APPLICATION FOR ADMISSIONFor domestic and partner-offshore applicants to anUndergraduate or Postgraduate course

ATTACH PASSPORT SIZE PHOTO

For partner - offshore

applicants only

OFFICE USE ONLY

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WHICH COURSE ARE YOU APPLYING FOR? Course Number

PERSONAL DETAILSTitle (Mr, Ms etc) Gender (M / F) Date of birth

Day Month Year

Family Name

Given Name

Other Given Names

On all official documentation your name will appear as Given Name/s, Family Name - if this is not how your name appears in your passport or birth certificate, please print your name in the space below as it appears on these documents.

If your name has changed since you were last enrolled at Curtin/WAIT, please print previous name.

Please note: Two forms of evidence are required for change of name from the lists below – one from each list is required.Change of name:(Primary) (Secondary)- Citizenship Papers - Medicare Card- Birth Certificate (or Extract) - Valid Drivers Licence- Passport - National Identification Card- Registered Deed Poll - Marriage Certificate or Divorce Decree

ADDRESS DETAILS (CONTACT) Number and Street

Suburb/Town State

Country Postcode

ADDRESS DETAILS (PERMANENT) (For Australian Citizens and Australian Permanent Residents, this must be an Australian address)

Same as above? Yes No Note: A Post Office Box Number is NOT acceptable

Number and Street

Suburb/Town State

Country Postcode

Which is your preferred mailing address? Contact Permanent

Have you previously been a WAIT/Curtin Student?

Yes No Curtin ID Number

PLEASE PRINT CLEARLY IN BLUE OR BLACK INK

PERSONAL STATISTICAL DETAILS

What is your Citizenship or Residency Status? Please tick one relevant category only.

Australian Citizen New Zealand Citizen (or diplomat or consular representative)

Australian Permanent Resident

Temporary Entry Visa (or diplomat or consular representative)

Overseas student residing overseas during your studies

Australian Permanent Resident (Humanitarian Visa)

Please indicate applicable Visa Subclass What date was residency granted? (applicable to Australian permanent residents including humanitarian visa holders)

Day Month Year

In which country were you born?

If you were not born in Australia what was your first year of arrival? (not applicable to overseas students residing overseas)

Year

What is your country of citizenship?

What is the main language spoken at your permanent home residence?

Are you of Australian Aboriginal descent? Yes No

Are you of Torres Strait Island descent? Yes No

MEDICAL/DISABILITY NEEDSThe information below is used to assist the University in monitoring, supporting and improving services to students with medical/disability requirements. Disclosing this information will not affect your admission to the University.

Do you have a disability, impairment or long-term medical condition which may affect your studies? Yes No

If you answered ‘Yes’ to the above question, please indicate the type/s of disability

Hearing Vision Learning Medical Mobility Other

Would you like to receive information on medical/disability support services, equipment and facilities available that may

assist you? Yes No

CONTACT DETAILSHome Telephone Work Telephone

Mobile Telephone Fax Number

Email Address

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SECONDARY LEVEL EDUCATIONPlease complete the following information if you completed Year 12 studies within Australia.

Name of Year 12 Institution State

The year in which you attended Year 12

What Suburb/Town were you residing in?

What was the postcode?

What is your Australian Tertiary Admission Rank (ATAR) (eg. TER, ENTER, UAI)?

If applicable, what is your Overall Position (QLD Year 12 applicants only)?

If applicable, what is your International Baccalaureate Diploma score?

EDUCATIONAL QUALIFICATIONS Please provide details of all formal studies that you have completed or those that you are currently undertaking. This information will be used to assess your eligibility for admission into Curtin.You are required to supply an original or certified* copy of your academic award/s and transcript/s (original language and translated copies) for all tertiary studies except those undertaken at Curtin. Academic records must contain an explanation of grading system descriptions.

