Higher Degree Research International Students Scholarship Application Form Please refer to the International Students Scholarship Application Guidelines when completing this form.. Appli
Trang 1Higher Degree Research International Students Scholarship Application Form
Please refer to the International Students Scholarship Application Guidelines when completing this form.
1 Application Type
UNE International Postgraduate Research Award (UNE IPRA)
Other:
(Please provide the full name of the scholarship you are applying for)
2 Personal Details
Title: i.e Dr, Mr, Mrs, Ms, Miss Family name: Given name(s):
Day / Month / Year (please tick appropriate box) Please write your UNE Student ID Number (if known)
Current Mailing Address:
Full Address:
Country:
Permanent Address in Home Country (if different from current mailing address):
Full Address:
Country:
Trang 23 Citizenship
Please note: Australian and New Zealand citizens and Australian Permanent Residents should not be using
this form.
Citizenship / Country of Passport:
Country of Permanent Residence:
Passport Number:
Visa Number:
Visa Type: Diplomatic Dependent Student
Other (please specify)
4 Candidature Details
Candidature Offer at UNE
Have you already been offered a place or commenced study in a Higher Degree Research (HDR) program at UNE?
Yes No *
*If NO, have you made an application for HDR Candidature at UNE?
Yes No *
*NB: To be eligible all scholarship applicants must have applied for HDR Candidature at UNE
Higher Degree Research (HDR) Candidature Application details:
HDR Course Name (eg Doctor of
Philosophy):
School (eg School of Science and
Technology)
Principal Supervisor:
Co-Supervisor(s):
Mode of Study: Full-Time On-Campus Student
Research Proposal
Please outline the general area of research you wish to study and provide a brief description (minimum 100 words, maximum 150 words)
Title:
Description:
Trang 3Current Study
Are you currently studying at an institution other than UNE?
Yes No
If you are currently studying at an institution other than UNE, please provide details as requested below
completion date
Transfer
Are you applying to transfer your candidature and scholarship from another institution?
Yes No
If you are applying to transfer your scholarship with masters or doctoral research candidature from another institution, please provide details as requested below
Current Scholarship & HDR Candidature Details Date commenced: Scholarship:
Course of Study:
Institution:
(Please provide certified proof of your scholarship commencement date, as well as intermissions or changes
of HDR Scholarship and Candidature status that may have occurred during your candidature)
5 Other Finance for Study
Previous and Current Australian Government Postgraduate Scholarships (or any other Postgraduate
Scholarships)
List all PREVIOUS and CURRENT Postgraduate Scholarships that you have held:
scholarship Start Date End Date
Trang 4If ‘yes’, and you have already received a Scholarship or arranged Sponsorship, please provide the following details:
Tuition Fees Living Expenses Value of Living Expenses:
(per year in AUD) $
Please provide the name of the Scholarship or Sponsor (i.e Government sponsor):
Are any other benefits included? (please specify):
6 Academic Qualifications and Awards
Previous Qualifications
List below ALL tertiary level studies
Degree or
Qualification Institution and country Date completed/ Expected date of
completion
Proportion of Research Grade, Result or
GPA
Language of instruction
Awards Achieved During Previous Study
Have you received any academic awards during previous study, i.e University Medal?
Yes No
Please list the Awards you have received with information about the award (if insufficient space, please attach further information)
Trang 57 Research and Relevant Experience
Postgraduate Research Experience (Past Five Years Only)
Please describe briefly any postgraduate research experience you have had over the last 5 years (if insufficient space, please attach further information – 1 page maximum)
Employment History (Past 5 Years Only)
Please detail any relevant work experience (if insufficient space, please attach further information – 1 page maximum)
Publications
Please list your top 6 publications (if insufficient space, please attach further information) DO NOT provide copies of publications
For example: Smith J., Brown S., Shaw P “Title”, Name of Publication, Type of Publication, (e.g., refereed journal
article, non- refereed journal article, book chapter, review etc.), Publication Details (e.g., Volume 29, issue 2, 2005)
(If insufficient space, please attach further information – 1 page maximum)
Author(s) Title of Publication Type of Publication Publication Details
Non Traditional Research Outputs
Please list your top 6 non-traditional research outputs such as original creative works, live performance of creative works, recorded/rendered creative works and substantial public exhibitions and events
Trang 6Original theatre performance / production,
original script for performance
Original performed choreography /
production
Screening of original film work including
documentaries
Publication of a piece of creative writing
Environmental design (for architect,
landscape architect, urban designer)
Performance of music, theatre, dance, film
8 Academic Referee Reports
All applicants must organise two Academic Referee Reports
Applicants must also provide contact details of their referees on this application form and ask the referees to
submit their written reports directly to the University on the Referee’s Report Form which can be downloaded
from the UNE website available at:
https://www.une.edu.au/research/hdr/hdrformsandpolicies/hdr-referee-report
Name
Position
Institution
Postal address
Telephone/mob
Facsimile
9 Statement of Support from Supervisor
All applicants must organise a Statement of Support from their proposed Principal Supervisor This statement should be no more than 500 words The Statement of Support should outline alignment of the applicant’s research proposal with the School research priorities and provide a clear indication of the level of support of the student’s project
If it is applicable this Statement of Support should clearly state if the student’s study will be part of an external grant and/or other external project or partnership
It is the applicant’s responsibility to ensure that this Statement is submitted to the University by the closing date of the scholarship round so it can be considered with the scholarship application There is no specific form and the Statement of Support can either be submitted direct to Research Services by the Supervisor via email to hdrdocuments@une.edu.au or it may be supplied by the Supervisor to the student for attachment to this application
Please note the University will not request this statement on your behalf
Trang 710 Declaration
Giving false or misleading information is a serious offence under the Criminal Code (Australian Commonwealth)
• I declare that I have read and understood the questions on this form and that the information I have supplied on this form is correct and complete
• I understand that the University may vary or cancel any decision made on the basis of incorrect or incomplete information provided by my referees or me If any information is discovered to be untrue or misleading in any respect I consent to the University collecting, storing and disclosing this information
to Universities Australia and Universities Australia member institutions, the Australasian Conference of Tertiary Admissions Centres (ACTAC), and any other relevant authority
• I agree to immediately advise the UNE International Precinct of any changes to the information provided on this form;
• I authorise UNE to obtain official records and results from any previous educational institutions I have attended;
• I agree to abide by the University of New England’s Conditions of Award and Conditions of Scholarship which may be amended from time to time by the University
• I understand that UNE may make available to Commonwealth and State Government agencies any information provided by me, pursuant to obligations under the ESOS Act and 2007 National Code
• I understand that giving false or misleading information is a serious offence under the Criminal Code (Australian Commonwealth)
• Please sign and date this application below before printing, scanning and returning to us electronically
or mailing to us
Your application will not be processed if it has not been signed below.
Signed Date / /
Applications may be submitted online, by mail or by fax
Online:
Via the AskUNE website
http://yourfutureaskune.custhelp.com/app/utils/login_form/redirect/ask
Mail:
Research Services Directorate
TC Lamble Administration Building University of New England
Armidale NSW 2351 Australia
Fax:
+ 61 2 6773 3543
Scholarship enquiries should be directed to Research Services (contact details below)
Research Services
Trang 8UNE CRICOS Provider Number 00003G