Postgraduate Research Guide

1.3 Home address State/Country Postcode Number and street Telephone (work) Town/Suburb Telephone (home) Mobile Email 1.4 Notification address This is the address for all correspondence during the application process. (Write ' as above' if the same as 1.3) State/Country Postcode Number and street Telephone (work) Town/Suburb Telephone (home) If you were not born in Australia, please indicate the day, month and year of your arrival in Australia Please state the year permanent residency or Citizenship was granted 1.5 Please state your country of birth 1.7 Aboriginal and Torres Strait Islander background Please tick the appropriate box Neither Aboriginal nor Torres Strait Islander origin Aboriginal and Torres Strait Islander origin Torres Strait Islander origin Aboriginal origin 1.9 Languages spoken Please list all languages you speak at home in order of use 1. 2. 3. 4. 1.10 Disability or medical condition Medical/Disability support required? If yes, please describe Yes No Yes No Disclosing this information will not affect your admission to the University. Would you like to receive information on medical/disability support services, equipment and facilities available that may assist you? Yes No 1.1 Previous Notre Dame study Have you previously been a student at Notre Dame? If yes, what was your student number? 1. Initial applicant information Postgraduate Research Application for Admission Please tear out before completing. Applicants MUST refer to the application information whilst completing this form. Please use BLOCK/CAPITAL letters, indicate with “N/A” where questions are not applicable and tick boxes where appropriate. 1.6 Citizenship and residency status Please tick the appropriate box (Note: Certified copies of evidence of citizenship/residency status must be provided) Diplomatic or consular representative of New Zealand, or the spouse or dependent relative of such a representative Other If you ticked ‘Other’, you are considered to be an international student and are required to complete a separate application form – do not complete this form . For further details please contact the Fremantle Prospective Students Office on +61 8 9433 0533, f uture@nd.edu.au o r the Sydney Prospective Students Office on +61 2 8204 4404, s ydney@nd.edu.au Australian Citizen Australian Permanent Humanitarian Visa Holder Australian Permanent Resident New Zealand Citizen Title 1.2 First name Second/Middle name Surname/Family name Preferred first name Date of birth (dd/mm/yyyy) Female Gender Male 1.8 Religion The University of Notre Dame Australia is a Catholic University. We welcome and accept applications from people of all faiths or none at all who understand and respect the Objects of the University. Catholic (incl. Maronite, Melkite & other Eastern Catholics) Anglican (Church of England) Uniting Church Presbyterian Buddhism Orthodox Islam Baptist Other Judaism Lutheran Hindu No Religion PAGE 1 OF 4 CONTINUED OVERLEAF