* Certified means witnessed by a Curtin Representative, a Notary Public, Commissioner for Declarations, Justice of the Peace or the Academic Registrar of the Institute that issued the transcript. For further information refer to the Curtin Guidelines on Certificationhttp://students.curtin.edu.au/local/docs/certification_guidelines.pdf

Educational Participation(include courses taken overseas) Name of Institution Course Title (if applicable) Year last

enrolled

Completed Higher Education Postgraduate level course

Completed Higher Education Bachelor level course

Completed Higher Education Diploma/Assoc. Degree level course

Incomplete Higher Education course

Completed Vocational (eg. TAFE) award course

Completed other educational qualification or Certificate of Attainment or Competence eg. Nursing Registration, University Preparation course

Completed Secondary Education

EMPLOYMENT DETAILS If you are applying for a Postgraduate course on the basis of professional work experience, you must provide a current Curriculum Vitae. Please note work experience does not satisfy Curtin University’s English entry requirement. Please check with your Faculty Student Services Office for English tests or programs that meet those entry requirements.

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EDUCATION LEVEL OF YOUR PARENTS OR GUARDIANSThe information below is used for the purpose of government reporting, disclosing this information will not affect your admission to the University.

Parent / Guardian 1

Parent / Guardian 2

Do you know the educational background of your Parents/Guardians? Yes No Yes No

Male (M) Female (F) (CIRCLE ONE) M / F M / F

What is the highest level of education completed by your Parent(s) / Guardian(s)? CROSS APPROPRIATE BOX(ES)

Postgraduate qualification (eg. Graduate Diploma, Masters Degree, PhD)

Bachelor Degree

Other post-school qualification (eg. Associate Degree, Diploma, Advanced Diploma, Completed Apprenticeship, Vocational Certificate)

Completed Year 12 schooling or equivalent

Completed Year 10 schooling continued at school but did not complete Year 12 schooling or equivalent

Completed Year 10 schooling

Did not complete Year 10 schooling

CREDIT FOR RECOGNISED LEARNINGIf you would like your qualification/s to be assessed for credit transfer please submit an Application for Credit Transfer with your Application for Admission, this form can be downloaded from students.curtin.edu.au

ENGLISH LANGUAGE PROFICIENCYAs all courses are taught in English, applicants will need to meet Curtin’s English language requirement, please indicate what test/s you have sat (or intend sitting) and attach certified documentary evidence of results (refer to Checklist section)

Australian Year 12 GCSE ‘O’ level CUTE IELTS (Academic)

PTE (Academic) STAT (Written English) TOEFL (iBT) Other (Please specify)

Please indicate if you are also applying for Curtin’s

English Language Enabling Course or ELICOS Indicate the intended month of intake

COURSE INFORMATIONMajor area of study (eg. Accounting, Journalism, Public Health, Chemical Engineering)

When do you wish to commence studies? Year Study Period (eg. Semester 1, Semester 2)

How do you intend to study? Full-time Part-time

What is your intended attendance mode? Internal Fully online Partially online External## Students studying externally can only do this through the Bentley Campus

Do you intend studying at an Australian Campus? Yes No

If ‘Yes’, what Campus (eg. Bentley, Kalgoorlie)

If you answered ‘No’ to the above question, please indicate the Offshore Partner Institution and Campus at which you intend studying

Partner Institution Campus

ARE YOU APPLYING FOR SPECIAL CONSIDERATION? Yes NoNote: Applicants who believe they warrant special consideration due to exceptional circumstances are also required to submit a Special Consideration Application form, attach certified documentary evidence as well as a Personal Statement with this application.(Guidelines for special consideration are outlined at futurestudents.curtin.edu.au).

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LODGING YOUR APPLICATIONPlease complete this form and submit it to the relevant Faculty Student Services Office. Application processing times can vary and will be dependent upon the time of year the application is submitted. However as a guide applications are usually acknowledged within 14 days.IMPORTANT: If you apply by email, offers can only be made once original or correctly certified documentation is sighted/received. Supporting documentation will need to be submitted once a conditional offer has been made. Closing dates for applicationsTo confirm the closing dates, please check the Curtin website curtin.edu.au or contact the University Admission Centre.Note: Admission to some courses is highly competitive and applicants are encouraged to submit their application as early as possible.

