COLLEGE OF SCIENCE, HEALTH AND ENGINEERING DOMESTIC APPLICANTS ONLY

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COLLEGE OF SCIENCE, HEALTH AND ENGINEERING DOMESTIC APPLICANTS ONLY Master of Clinical Audiology HMAUD 2017 APPLICANT SUPPLEMENTARY FORM Please ensure you include all documents outlined below with your online application Course Application CLOSES MONDAY 31 st October 2016 Course commencement date: Semester 1, 2017 Apply online at: http://www.latrobe.edu.au/study/how-to-apply/direct/postgraduate Instructions to Applicant: 1. Read these instructions carefully before completing this form. 2. This is a domestic application form only, domestic applicants must apply online to La Trobe University by completing the Direct Application Form in addition to this form at: http://www.latrobe.edu.au/study/how-to-apply/direct/postgraduate International applicants must apply through La Trobe International: http://www.latrobe.edu.au/international 3. Forms and supporting documents must be submitted by the closing date. 4. If you have any results for semester 2 2016 you must submit these by 5pm, 9 th December 2016 (except La Trobe qualifications) 5. Supporting documentation as described in this form, MUST be supplied with this application. Failure to provide relevant supporting documentation may delay or prevent your application being considered. 6. We anticipate that applicants will be notified of an outcome at the end December, 2016. 7. A final decision on your application cannot be made until all the required documentation is received. 8. Meeting minimum prerequisites does not guarantee an offer of a place. Entry into all La Trobe courses is based on competitive selection and there may be limited places available. 9. To view the Frequently Asked Questions and Answers for Audiology please visit : http://latrobe.custhelp.com/app/answers/list/kw/audiology/search/1 10. If you experience any difficulties with your online application please contact Future Students: 1300 135 045 SHE - 25082016 Page 1 of 6

COLLEGE OF SCIENCE, HEALTH AND ENGINEERING DOMESTIC APPLICANTS ONLY Master of Clinical Audiology HMAUD 2017 APPLICANT SELF ASSESSMENT CHECKLIST ARE YOU ELIGIBLE TO APPLY? Answer the questions below to find out.. Q1 Have you completed an Australian Bachelor degree (or its equivalent) in a related field of study, in fields such as social, physical or biological sciences, health or education? YES - go to Question 2 NO Unfortunately, you are not eligible to apply as you do not meet the entry requirements for this course. We recommend that you apply for a relevant Bachelor program or you may wish to consider applying for the Bachelor of Applied Science and Master of Clinical Audiology with La Trobe University Q2 Have you achieved a 75% Weighted Average Mark (WAM)? YES - please submit an application by applying online and completing the 2017 Supplementary Application form which continues on the next page NO - Unfortunately, you are not eligible to apply as you do not meet the entry requirement for this course. We recommend that you apply for a relevant Bachelor program to achieve the minimum requirement or consider applying for the Bachelor of Applied Science and Master of Clinical Audiology with La Trobe University Additional Information: Prior learning developed through relevant work experience or professional accreditation, where it is deemed to be at least equivalent to that obtained through a Bachelor degree, may be considered. In making an offer to an applicant, the University will give consideration to a range of factors to determine whether an applicant has demonstrated the capacity to work at a Masters level, including academic record, English proficiency, and/or employment experience. If you need assistance in calculating your Weighted Average Mark (WAM) please refer to: http://latrobe-current.custhelp.com/app/answers/detail/a_id/1016 or If you would like to discuss your study options please contact Future Students: 1300 135 045 Self-Assessment Checklist Master of Clinical Audiology, La Trobe University SHE - 25082016 Page 2 of 6

