ND3304_2019 PG Guide Coursework_WEB

4. EMERGENCY CONTACT (It is the student’s responsibility to ensure these details are kept current throughout the period of enrolment at the University) This person should be a close relative/friend and in a position to respond to any action the University deems appropriate in relation to your welfare. Name Relationship Number and street Town/Suburb State/Country P/Code Telephone (home) (work) Mobile Year last enrolled Name of institution Course title If incomplete–proposed date of completion Currently enrolled? Yes No Year Semester Completed? Yes No Year left school? 3. ACADEMIC RECORD Are you planning to apply for Advanced Standing? No Yes 2. STUDY PREFERENCES 2.3 Campus Fremantle 2.1 Program details (Please refer to the degree summary tables on pages 60-61) Program name Program code 2.2 Commencement of study program Semester 1, 2020 Semester 1, 2019 Semester 2, 2019 Semester 2, 2020 2.4 Mode of study Internal External Intensive 2.5 Study load Full-time Part-time (0.5) Part-time (0.25) Part-time (0.75) Please note: Research applicants do not complete this form please complete the Postgraduate Research Application for Admission Notre Dame affiliation (Please indicate if you have an affiliation with Notre Dame) Name Years of involvement Type of involvement (e.g. staff member, alumnus) 5.3 5. FURTHER APPLICANT INFORMATION (NON ACADEMIC) Church involvement Period Church/Organisation Involvement Community involvement Period Organisation Involvement 5.1 5.2 2 of 4