MM/YYYY): Age: Gender: Male Female Contact Address: (for university correspondence) No.: Street: Suburb: State: Postcode: Permanent Address: (if different to contact address) (International Students please provide your permanent address outside of Australia) No.: Street: Suburb: State: Postcode: Home Phone: Mobile Phone: Work Phone: NEXT OF KIN DETAILS Name: Address: No.: Street: Suburb: State: Postcode: Home Phone: Mobile Phone: Relation to applicant: Tick one. a Parent Spouse Partner Son/Daughter Brother/Sister Other relative Other Proposed Units in 2014: Unit Code Example AHIS 110 Unit Name Example Rome: From Republic to Empire When Offered Example S2 Day Offer Y/N Office Use Staff Name (Please print) Signature & Date When Offered Key: S1 = Session 1 Day = (classes held between 8am - 6pm) S2 = Session 2 Evening = (classes held between 6pm - 10pm ) S3 = Session 3 External = Distance (Please note that the University reserves the right to vary the manner of presenting units).

2 Why do you wish to enrol in the units you have chosen? Some units have prerequisite study requirements. If the units you have chosen have prerequisites listed in the Macquarie 2014 Handbook, please indicate how you satisfy that requirement for each unit you have nominated. If you are being sponsored by your employer or another agency, please state name and contact details of your sponsor, and attach a copy of relevant documents (e.g. sponsor s letter). PREVIOUS OR CURRENT TERTIARY STUDIES If you have studied at another tertiary institution (university, TAFE, colleges) you must provide an official academic transcript of your previous tertiary study. Your application may not be processed if verified transcripts are not provided. Name of Institution Name of Degree/ Diploma/ Certificate Course Studied Years of Attendance e.g Qualification Obtained (If any) and Year of Award or Stage of Course Reached

3 CITIZENSHIP / RESIDENCY DETAILS Please indicate your citizenship/residency status by ticking one the following: I am an Australian Citizen I am a New Zealand Citizen I am the holder of an Australian Permanent Resident Visa (other than Humanitarian sub-class) *Please see below I am the holder of an Australian Permanent Resident Humanitarian Visa *Please see below I am the holder of a temporary entry permit. (Your must check your eligibility for Non-award study with the Centre for Open Education). Other. Please indicate: In which country were you born? Australia (1100) New Zealand (1201) Hong Kong (6102) Singapore (5205) China (6101) United Kingdom (2100) Other (please specify): If you were not born in Australia, in what year did you first enter Australia? What is the main language spoken at your permanent home address? Are you of Aboriginal or Torres Strait Islander origin? No Yes, Australian Aboriginal Yes, Torres Strait Islander *For holders of Australian Permanent Resident or Australian Permanent Resident Humanitarian Visas, please complete the following: On what date was your visa granted? / / If the visa was granted before you entered Australia, please give the date when you first entered Australia as a Permanent Resident: / / Will you be residing in Australia during the study period? Yes No Please attach a certified copy of your visa and (if relevant) the page in your passport showing the date on which you first entered Australia as a permanent resident.

4 STATISTICAL INFORMATION This question applies only to education commenced prior to this course in which you are now enrolling. Prior to commencing this course, what was your highest level of educational participation and the calendar year you reached this level? (Tick one only) Education Level A completed Higher education postgraduate level course A completed Higher education bachelor level course Tick one box only Calendar Year Completed (e.g. 2005) A completed Higher education sub-degree level course An incomplete Higher education course A completed VET/TAFE award course N/A An incomplete VET/TAFE award course A completed final year of secondary education course at school or through a Registered Training Organisation A completed other qualification or certificate of attainment or competence No prior educational attainment N/A N/A Parental Education Level (Please choose response from the table above). What was the highest level of education completed by parent or guardian 1? What was the highest level of education completed by parent or guardian 2? DISABILITY, IMPAIRMENT OR LONG TERM CONDITION This information is collected as a requirement of the Department of Education, Science & Training and used for statistical purposes. Please indicate any area(s) of impairment: Hearing Vision Learning Medical Mobility N/A If you require support services based on your disability or health condition, please contact the Disability Support Unit at Campus Wellbeing prior to the commencement of your studies. Phone: campuswellbeing@mq.edu.au Website: HOW DID YOU HEAR ABOUT NON-AWARD STUDY? (You may choose more than one) MQ Website Facebook Word of Mouth Information Day (Jan) Employer Open Day (Sept) Other (please specify):

5 MACQUARIE UNIVERSITY TERMS AND CONDITIONS Privacy Notification Form Section 10 The University has collected personal information from you. The information is personal information for the purposes of the Privacy Act and Personal Information Protection Act 1998 (the Act ). 1. The purpose of collecting this information is to: Process your application for enrolment; Monitor and maintain a record of your academic achievement (including all information arising for the investigations of misconduct); Plan the provision of educational courses; Monitor and enhance the provision of educational courses; Maintain contact with graduates. 2. The intended recipients of the information are: Officers within the University; Data service providers engaged by the University from time to time; Any other body which forms part of the University; Any other body which may require the information for administration purposes including agencies of the Federal and State governments; Graduate Affairs and the Macquarie Foundation; The Library; Any other Educational Institution to which you may apply to do a course. While the supply of the information by you is voluntary, if you cannot provide or do not wish to provide the information sought, the University may be unable to process your application. If you have already provided information but you have changed your mind and do not want the information used, you may make application for access or amendment or that any information not be used. You have a right of access to, and correction of, the information concerning yourself in accordance with the relevant procedures under the Act or the University s Code of Practice. The University is to be regarded as the agency that holds the information. Enquiries concerning this matter can be addressed to the Registrar and Vice-Principal. For further information regarding the Privacy Act and Personal Information Protection Act 1998 (the Act ), please contact: The Right to Information Officer. Macquarie University Building E11A Macquarie University NSW 2109 Macquarie University - Terms and Conditions Please read the statements below carefully. On completion of admission at Macquarie University, you are bound by the following Terms and Conditions. All students must comply with the requirements set out in these Terms and Conditions for the duration of their studies at Macquarie University: You must: 1. Conduct yourself in an honest, ethical and professional manner consistent with the values of the University's Ethics Framework; 2. Inform yourself and act in accordance with the by-laws, rules, policies and codes of conduct (including the Student Code of Conduct) of Macquarie University. The Codes of Conduct are binding on all students. The Codes of Conduct define misconduct at the University. Misconduct may give rise to disciplinary proceedings; 3. Pay fees according to the fees rules and applicable policies; and 4. Keep your contact and next-of-kin details up to date. You acknowledge and agree: 1. That you have read and understood Macquarie University s privacy compliance framework and that Macquarie University may collect, use and disclose your personal information in accordance with the applicable privacy collection notices that form part of the privacy compliance framework; 2. That Macquarie University may use electronic communication methods to deliver information relevant to your studies, personal safety, and otherwise; 3. To access all information and to read your Universityassigned address at least once a week; 4. For the purpose of the SPAM Act 2003 (Cth) and any corresponding regulations, to the sending and receiving of electronic messages; 5. That Macquarie University can publish information on any awards and prizes you have been awarded and, where appropriate, the results for your honours program of study; 6. You are responsible for informing yourself of and complying with the requirements for your program of study; 7. That if you enrol in units which are contrary to academic advice you are responsible for the consequences resulting from enrolment in those units including any fees and penalties for late enrolments and/or changing units that you are liable for should you incur them; 8. That you have read and understood the Campus Card and Your Privacy statement; 9. That Macquarie University may at any time vary these Terms and Conditions by publishing the varied Terms and Conditions on the University s website; 10. Macquarie University is under no other obligation to notify you of any variation to these Terms and Conditions; and 11. I understand that if I fail two units in which I have enrolled on a Non-award basis, I will be excluded from further Non-award study at Macquarie University and that I will not be able to enrol again as a Non-award student. I have read the Macquarie University Privacy Notification and Terms and Conditions above and agree with these conditions. (Please sign this page prior to submitting your application. Application received without a signature will not be considered). Full Name (Please Print): Date: SIGNATURE:

6 DOCUMENTS REQUIRED CHECKLIST All applicants must attach with the application: 1. PROOF OF RESIDENCY STATUS All applicants must provide verified proof of Australian residency status (Australian Birth Certificate, Australian Citizenship Certificate, Australian Passport or Australian Permanent Residency Visa) with their application. OR If you have an a temporary Australian entry permit, you must provide verified copies of your visa. 2. PROOF OF IDENTITY All applicants must provide verified proof of identity (e.g. driver s licence, passport) with their application. 3. PREVIOUS STUDY TRANSCRIPTS If you have completed or attempted any tertiary study, a verified copy of your results (transcripts). Please Note: Your application cannot be accepted or processed without these documents and they must be verified correctly. A list of places you can get your documents correctly verified is on page 6 of this application form. 4. KEPT A COPY OF UNIT CHOICES 5. SIGNED AND DATED THE APPLICATION FORM 6. ATTACHED ONE OF THE FOLLOWING: $75 Application Fee (On-time applications) $275 Application Fee (Application lodged between on-time and final closing date) $200 Late Fee MQ Alumni only (Application lodged between on-time and final closing date) Note: If submitting in person, EFTPOS is available, however cash payments must be paid at the Cashiers in C8A Lincoln Building. Once payment is made, please attach receipt to application. DOCUMENT VERIFICATION Your documents can be verified by any of the following: a Justice of the Peace must include a registration number and the state in which he/she is registered Anyone who is currently employed as: an accountant member of the Institute of Chartered Accountants in Australia, or the Australian Society of Certified Practising Accountants, or the National Institute of Accountants, or the Association of Taxation and Management Accountants or Registered Tax Agents a bank manager or credit union branch manager (but not a manager of a bank travel centre) a barrister, solicitor or patent attorney a police officer in charge of a police station, or of the rank of sergeant and above a postal manager a principal of an Australian secondary college, high school or primary school an authorised officer at the Universities Admissions Centre, or at the Student Services Office of a participating university or TAFE college You may also be able to get your documents verified at major shopping centres such as Macquarie Centre, please check with the shopping centre for details and times. How the authorised officer should verify each document He/She must 1. Write 'This is a true copy of the original document sighted by me. 2. Sign 3. Print the following details: name, address, contact telephone number, profession or occupation or organisation, date verified 4. Include the official stamp or seal of the verifier s organisation on the copy if the organisation has such a stamp 5. In addition to the above, a Justice of the Peace must also print: - their registration number - the state in which they are registered as a Justice of the Peace

7 IMPORTANT FEE INFORMATION Non-award units are tuition fee units; they are not Commonwealth Supported (HECS). Non-award students are not eligible for HECS or FEE-HELP. The units and are full fee, to be paid upfront before the study session commences. For a schedule of the tuition fees, please see the 2014 Non-award Handbook. Application fees There is a non-refundable $75 application fee, and a non-refundable $200 late fee (if applicable) for all applicants, which must be paid at the time of application. Forms received without the fee will not be processed. If you are a Macquarie Alumni, you are exempt from the $75 application fee, however the $200 non-refundable late fee still applies if you apply between the on-time and final closing date. All applications received between the On-time and Final Closing Dates of each session are considered late and will incur an additional $200 late fee. ] On-time Closing Date ($75 Application Fee) Final Closing Date ($275 Application Fee) Tuition Fee Due Date Session 1 22 January February February 2014 Session 2 6 June July August 2014 Session 3 1 December 2014 N/A TBA If tuition fees are not paid in full by due date, your application and unit enrolments will be cancelled. FEE PAYMENT DETAILS Name in full: Student ID (If known): Method of Payment: Cheque Money Order Credit Card Amount: $75.00 $ $ Receipt No. (office use only): FEE PAYMENT FORM (Late fee only MQ Alumni) Name in full: Student ID (If known): Method of Payment: Cheque Money Order Credit Card If paying by credit card, please fill in the following details: Card Holder s Name: Type of Card: MasterCard Visa Bankcard Amex Card No.: Expiry Date: / / I hereby give permission to Macquarie University to debit my credit card for: $75.00 $ $ (Late fee only MQ Alumni) Card Holder s Signature: Date: OFFICE USE ONLY: Application Fee $75 F39 Account Code: Late Fee $200 F40 Account Code: Receipt No: