2012 pg application form

8/3/2019 2012 PG Application Form

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International Student POSTGRADUATE Application Form

» All felds must be completed in order or this application to proceed or assessment.

» Please print clearly in BLOCK LETTERS

Do not use this orm i:

» you are a citizen o Australia or New Zealand or hold a permanent resident visa or Australia

UWS staff use only

Indicate at which event this application was collected:

Section A: Personal Details

Title: □ Mr □ Ms □ Mrs □Miss □ Other: ____________

Family Name ( as stated on your passport ): First Name ( as stated on your passport ):

Preerred First Name or Alias:

Date o Birth (dd/mm/yyyy ): ______ / ______ / __________ Gender: □ Male □ Female

Student address details in home country (This is your permanent address in your home country)

Street Address:

City: Postcode: Country:

Telephone: Mobile:

Student address details in Australia (To be supplied i you are currently living in Australia)

Street Address:

City: Postcode:

Telephone: Mobile:

Section B: Your Application

Country o Citizenship (as stated on your passport):

Country o Birth: Country o Permanent Residence:

Passport Number:

Are you currently studying in Australia? □ No □ Yes

I YES, please state your visa type (Please attach a certifed copy o your visa): □ Student visa □ Temporary visa subclass:

Expiry Date (dd/mm/yyyy ): ______ / ______ / __________

Have you previously applied to UWS? □ No □ Yes Student Number:

Name o Course: Year (dd/mm/yyyy ): ______ / ______ / __________

Are you a current UWS student? □ No □ Yes

Representative’s Contact Details ( i applicable)

Representative’s name:

Agent’s Branch o submission:

Email: Country:

i I you apply through a representative, you should ensure that your representative is registered with UWS to avoid delays in your application.For details o representatives in your country go to www.uws.edu.au/international/representatives_worldwide

Representative Stamp

UWS CRICOS provider code: 00917K May 2011UWSCollege CRICOS provider code: 02851G

i We will contact you by email, post or telephone. However, the UWS preerred method o communication to you is via EMAIL to provideyou with inormation relevant to your application such as updates, coming events, enrolment instructions and orientation activities.

i Your application cannot be processed without the student’s personal email address.Please do not substitute your representative’s email address here.

Student’s email address:



Section C: Course Preerences

You may list two courses in order o preerence or assessment by UWS International Admissions. I you do not meet the requirements or the course o

your frst choice, your second preerence will then be assessed. Beore completing this section please reer to the International Postgraduate Prospectus,

Fee Schedule or www.uws.edu.au/international/course_ees or the details requested below.

Preerence ONE Course Name: Specialisation:

Campus: ___ ___ Code: ___ ___ ___ ___ Intake: ___ ___ ___ Year: ___ ___

Preerence TWO Course Name: Specialisation:

Campus: ___ ___ Code: ___ ___ ___ ___ Intake: ___ ___ ___ Year: ___ ___*Campus codes: BA Bankstown; CA Campbelltown; HA Hawkesbury; PA Parramatta; PE Penrith ^Intake codes: FEB Autumn session (February); JUL Spring session (July)

Section D: Interpreting and Translation applicants only

Interpreting and translation applicants must demonstrate advanced prociency in English AND one o Arabic, Mandarin, Japanese or Spanish.

Please select the language you wish to study: □ Arabic □ Mandarin □ Japanese □ Spanish

I the language you wish to study is NOT your native language you MUST attach evidence o advanced prociency in that language.

Section E: Research degree applicants only

You must contact one or more academics to discuss the possibility o supervision beore you submit your application. You may be allocated anotheracademic supervisor in your eld, depending on the workload o your nominated supervisor(s). A list o research supervisors is on the web at

www.uws.edu.au/research/prospective_candidates

Who have you contacted to discuss your proposed research?:

Have they inormally agreed to supervise you? □ Yes (please provide documents / evidence) □ No □ Unknown

Proposed thesis title:

□ PhD □ DBA □ M(Hons) □ Other:

Please attach the ollowing inormation: Have you attached?

Evidence o research experience Briefy describe your relevant research experience. □ Yes □ No

Research output Has your research been published? I YES, provide evidence o yourresearch output.

□ Yes □ No

Proposed research Attach a brie research proposal (approx. two A4 pages) outlining theresearch you propose to undertake, noting the research question(s),the importance o this research and the proposed methodology.

□ Yes □ No

Reerees Provide contact details o two academic reerees who are amiliar withyour recent work. The University reserves the right to approach thereerees personally i required.

□ Yes □ No

Work experience and proessional afliations Provide a copy o your CV explaining all your experience and how itrelates to the proposed project.

□ Yes □ No

Section F: Academic Qualifcations

Certifed copies o academic qualifcations indicating grades and awards received MUST be submitted with this application. I qualifcations are in a

language other than English, please also supply certifed translated copies – see back o application orm or details. Your application cannot proceed or

assessment without these documents. Please note, a collection o result slips and/or downloadable web transcripts will not be accepted.

Current academic study (course yet to complete)

Are you currently enrolled in/studying a post-secondary (tertiary studies) academic qualifcation? □ No □ Yes (please complete the details below)

Date commenced (dd/mm/yyyy ): ______ / ______ / __________

Name o qualifcation / award (e.g. Bachelor o Business): Duration:

School / Institution: Country / State:

Do you intend to complete this course? □ No □ Yes, expected date o completion (dd/mm/yyyy ): ______ / ______ / _________

Please submit your certied academic transcripts or every session and year you have studied in the course above with this application. Once youhave completed the course, you will need to submit your nal completion certicate or graduation award to UWS International Admissions.

Previous academic studies (Include details o all your previous academic qualications. Please list your most recent qualications rst)

Name o qualifcation / award

(e.g. Bachelor o Business)Name o school / institution Country / State Duration

(years)Commenced

(dd/mm/yyyy )Completed

(dd/mm/yyyy )



Section G: Application or English language and academic pathway programs at UWSCollege

Complete this section i you are also applying to study an academic pathway program and/or English Language pathway program at UWSCollegebeore your study at UWS. For details o ees, courses and start dates please reer to www.uwscollege.edu.au

English language pathway program selection The duration o your English course depends on your English level. All students without an ocial Englishtest result (e.g. IELTS) are tested on arrival at the College.

Academic English or Tertiary Studies: □ EAP How many weeks?:

Advanced Academic English Skills: □ Module A: Reading and Writing (6 weeks) □ Module B: Listening and Speaking (4 weeks)

□

Module A and B (10 weeks)□

Other (please speciy):When do you want to start your English course? (dd/mm/yyyy) ______ / ______ / __________

Section H: English Language Profciency

You must submit proo o your English language prociency with this application.

Is English your frst language? □ Yes □ No, my rst language is:

Please indicate which o the ollowing applies to you:

□ I have completed / I intend to sit an English language prociency test (IELTS / TOEFL). You must submit a certied copy o your IELTS or TOEFL results. Your English Language prociency test must be no more than two years old at the time o commencement o the course in UWS.

Date o IELTS / TOEFL test sat or to be taken (dd/mm/yyyy ): ______ / ______ / __________

Result (i known): IELTS Overall Score: Reading: Listening: Writing: Speaking:

TOEFL TOEFL Score: + TWE (Test o Written English) Score:

□ I intend to study an English language pathway program at UWSCollege. Please complete the ollowing section F.

□ I have been studying in Australia or in a country where English is an ocial language. I you are, or have been, studying in Australia, UWS will considerstudies undertaken within the past two years in assessing English language prociency.Please tick the qualication you have completed or are currently studying.

□ Senior secondary or year 12 qualication (e.g. HSC) □ University Pathway Program (e.g. UWSCollege)

□ Tertiary study in Australia (e.g. Bachelor or Diploma studies) □ Secondary or tertiary study in a country where English is an ocial language

□ Other Name o course: Name o Institution:

Country: Duration: Start Date: ____ / ____ / ________ Completion Date: ____ / ____ / _______

I you do not meet UWS English language requirements, you may automatically be considered or an English language pathway program at UWSCollege.I this is the case, you will be given a package oer rom UWS and UWSCollege.

Please note, or visa application purposes, the Australian Government may require proo o English profciency and may only accept IELTS.

For more inormation please reer www.immi.gov.au/students



Section L: Work experience / employment history and proessional associations

Some courses require details o your relevant employment history to support your application. I this inormation is required, please ensure you providea letter rom your previous employer on original company letterhead stating: your job title, the basis o employment, description o duties perormed,duration o your employment, the ull name, title and signature o the author o the letter.

Employer: Position:

From (dd/mm/yyyy): ______ / ______ / __________ To (dd/mm/yyyy): ______ / ______ / __________

List any membership o proessional associations:

Have you attached the orm? □ Yes □ No, work experience is not a mandatory criteria or my course

Section J: Scholarships and Sponsorships

Have you been granted a scholarship? □ Yes □ No Are you being sponsored? □ Yes □ No

I yes, please give the name o the scholarship / sponsoring organisation:

Duration o scholarship / sponsorship:

Course/s being sponsored (e.g. English + Pathway + UG/PG):

Contact person o the scholarship / sponsorship organisation:

I you’ve received the scholarship / sponsorship, please attach a certied copy o the document.

Section K: Application Fee Payment

The application o AUD$100 has been paid by (please tick one):

□ Internet payment Recipt no: (Internet payment can be made at: http://ipay.uws.edu.au/intro.asp)

□ Telegraphic transer rom an overseas account or bank transer in Australia. A copy o the transer must be attached to this application orm.

□ Bankdrat / money order Account name: University o Western SydneyBSB number: 062000 Account number: 13434939Bank details: Commonwealth Bank, 48 Martin Place, Sydney NSW 2000 Australia. Swit code: CTBAAU2S

□ Credit card I authorise the deduction o AUD$100 application ee rom the ollowing credit card account (please tick):

□ Visa □Mastercard Credit card number: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___

Card holder’s name: _________________________________ Expiry Date (mm/yy): ___ ___ / ___ ___

Card holder’s signature: ______________________________ Date (dd/mm/yyyy): ______ / ______ / __________

Email: _____________________________________________

Student’s name: ____________________________________ SID: (ofce use only) __________________________

Section I: Academic credit / advanced standing or previous study

Do you wish to apply or advanced standing rom previous study? □ Yes □ No □ Unknown

Please download the Advanced Standing Application orm at www.uws.edu.au/international/credit.htmlYou must include this orm and certifed documentation (as advised on the orm) with your application.



Section M: Declaration and signature

1. I wish to be considered or entry to the course listed above, and declare that all the inormation submitted on this application orm is correct and complete.2. I authorise the University o Western Sydney to obtain ocial records rom any educational institution previously attended by me.3. I clearly understand and accept that enrolment in the University o Western Sydney will require compliance with the provisions established by the

Australian Government or ee-paying overseas students, which include the ollowing:3a. Temporary entry to Australia, i granted, will be or study purposes only.3b. To be accepted to study at the University o Western Sydney, I must have at least the minimum academic and English language requirements

or the course.3c. I will be permitted to continue my study in Australia only i I make satisactory progress in my course.3d. I undertake to inorm the University o my Australian residential address and telephone number at enrolment.

I will advise the University o any changes to these details while enrolled at the University o Western Sydney.3e. I am to return home on the completion o my study or at the expiration o my temporary entry permit, and I understand that temporary entry as

a student coners no right o permanent residence in Australia at a later date.4. I undertake to pay the prescribed tuition ee or which I am liable, and am aware that ailure to pay the charge when it becomes due means that I will

not be permitted urther temporary stay in Australia to pursue the studies which attracted the charge.5. I understand I will be required to pay compulsory school ees or any children accompanying me to Australia who are aged between 6 and 15 years.6. I understand that the University o Western Sydney reserves the right to vary any decision regarding admission or enrolment made on the basis o

incorrect or incomplete inormation.7. Should I be ound ineligible or admission to either o the courses nominated on the ront o this application, I authorise UWS to assess my eligibility or

a university pathway course.8. The inormation provided by me to the University o Western Sydney may be made available to Commonwealth and State agencies, pursuant to

obligations under the ESOS Act 2000 and National Code. http://aei.gov.au/AEI/ESOS/NationalCodeOPractice2007/National_Code_2007_pd.pd

9. FEES For inormation regarding Fees please reer to our website at www.uws.edu.au/international/course_ees10. REFUND POLICY For inormation regarding the Reund Policy please reer to our website at www.uws.edu.au/international/eepol

I have read and understood the above conditions and accept them ully.Signature o applicant (not agent)

Date (dd/mm/yyyy): ______ / ______ / __________

Parent/Guardian signature of applicant (for students under the age of 18 at

time of application, the signature of a parent or guardian is required)

Date (dd/mm/yyyy): ______ / ______ / __________

Section N: Have you...

□ provided your email address and phonenumber on the ront o this application

□ attached certied copies o ALL required documentation

□ attached English translations o ALL required documentation

□ signed the declaration

Certifcation o documentation

Documents can be certied by any o the ollowing:

» a UWS International Ocer» a contracted agent o UWS» a Student Centre Ocer at UWS» the Administration oce or ocial Records Department o

the institution which originally issued the document/s» an Australian Overseas Diplomatic Mission» a Bank Manager/Senior Police Ocer (Australia only)» a Solicitor/Attorney/Notary Public» a Justice o the Peace

The Certiying Ocer must print ‘this is a true copy o the originaldocument sighted by me’. They should also record their name,contact address, telephone number, proession or occupation ororganisation, date veried and then sign the document. The CertiyingOcer should include the ocial stamp or seal o the certier’sorganisation on the copy, i the organisation has such a stamp.

Warning: It is an oence to submit raudulent documentation in supporto an application. Where raudulent documents are detected theapplication will be rejected, any oer o enrolment will be withdrawnand any student already studying at UWS will have their enrolmentcancelled. The matter may be reported to ICAC (IndependentCommission Against Corruption), the police, and DIAC(Department o Immigration and Citizenship).

Lodging your application

Please orward your application to:

UWS International AdmissionsUniversity o Western SydneyBuilding ES, Parramatta campusLocked Bag 1797Penrith 2751 NSW AUSTRALIA

Or email your application to [email protected]

Please note:» Satisying minimum entry requirements

does not guarantee admission.» You will be advised by mail o the result o

this application as soon as possible.» I submitting documents by email, you will need to supply

certied copies o original documents on request.

Students with disabilities

I you need extra help due to a disability while you are studying at theUniversity, please provide a brie statement outlining your needs on aseparate piece o paper. This inormation will be condential and will notaect your admission to the area o study or which you are applying.

UWS CRICOS provider code: 00917K May 2011UWSCollege CRICOS provider code: 02851G

Section O: How did you hear about UWS?

□ Agent □ Education institution

□ Family / Friend □ Australian Embassy / High Commission

□ Advertisement □ Education exhibition / interview program

□ Other, please speciy:

I grant UWSCollege permission to provide my parent(s), and agents or guardian(s), i requested, with any inormation pertaining to myapplication to study, ongoing academic progress, results and attendance.

□ Yes □ No



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