Postgraduate research application form

Your details

Your gender
Your date of birth

Your contact details

Mobile or other contact phone number
Your home contact number

Your Residential address details

Notification address

Notification address details

Your citizenship details

If you ticked ‘Other’, you are considered to be an international student and are required to complete an international application form – do not complete this form. Contact the Prospective Students Office for further details on +61 8 9433 0533 or at future@nd.edu.au

Date of arrival in Australia
Permanent residency or Citizenship year
Please state year that permanent residency or Citizenship was granted

Cultural information

Do you identify as Aboriginal or Torres Strait Islander?

Languages

Please list all languages spoken at home in order of use

Special circumstances

Medical or disability support required?
Conditions
Do you require medical or disability support during your studies?
The information provided on your application will not affect the outcome of your application.

Study preferences

Campus
Commencing semester
Type of applicant
Study load

Academic record

Current or previous studies

Previous study 1

Name of the institution where you have previously or are currently studying
The name of the course or program that you were or are currently studying
The year you were last enrolled in this program
Completed
Currently enrolled
Estimate completion date
Year

Previous study 2

The name of the course or program that you were or are currently studying
The year you were last enrolled in this program
Completed
Currently enrolled
Estimate completion date
Year

Previous study 3

The name of the course or program that you were or are currently studying
The year you were last enrolled in this program
Completed
Currently enrolled
Estimate completion date
Year

Previous study 4

The name of the course or program that you were or are currently studying
The year you were last enrolled in this program
Completed
Currently enrolled
Estimate completion date
Year

Research background

Did any of your study involve significant research experience?
(For example as required in most Australian bachelor degrees with Honours)
Did any of your employment involve significant research work, the results of which can be verified by employer?
Please prepare a research background submission which: outlines your background in research which may include details of any publications and/or presentations (approximately one page statement), proposes your planned area of research (approximately one page statement); where possible list potential supervisors of the proposed research.

Professional employment history

Work experience

From
To
The job or role that you were performing
Provide a description of your duties

Referee

Add details of your work experience referee.

Potential professional mentor

This section is to be completed only if you are a professional Doctorate student.

Mobile or contact phone number.

Supporting documentation (optional)

Please include any supporting documentation for your application, for example curriculum vitae.

You can attach up to 6 documents.

Criminal conviction

For NSW applications This information will be used in the strictest confidence. You are not obliged by law to disclose any spent convictions as defined in the Criminal Records Act 1991 (NSW). Please note that ability to obtain a current approved police clearance is a prerequisite for some courses. For WA applications This information will be treated in the strictest confidence. You are not obliged by law to disclose any spent convictions as defined in the Spent Convictions Act (1992) WA. Please note that obtaining a current approved police clearance is a prerequisite for some courses.
Please indicate if you have been convicted of a criminal offence.

Emergency contact

Mobile or other contact number. Include country code.
Relationship to you

Emergency contact address details

Scholarships

Do you expect to apply for an externally funded research scholarship?
List any special conditions associated with this scholarship.
  • Declaration

    By clicking this checkbox, I am indicating that I have read and accepted the terms and conditions of this application and personally make the legally enforceable declarations below:

    • I understand that, should I be successful in securing an offer, I will be required to upload all scanned authentic original transcripts and academic records as proof of results as outlined in my application.
    • I understand that the University will contact me in relation to my application and may request feedback relating to University admission.
    • I have read the Application Form carefully, in its entirety, and have included the appropriate documentation.
    • I declare that all information included in my application is factually correct and fairly presented. I understand that if any of the information included here is found to be false (including copies of transcripts and academic records), the University reserves the right to vary or reverse any decision made in regards to my application or enrolment. I also understand that the University reserves the right to provide details of the false information to other universities or educational institutions or any other authority which the University considers is appropriate to inform.
    • I am aware that most courses available are offered on a fee-paying basis.
    • I understand that proof of citizenship or permanent residency must be presented if requested by the University.
    • I authorise the University to obtain results from TISC, NESA, Curriculum Council, SCSA and/or any educational institution attended by me currently or in the past.
    • I understand that it is my responsibility to ensure that the application is received by the University.
    • I understand that upon submission of this application and/or any subsequent enrolment at Notre Dame, the University may inform my secondary school of my course of study.

    Privacy Statement: The information provided in this form will only be used for the administrative or educational purposes of the University, or in accordance with your specific consent. The University will not disclose your personal information to a third party unless required to, or permitted by law or where you have consented to the disclosure.

    Information relating to how the University collects, uses or discloses your personal information and how you may complain about the University's handling of your personal information is contained in the University's Privacy Policy . You have a right to access your personal information that the University holds about you and to seek its correction. If you wish to access your personal information or inquire about the handling of your personal information, please contact the relevant Campus Registrar via email at fremantle.studentadmin@nd.edu.au or sydney.studentadmin@nd.edu.au.

Declaration

Checking this box indicates that you have read and accepted this declaration.