Section 1: Personal Details APPLICATION CLOSING DATE: 31 st October 2016 Are you currently enrolled in another La Trobe University course? Or have you previously been a student at La Trobe University? Yes La Trobe ID No: Family Name: (if different to current name) Family Name: Mr, Ms, Miss, Mrs: Date of Birth: Given Names: Gender: MALE FEMALE Address for correspondence: Number & Street Suburb: State: Postcode: Telephone (Home): Email Address (to receive university correspondence): (Mobile): Section 2: Confirmation of Admission Requirements To meet the entry requirements for the Master of Audiology program all applicants must have: 1. successfully completed an Australian Bachelor degree (or its equivalent). Successful applicants are required to have at least a 75% (or equivalent) Weighted Average Mark (WAM) in a previous qualification, in a related field of study, in fields such as social, physical or biological sciences, health or education. Yes, I have/will have completed a From (Institution) Year of Completion (Please indicate) I confirm that I have met the minimum 75% Weighted Average Mark (WAM) in a previous qualification, in a related field of study, in fields such as social, physical or biological sciences, health or education I have attached a certified copy of the transcript of results for this degree or all results received to date If you have any results for semester 2 2016 studies, you must submit these by 5pm, 9 December 2016. Note: La Trobe University students are not required to provide certified transcripts of results.ementary APPLICATION FORM Sec SHE - 25082016 Page 3 of 6

Section 3: Work Experience and Prior Learning Prior learning developed through relevant work experience or professional accreditation, where it is deemed to be at least equivalent to that obtained through a Bachelor degree, may be considered. Yes, I have provided my complete and updated Curriculum Vitae Please submit all necessary documentation, by the closing date.mentary Section 4: Personal statement - Personal Statement Your statement should outline, in strictly no more than 250 words: your professional background (briefly) and why you want to study in this field; your understanding of the field you have chosen to study, in your own words; how you intend to use this qualification, in your own words SHE - 25082016 Page 4 of 6

Section 5: Referees Instructions to Applicant: Please submit at least two, Professional Referee Report/s from work supervisors and/or co-workers and /or academic staff to support your application. Referees will be asked to comment on your ability to interact with people, interpersonal skills, management skills, work ethic and character and suitability for the Master of Clinical Audiology program. Please provide the below form to the referee/s to complete. Instructions to Referee: Referees are asked to comment on the applicant s ability to interact with people, interpersonal skills, management skills, wo rk ethic and character and suitability for the Master of Clinical Audiology program. All responses will be treated in strict confidence and will be available only to those involved in the selection process. Thank you for your assistance. Referee 1: Applicant s name: Referee s Contact Details: Name: Present Position: Telephone No: Address: Email address: How long have you known the applicant: In what capacity (e.g. lecturer/employer): General comments on the applicant s ability to interact with people, interpersonal skills, management skills, work ethic, character and suitability for the Master s program; Referee 2: Applicant s name: Referee s Contact Details: Name: Present Position: Telephone No: Address: Email address: How long have you known the applicant: In what capacity (e.g. lecturer/employer): General comments on the applicant s ability to interact with people, interpersonal skills, management skills, work ethic, character and suitability for the Master s program SHE - 25082016 Page 5 of 6

Section 6: Declaration and Agreement 1. I declare that the information supplied with this application is true and complete in every detail. 2. I understand that the University reserves the right to vary or reverse any decision made on the basis of incorrect or incomplete information provided by me. 3. I authorise La Trobe University to request and obtain further information from any educational institution or employer which may be required to confirm or clarify my suitability and eligibility for this course of study. 4. I accept that the application and supporting documentation become the property of La Trobe University and are not returnable. Signature: Date: Section 7: Supplementary Application Form Checklist I enclose the following: Completed and signed Supplementary Application Form Completed Direct Online Application Form Certified copy of transcript (results) to date from relevant bachelor degree (except for La Trobe qualifications) Submit outstanding Semester 2 2016 Results (if any) by the relevant deadline-(except for La Trobe qualifications) Curriculum Vitae Personal Statement Referees It is the responsibility of the applicant to submit all necessary documentation by 31 st October, 2016 SHE - 25082016 Page 6 of 6