APPLICANT’S DECLARATION AND SIGNATUREI declare that I have read the instructions on this application form and that the information I have provided is complete and correct.I understand that the information collected on this form is to enable Curtin University to assess my application, create a record on its student database, undertake statistical analysis, meet statutory reporting requirements and further inform me about the course to which I am applying as well as the University’s other courses/events. The information will be accessed by officers of the University strictly for these purposes and disclosed to State and Australian Government agencies (eg. DES, DEEWR) where required by law and to contractors (such as mail houses) engaged by the University to perform services on its behalf. Where personal information is to be provided to contractors, the University will require that confidentiality agreements be first entered into.I understand that if I do not complete all the questions on this form, it may not be possible for the University to process my application.I authorise Curtin University to obtain further academic information or official student records from any educational institution or other recognised institution within the education environment if necessary and/or, where my work experience is relevant, to verify my employment history for the purpose of making an informed decision about my application.I understand that I have the right to access and amend personal information that Curtin holds about me, subject to legislation, by contacting the Information Disclosure Compliance Officer on 9266 1036.I acknowledge that Curtin University reserves the right to vary or reverse any decision regarding admission made on the basis of incorrect, incomplete or fraudulent information.

Signature Date

PRIVACY STATEMENTAt Curtin University, the privacy of our students, staff and the people we deal with is very important to us. Much of the information that the University collects in order to provide the services that it does, is “personal information”. For details of how the University will use, disclose and protect your personal information please refer to http://global.curtin.edu.au/legal/privacy.cfm

CHECKLISTImportant Checklist to ensure a quick response to your application

Enclose original or certified* copies of all previous qualifications including award certificates (if applicable) and academic transcripts with a grading system description and English tests.Attach passport size photo if applying to study with an offshore partner.Prior to making an application please familiarise yourself with any specific requirements which relate to the course for which you are applying for. Please refer to the Curtin Handbook (handbook.curtin.edu.au)If applicable enclose Application for Credit Transfer.

If you are an Australian Permanent Resident or New Zealand Citizen, please include certified* proof of residency status.If your previous studies do not meet Curtin’s standard English requirements, please enclose certified* copies of your English language qualification or details of English language proficiency. Please refer to futurestudents.curtin.edu.auEnclose certified* copy of evidence for change of name (if applicable).

Read and sign the Applicant’s Declaration.

* Certified means witnessed by a Curtin Academic or approved Curtin Representative, a Notary Public, Commissioner for Declarations, Justice of the Peace or the Academic Registrar of the Institute that issued the transcript. For further information refer to the Curtin Guidelines on Certificationhttp://students.curtin.edu.au/local/docs/certification_guidelines.pdf

Curtin UniversityGPO Box U1987Perth WA 6845

Centre for Aboriginal StudiesBuilding 211Curtin UniversityKent Street Bentley WA 6102Tel: (+61 8) 9266 7091Fox: (+61 8) 9266 2888cas.enquiries@curtin.edu.au

Centre for eLearning6 Sarich WayTechnology ParkBentley WA 6102Tel: (+61 8) 9266 2610Fax: (+61 8) 9266 1734uniready@curtin.edu.au

Curtin Business SchoolBuilding 407Curtin UniversityKent Street Bentley WA 6102

Undergraduate EnquiriesTel: (+61 8) 9266 7713Fax: (+61 8) 9266 3096

Postgraduate Enquiries Tel: (+61 8) 9266 7715 Fax: (+61 8) 9266 3096business@cbs.curtin.edu.au

Curtin Sydney39 Regent Street, Chippendale Sydney NSW 2008Tel: (+61 2) 8399 7888Fax: (+61 2) 8399 7899info@sydney.curtin.edu.au

Curtin Graduate School of Business78 Murray St Perth WA 6000Perth Campus EnquiriesTel: (+61 8) 9266 3460Fax: (+61 8) 9266 3368enquiries@gsb.curtin.edu.au

Health SciencesBuilding 400Curtin UniversityKent Street Bentley WA 6102Tel: (+61 8) 9266 4583Fax: (+61 8) 9266 4593futurestudents@health.curtin.edu.au

HumanitiesBuilding 209Curtin UniversityKent Street Bentley WA 6102Tel: (+61 8) 9266 3400Fax: (+61 8) 9266 3345humanities@curtin.edu.au

Science and EngineeringBuilding 314Curtin UniversityKent Street Bentley WA 6102Tel: (+61 8) 9266 4600Fax: (+61 8) 9266 4606ssse@curtin.edu.au

Western Australian School of MinesEgan Street Kalgoorlie WA 6430Tel: 1800 688 377WASMundergrad@curtin.edu.au WASMpostgrad@curtin.edu.au

For general admission enquiries please contactUniversity Admission Centre Tel: (+61 8) 9266 7805 Fax: (+61 8) 9266 4108Email: admissions@curtin.edu.au

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CURTIN UNIVERSITY USE ONLY

BASIS OF ADMISSION3 Please indicate the Basis for Admission Highest Level of Participation

School Leaver – (WACE or equivalent) Secondary EducationCompleted University Qualification Bachelor/PostgraduateCompleted VET (TAFE) Qualification TAFE AwardCompleted one full-time semester (or equivalent) at University

Incomplete course

Mature Age – TEE/WACE Other QualificationSpecial Tertiary Admission Test (STAT)Completion of Extension UnitsCompletion of 2 Australian Undergraduate UnitsUniversity Bridging/Foundation ProgramCompleted Private Provider Qualification (AQF)

Special ConsiderationSpecial MatriculationRegistered NurseInternational Year 12 equivalentInternational Post-Secondary QualificationEmployment experience

NON-STANDARD ENTRY Special Consideration Bridging Course for Overseas Trained Professional (BOTP) Matriculation

Authorised Officer please indicate status of applicant

Qualified Not Qualified (Reason)

Qualified with conditions Subject to provision of certified documents Subject to satisfying the University English competency requirements Subject to providing final transcripts and award certificate Subject to successful completion of current studies qualification

Other

Please indicate the relevant liability category

International Student–Offshore Domestic Fee Paying International Student–Partner Commonwealth Supported

Name of Academic/Course Coordinator:

Signature

FACULTY / OFFSHORE OFFICE / UAC

Approved Not Approved Approved with Conditions

Authorised Officer Name

Signature

Matriculation No Curtin University is a trademark of Curtin University of TechnologyCRICOS Provider Code 00301J (WA), 02637B (NSW)ADV062836

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Day Month Year

Day Month Year

5

Curtin University is a trademark of Curtin University of Technology. CRICOS Provider Code 00301J  

Enrolment / Change of Enrolment Form

Use this form only to enrol or withdraw for a study period in the current year. If you are taking a break from studies please submit a Leave of Absence form to your Faculty Student Services Office. If you are the holder of a student visa you are required to discuss your circumstances with an International Student Visa Officer and complete the Leave of Absence for International Onshore Students form.

 

Personal Details  

Curtin ID Family Name  

Title Given Name/s  

Birth Date Phone Number Course Details  

Course Title Course Number

Major Name Major Number

Stream Name Stream Number

           Course Withdrawal  

I wish to completely withdraw from my course at the end of (enter study period)

Or on (date of withdrawal).

If Course Switching, please indicate which course you need to be withdrawn from:

Course Title Course Number  

Amendments to Major/Stream (only complete this section if you are changing Major or Stream)  

Change Major to  

Change Stream to  

Unit Enrolments and Withdrawals  

You may be able to enrol/withdraw from your units online. Please go to eStudent in OASIS prior to completing this form to see if you can complete your enrolment/change of enrolment yourself.

 

 Enrol (E) Withdraw (W)

 Unit Number

 Unit Title

Study Period eg Sem 1

 Campus

 Attendance Mode*

Core (C) Elective (E) Option (O)

 Signature of Unit Coordinator**

                                                                                                                                                                                                               *Attendance Mode - I (Internal) E (External) FO ( Fully Online) PO (Partially Online)

**Unit Coordinator (or other staff) Comments (e.g. overload approval, requisite waiver approval):  

   

International Students on a Student Visa:  

If you are an International Student studying in Australia on a student visa you must be enrolled in a full-time load of 100 credits at all times to comply with the conditions of your visa. If you have extenuating circumstances and want to reduce your load you must seek approval using a Request to Enrol in Less than 100 credits in the current semester form before you reduce your study load.

 I have read and understood the Student Declaration on the reverse of this form and I understand that at census date I will be liable for student contribution amounts or tuition fees for all units I am enrolled in and that those units will be recorded on my Academic Transcript. Student’s Signature Date

Curtin University is a trademark of Curtin University of Technology. CRICOS Provider Code 00301J  

OASIS – Online Access to Student Information Services  

• OASIS is Curtin’s student portal. Through OASIS, students are provided with access to their student record (eStudent), the Official Communications Channel (OCC), and a range of other online services including a student email account and learning support systems.

• It is a condition of enrolment at Curtin that students activate their OASIS account and access OASIS at least once a week to receive official communications from the University via the OCC.

• Students may be granted exemption from the requirement to access OASIS in exceptional circumstances only. Please check http://www.oasis.curtin.edu.au for more information.

 If you have changed

 If you have changed your name or citizenship status since last enrolling you will need to submit original documentation or original certified documentation with this form so that we can update your details. Prior to enrolling you will be required to submit a new Request for Commonwealth Support and HECS-HELP Form/Request for FEE-HELP Form (if applicable). An electronic version of the HECS-HELP and FEE-HELP forms (eCAF) is available via eStudent in OASIS. Prior to enrolling go to the My eCAF tab in eStudent to complete online. If you have changed your course, please ensure you complete a new HECS-HELP or FEE-HELP form (if applicable).

 

Guild Membership  

Under the Curtin University of Technology Act, all students automatically become members of the Student Guild on enrolment. In order that the Guild may provide services to you whilst you are a member, your name, student ID number, preferred contact address, home phone number, email addresses, gender, year of birth, course of study, campus location and other basic enrolment details will be made available to the Guild. These details will remain confidential. You may elect not to become a member of the Guild at the time of enrolment or may resign from the Guild at any time after enrolment. If you elect not to become a member, your details will not be provided to the Guild. If you resign from the Guild, the Guild will no longer have access to your details and you will cease to be eligible for membership benefits. If you do not wish to be a member of the Guild, prior to enrolling you will need to complete a form advising that you do not wish to be a member. The form is available on the Current Students website at: http://students.curtin.edu.au/administration/forms.cfm. The completed form must be returned to Student Central for processing.

 Student Declaration

 • I understand it is my responsibility to ensure that my enrolment is correct. • I have sought appropriate academic counselling in relation to my enrolment. • I agree to be bound by the Statutes, Rules and Policies of the University as amended from time to time and agree to pay all

fees, levies and charges directly arising from my enrolment. • I am aware there may be additional fees and charges associated with my enrolment which are not included in the tuition charges (these may include but are not limited to student service & amenities fee, incidental fees and textbooks).

• I consent to receiving information electronically from the University. • I agree to access OASIS (student portal) at least once a week to receive official communications from the University (unless

approval for exemption is granted). • I am aware of the conditions under which I am permitted to use University IT (computer) facilities. • I acknowledge that I have read and understood the information on this form regarding Guild Membership. • I acknowledge that I have read and understood the University’s Privacy Statement. • I acknowledge that any expenses or costs incurred by the University in recovering any monies owing by me shall be my

responsibility. This includes debt collection agency fees and solicitor’s costs on the amount outstanding and all other reasonable costs incurred in the recovery of outstanding monies.

 Please direct all enquiries to your Faculty Student Services Office (FSSO) or Student Central

 

CBS International Tel: (+61 8) 9266 7789 Fax: (+61 8) 9266 4092 Email: cbsinternational @curtin.edu.au

 Centre for Aboriginal Studies Tel: (+61 8) 9266 7091 Fax: (+61 8) 9266 2888 Email: cas.enquries @curtin.edu.au

 Curtin Business School Undergraduate Enquiries Tel: (+61 8) 9266 7713 Fax: (+61 8) 9266 3096

Postgraduate Enquiries Tel: (+61 8) 9266 7715 Fax: (+61 8) 9266 3096 Email: business@cbs.curtin. edu.au  Curtin Sarawak Tel: (+60) 85 44 3939 Fax: (+60) 85 44 3838 enquiries@curtin.edu.my  Curtin Singapore Tel: 6593 8000 Fax: 6593 8001 Email: studentservices @curtin.edu.sg

Curtin Sydney Tel: (+61 2) 8399 7888 Fax: (+61 2) 8399 7899 Email: info@sydney.curtin. edu.au  Graduate School of Business Perth Campus Enquiries Tel: (+61 8) 9266 3460 Fax: (+61 8) 9266 7607 Email: currentstudents@gsb. curtin.edu.au  

Health Sciences Tel: (+61 8) 9266 3685 Fax: (+61 8) 9266 4593 Email: currentstudents @health.curtin.edu.au Humanities Tel: (+61 8) 9266 3400 Fax: (+61 8) 9266 3345 Email: humanities @curtin.edu.au  Science and Engineering Tel: (+61 8) 9266 4600 Fax: (+61 8) 9266 4606 Email: ssse@curtin.edu.au

Western Australian School of Mines Tel: 1800 688 377 Email: WASMundergrad@ curtin.edu.au Student Central Tel: (+61 8) 9266 3399 Fax: (+61 8) 9266 4108 Web: students.curtin.edu.au  

 Privacy Statement

 At Curtin, the privacy of students, staff and other people who the University deals with is taken very seriously. Much of the information which the University collects in connection with its normal functions and activities is "personal information", and this information is handled in accordance with relevant privacy standards. For details of how the University will use, disclose and protect your personal information please refer to http://global.curtin.edu.au/legal/privacy.cfm Office Use Only

Processed by (Name) Date Course Switch: Form copied and sent to Withdrawing Faculty (please tick) Date  

CRICOS Provider Code 00301J Curtin University is a trademark of Curtin University of Technology.

Application for Credit Transferthrough Recognition of Prior Learning (RPL)

• This form can be used to apply for General, Elective or Option Credit, Unit Transfer, Unit Exemption, Designated Unit.• You will receive official notification of the outcome via Official Communication Channel (OCC) on Oasis or by mail if appropriate.• Please read the information on the back page before completing this form.

Personal Details

Curtin ID Family name

Title Given name/s

Birth date Gender Male Female

Address

Post code

Telephone (H) Telephone (W)

Mobile Email

Course Details

Course Title

Course Code

Stream Name Stream Number

Major Name Major Number

Minor Name Minor Number

Are you an international student on a student visa? Yes No If ‘Yes’ please read ‘International Students’ section on back page.

Course Switching

Are you switching from an incomplete Curtin University course to another Curtin course: Yes No

Form of Credit Transfer being requested (see explanation on back page). Please tick appropriate box:

Unit Transfer Unit Exemption General Credits

Designated Unit (from external partner) Elective or Option Credits Not sure

Are you currently enrolled in a unit/s for which you are applying for credit? Yes No

If ‘Yes’, and if you received official notification via OCC that you have been granted credit, it is your responsibility to ensure you have been withdrawn from these units BEFORE THE CENSUS DATE OF THE UNIT. Otherwise you will still be liable for the fees/debt and Student Learning Entitlement usage.

Application Declaration

I have submitted the necessary official original/certified documentary evidence in support of my claim. I acknowledge that submitted documents will not be returned to me. I authorise the University to obtain verification of any statements or documents included as part of this application and to reproduce any attachments provided with this form for administrative purposes only.I have read the information on the back page.I acknowledge it is my responsibility to submit this application in sufficient time for processing prior to any enrolled unit census date.I acknowledge it is my responsibility to ensure I receive a revised study plan if this is required due to the granting of credit. I understand I must attend all enrolled classes until I receive notification of the outcome of this application.I hereby certify that the information provided in this application is true and correct.Please keep a copy of this application and supporting documentation for your records.

Signature of Applicant Date

CRICOS Provider Code 00301J Curtin University is a trademark of Curtin University of Technology.

Assessment Details

Bulk transfer of all units

From: Course Number Version: To: Course Number Version:

Credit Transfer / Exemptions

PREVIOUSLY STUDIED UNIT/STO BE COMPlETED BY APPlICANT

EQUIVALENT CURTIN UNIVERSITY UNIT/S TO BE COMPlETED BY APPlICANT

FACULTY USE ONLY

Unit Code Unit Title Previous InstitutionContact hrs/wk

Curtin Univ Unit Code

Curtin University Unit Title

GrantedNon-Approval

Code(see below)

Signature of Assessing Officer

Yes / No

Yes / No

Yes / No

Yes / No

Yes / No

Yes / No

Yes / No

Please add extra sheets if there is not sufficient room in this table. Such attachments must be in the same form as this table. ASSESSINg OFFICER TO COmPLETE PAgE 3

OFFICE USE ONLY

general Credit: Credit Points

Granted: Not Granted: Non-Approval Code:

Elective Credit: Credit Points

Granted: Not Granted: Non-Approval Code:

Option Credit: Credit Points

Granted: Not Granted: Non-Approval Code:

Basis for Request University Vocational Ed/TAFE Professional Qual Independent Training Work Exp Other

Institution / Employer Name

Reason for Non-Approval CodeA. Curtin University unit outcomes not fully covered. B. Maximum amount of Credit already granted. C. Previous study/work experience does not meet

requirements of unit/course.D. No option / elective in SPK. E. level of previous study not appropriate. F. Previous study/work experience completed more

than 7 years ago.

g. Other (reason to be specified):

Further explanation if required:

CRICOS Provider Code 00301J Curtin University is a trademark of Curtin University of Technology.

Work / Life Experience

You must attach the following documents to support your application for Credit Transfer based on work/life experience:

Personal statement describing how your work/life experience relates to your present course or a particular unit in your present course: in particular, how your experience addresses the content of unit/s for which you are requesting exemption.

Curriculum Vitae.

If your application is based on work experience you must also attach:

A statement of duties and responsibilities including your official title and dates employed.

A statement from your employer/s describing your duties and responsibilities. This must be in sufficient detail to ensure that the RPl Assessor will be able to relate these competencies to the unit/s for which you are requesting exemption

OFFICE USE ONLY – ASSESSmENT AND APPROVAL SIgNATURES

Student approved to graduate Course SPK has been amended by Faculty to accommodate RPl Student currently enrolled in units approved for RPl New eCOE required

Signature of FACULTY APPROVINg OFFICER: Name of Faculty Approving Officer (please print):

Date:

It is the Course Coordinator’s responsibility to ensure the student’s study plan is amended appropriately if Credit Transfer is granted. If the student is being granted general or option/elective credit this is not unit specific. The student must therefore be given a revised study plan.

The applicant will be officially notified of the outcome of their application through the Official Communication Channel by the RPl Officer in the University Admissions Centre or approved RPl Officer in the Faculty (such RPl Officers must be approved by the Director, Student Services). No communication should occur with the student concerning the possible or actual outcome of this application prior to the applicant receiving official notification.

NOTES:

RPL / FACULTY STUDENT SERVICES OFFICES USE ONLY - PROCESSINg

Initials & Date Initials & Date

File tracking recorded: Checked:

Educ. background input: Completion approved:

Processed by: OCC sent:

Name of Company

Address of Company

Brief descriptionof company’sactivities

CRICOS Provider Code 00301J GEON045944 Curtin University is a trademark of Curtin University of Technology.

Applications must be received three weeks before the commencement of semester.• If this application is not submitted in sufficient time to be assessed and processed prior to the census date of any enrolled units for

which you are requesting Credit Transfer then you will still be liable for any fees, debt or Student learning Entitlement incurred for the enrolled unit/s.

• lodge your application with your Faculty Student Service Office along with all supporting documentation and the receipt for any late fee (payable at the Cashier) if applicable.

• A late application fee applies if urgent processing is required for graduation.• An application fee applies for Degree by Incorporation.

Supporting documentation. For units not studied at Curtin University you must attach the following or your application maybe returned to you which will affect the time taken to assess and process your application:• Unit Outlines for each unit studied for which you are requesting Credit Transfer.• You must complete the contact hours for EVERY unit in the RPl Assessment Details table.• Original or correctly certified documents to confirm your completed study/work experience. See the University Admission Centre Certification Guidelines at http://students.curtin.edu.au/local/docs/certification_guidelines.pdf.• For formal study you must attach a certified copy of your official academic transcript with marking key.• For RPl assessment of work experience you must supply further documentation. Please see appropriate section on previous page.• If the original document is not written in English an official translation from a recognised translation service must also be provided.

Brief overview of Credit Transfer policies and process. Please read the Admission & Enrolment Manual at http://policies.curtin.edu.au/policies/students.cfm for full details.• A maximum of 2/3 of the credit value of your Curtin course or the duration of the course less one year, whichever is the greater, may be

granted for previous study. (This may be less in some Faculties.)• