International Postgraduate Coursework Application Form 2013/2014

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International Postgraduate Coursework Application Form 2013/2014 Indicate which event application collected at (staff use only): Complete this form if you are applying for a postgraduate course at Monash University as an international fee-paying student. An application fee must be paid when you submit this form. Please complete all sections of the form clearly and in pen. Do not fill in this form if you are applying for a research degree. The correct form is available at www.monash.edu/migr/apply Section A: Your application Are you a citizen of Australia or New Zealand, a Permanent Resident of Australia? If yes, do not fill in this form, instead refer to: www.adm.monash.edu.au/admissions/applyonline-instruct.html Do you have a Monash student ID? (please tick): No Yes (please state): Are you a currently enrolled Monash student? (please tick): No Yes Section B: Personal details We will contact you by email, post or telephone. To avoid delays in your application, it is important you legibly complete ALL of your details, including your email address. Your name and date of birth should match those in your passport. If you apply through an agent, please ensure all of your details are also provided. These should be different from those of the agent. Family name: Given name(s): Date of birth: D D M M Y Y Y Y Gender (please tick): Male Female Postal Address in home country: Address for correspondence (only if different from address in your home country) Mobile phone: Fax: Email (you must give a current and valid email address): Mobile phone: Fax: Email: Monash Registered Agents If you apply through an agent, please ensure that your agent is registered with Monash University or you may experience delays in your application. For details of agents in your country, go to: www.msr.monash.edu.au/monash_agents. Agency name: Name of agent: Email: Registered Agent s stamp

Section C: Course preferences Refer to the Monash Course Finder at the following weblink: monash.edu/study/coursefinder for the latest details of course codes, titles, campuses, fees and start dates. Choose three courses you would like to study and list them in order of preference. Check the entry requirements and prerequisite subjects for each to see if you qualify. If you meet the requirements of your first choice, you will not be assessed for your second and third choices. 1. Course title: 2. Course title: 3. Course title: Citzenship and Other Information: Country of citizenship (as stated in passport): Campus codes: Berwick: BE Caulfield: CA Clayton: CL Gippsland: GP Malaysia: MA Parkville: PA Peninsula: PE South Africa: SA You must submit a copy of the personal details page of your passport, or if you do not have a passport, then a copy of your birth certificate Country of birth: Have you applied for OR hold any type of Australian visa: No Yes If yes, please specify visa type: Expiry date (if applicable): D D M M Y Y Y Y Have you been refused an entry visa to any country: No Yes (If yes, please attach evidence) Have you breached any visa conditions in any country. No Yes (If yes, please explain) Do you have any medical or health issues that may prevent you from obtaining your visa in Australia? No Yes (If yes, please explain) Have you been issued a protection visa in any country to date? No Yes (If yes, please attach evidence) Have you been convicted of any crime or offence in any country? No Yes (If yes, please provide ALL relevant detail.) Section D: Students with disabilities Do you have a disability, impairment or long term-medical condition that may affect your studies?: No Yes If yes, Monash will require medical documentation from a relevant treating professional outlining the impact of your condition on your ability to meet the academic demands in the university environment. Disclosure of disability is treated confidentially and will not be used to disadvantage you. The Disability Liaison Unit at Monash may contact you to discuss the services available. For more information visit: monash.edu/equity-diversity/disability Section E: English language proficiency You must provide proof of your English proficiency to the required standard of your chosen course. There are a number of ways to satisfy these requirements. For details visit: www.adm.monash.edu.au/admissions/postgrad/pg-english-requirements.html Two of the main pathways are: English as the language of instruction You have studied in an institution were English is the language of instruction and assessment for the entire institution. Applicants are required to provide evidence from the institution on certified letterhead and signed by the institution s registrar. Or IELTS/TOEFL/Pearsons Test of English Attach original results or documents (request results to be sent to Monash by testing centres). Please note that only results achieved within two years of the course commencement date will be considered. If you have not yet sat an IELTS/TOEFL/Pearsons Test of English exam, please indicate when you will sit one. Note: The Australian Government sometimes requires proof of English proficiency for visa applications. You should ensure that any test you take meets those requirements also. Visit: www.immi.gov.au/students I will sit/have sat an English language proficiency test IELTS TOEFL Pearsons test of English Date test taken: D D M M Y Y Y Y I will apply for a Monash University English Language Centre course in Section F below If you do not meet the course English requirements, you may be eligible for an English Language Bridging Program. If so, Monash will indicate this in your letter of offer.

Section F: Application for additional English studies and university preparation Test your English! Find out your level of English with our free online test*. The test helps you to estimate how many weeks of English you might need to undertake in order to meet the English language requirement for the postgraduate course you wish to apply for. The free online English test is available at the following website: www.monashcollege.edu.au/online-test. This section is an application to the Monash University English Language Centre. Additional tuition fees apply for these courses. For details of fees, courses and start dates, visit: www.monash.edu/englishcentre * This test is to be used as a guide only and is not a replacement for the IELTS test or meeting the English language requirement for the course you have applied for. Course title: Start date: D D M M Y Y Y Y End date: D D M M Y Y Y Y Number of weeks (minimum five): Section G: Academic qualifications and other required documents Check the entry requirements on the Monash Course Finder at the following website: monash.edu/study/coursefinder for any additional requirements and prerequisites required for the course you are applying for. Include details of your previous academic qualifications. Include dates of commencement and completion, or if you are yet to finish study, your intended completion date. Certified copies of academic qualifications must be attached to this application including academic transcripts, graduation certificates and grading systems.* If the qualifications are in a language other than English, please also supply certified translated copies. Monash prefers NAATIqualified translators. For more information on NAATI translators, please see www.naati.com.au. Certification of documents All documents including academic transcripts, graduation certificates, grading scales, work reference letters etc submitted to International Recruitment Services must be properly certified on every page of the required documents. Please note that all applicants have the option to ask their current or previous education institution to send copies of their academic transcripts, graduation certificate and grading systems direct to International Recruitment Services in an envelope sealed by the institution. Who can certify documents? Documents submitted within Australia: Solicitor, Pharmacist, Justice of the Peace, Member of the police force, Doctor, School principal, Bank manager, Chartered accountant Documents submitted outside Australia: Monash University registered agent, Monash staff member, Solicitor, Commissioner for declarations. Government official, Public notary, University staff (Head of Department, Dean, or Registrar) What does the certifier need to do? Approved certifier (from list above) must sight the applicant s original academic transcripts, graduation certificates and grading systems etc and check that the copies are true and unchanged copies of the original documents. The certifier must then certify EVERY PAGE of the documentation as follows: 1. Certifier must write a statement acknowledging or apply a stamp that shows they have sighted the original documents using words such as certified true copy of the original OR original sighted 2. Certifier must sign the document 3. Certifier must write their full name 4. Certifier must apply the agent/organisation stamp 5. Certifier must provide written or stamped notification of their position title within the agency/organisation (eg counsellor, student advisor etc) 6. Certifier must date the document Please be advised that we only accept faxed or emailed certified documents sent to us via Monash Registered Agents. If you are not applying via a Monash Registered Agent and you are a direct applicant, you will be required to send your original certified documents by mail to our office. Please ensure you follow the guidelines mentioned above for proper certification. If you have a Chinese qualification, documents submitted for assessment must be: _ Certified by the Notary Public office. Notary certification must include a certificate stating that translations of all documents in English are authentic and in conformity with the original in Chinese. *OR* _ Your transcript/s, degree certificate and graduation certificate/s can be sent to Monash, International Recruitment Services in a sealed envelope directly from your University. *OR* _ Photocopies of original notarised documents can be submitted by a registered agent. Documents must be certified by the agent. Information regarding registered agents can be viewed at: www.msr.monash.edu/monash_agents Monash University reserves the right to refuse documentation on the grounds of incorrect certification and translation. Post-secondary qualification (tertiary studies). Please list your MOST RECENT qualifications first: Name of qualification: * Documents submitted with your application remain the property of Monash University. Institution: Date commenced: D D M M Y Y Y Y Date completed: D D M M Y Y Y Y Name of qualification: Institution: Date commenced: D D M M Y Y Y Y Date completed: D D M M Y Y Y Y Are you transferring within the first six months of your principal course in Australia? Your principal course is the main course of study to be undertaken where you have been issued a student visa for multiple courses of study. The principal course would normally be the final course of study. No Yes If yes, please attach a release letter from your current provider.

Section H: Additional requirements Many postgraduate courses have additional requirements you must submit in support of your application. Failure to include this information will delay processing of your application. Please refer to the below and ensure you provide the following information: 1. If you have completed your final year of study more than six months ago from the completion date of your final qualification to the Monash course commencement period you are applying for please provide detailed account of activities undertaken since then below or attach a Curriculum Vitae: 2. Please refer to the Monash Course Finder http://monash.edu/study/coursefinder/ for the course you have applied for to view an additional documentation required (eg statement of purpose, curriculum vitae, work reference letters, folio, supplementary forms, additional faculty application forms etc) and submit these with your application. 3. If the course you have applied for requires work experience as a pre-requisite please provide a copy of your curriculum vitae AND work reference letters issued by your previous employer on original company letterhead stating your job title, the basis of employment (full-time/part-time), a precise description of duties performed, duration of your employment (including dates), and the full name, title and signature of the writer. Section I: Credit transfer Do you wish to apply for credit transfer/advanced standing from your previous studies? No Yes (If you have ticked yes, please provide the following):. 1. Complete the Credit Transfer Application Form available at www.monash.edu/service-centre/assets/docs/forms/credit.pdf 2. Submit detailed course syllabus/unit outlines/curriculum for the units your are seeking credit exemptions for. Further information may be requested from you if your previous course/institution has not been previously assessed by Monash University for credit evaluation assessment. Section J: Scholarship/sponsorship information Have you applied for a scholarship/sponsorship from an organisation external to Monash University to support your studies? No Yes (please state the name of the external scholarship/sponsorship): What is the status of your external scholarship/sponsorship application? Approved Pending Not approved If the external scholarship/sponsorship has been approved please provide a copy of the official offer letter with this application. Section K: Application fee payment You can pay the A$100 application by credit card, money order or bank draft made out to Monash University. Card type: Mastercard Visa Cardholder s name: Credit card number: Credit card expiry date: M M Y Y Y Y Credit card verification number: (3-digit number on the back of your card) Cardholder s signature: Amount: $ 1 0 0. 0 0

Section M: Privacy and student declaration General privacy statement The information collected on this form is used to assess your application for entry to a Monash University course. It is also used to create an enrolment record on the student database, to prepare a statistical analysis and to inform you about your course and other University courses/events. If you do not complete all the questions on this form, it may not be possible to process your application. Personal information may be collected from, or disclosed to, relevant bodies for the verification of your previous qualifications, and it may be disclosed to government agencies (eg DIAC), as required by legislation or pursuant to obligations under the ESOS Act 2000 and the 2007 National Code of Practice or for your visa application. Information may be shared with the registered agent you appoint to assist with your application for entry or visa processing. You have the right to access personal information that Monash University holds about you, subject to legislation, by contacting the Monash University privacy officer at privacyofficer@adm.monash.edu.au. Privacy legislation only applies to students who study in Australia. Due to privacy regulations, we are unable to disclose information to any other third parties such as friends, relatives and parents. Declaration I warrant that the information on this form, or provided in support of my application, is correct, complete and up to date in every detail. I acknowledge that the provision of incorrect information or the withholding of relevant information relating to my application, including academic transcript/s, might invalidate my application and that the University may refuse to assess my application, withdraw an offer of a place or cancel my enrolment in consequence. Should the University determine that I have submitted a false document, I consent to the University disclosing this information to other relevant tertiary institutions. I consent to any educational institution at which I have previously been a student and/or my current or any past employer, providing Monash University with information which that institution or employer holds about me for the purpose of Monash verifying my grades and/or qualifications or experience. I declare that I am a Genuine Temporary Entrant (GTE) and a Genuine Student and that I have read and understood conditions relation to these requirements as defined on the following website: www.immi.gov.au/students/_pdf/2011-genuine-temporary-entrant.pdf I am aware of the estimated total course fees at Monash University and living costs for my stay in Australia. I understand that the total course fees do not cover the cost of books, materials, field trips or any additional cost related to my course, unless otherwise specified. I declare to have sufficient funds to support myself and my family unit members (if applicable) for the TOTAL period of my stay in Australia (including proposed course fees for myself and any school-age family members, Overseas Students Health Cover, living costs and travel costs, regardless of whether my dependants intent to accompany me in Australia). I agree to abide by the statutes, regulations and policies of Monash University. I have read and understood the above conditions and accept them fully. Student s signature: Date: D D M M Y Y Y Y Please complete the following checklist before submitting A$100 application fee (non-refundable) Proof of English proficiency Certified copies of academic records/transcripts Additional information (check your course/s in the Admissions Table in this guide) Signed declaration If you are a DEEWR Endeavour Awards applicant, you must attach a copy of the email from DEEWR confirming your Application ID number If you are applying for an Australian Leadership Award (ALA), please attach a copy of the AusAID acknowledgement letter Copy of official scholarship/sponsorship offer letter Copy of personal details of passport or a copy of birth certificate. Where to send your application Australian campus applications Monash University International Recruitment Services 871 Dandenong Rd Caulfield East 3145 Australia Fax: +61 3 9903 4778 Email: ADM-Documents@monash.edu Sunway campus applications Jalan Lagoon Selatan 46150 Bandar Sunway Selangor Darul Ehsan Malaysia South Africa campus applications Private Bag X60 Ruimsig, Roodepoort 1725 South Africa When will you know? You will receive an acknowledgement email issuing you a Monash Student ID number. Use this number to check the status of your application on our website. Please remember postal services can affect the time between you sending the application and Monash University receiving it. To check the progress of your application, visit www.monash.edu/study/international/apply/application-track.html. Alternatively, you can check your application status by logging in the Monash Online Admissions Portal. A login ID and password will be sent to you once your application has been received. The Monash Online Admissions portal can be found at: https://applicant.connect.monash.edu.au/connect/ webconnect CRICOS Provider: Monash University 00008C CRICOS Provider: Monash College Pty Ltd 01857J Monash University 2012, all rights reserved. This publication reflects prescriptions, policy and practice in force as at September 2012 and takes no account of developments and changes made since that date.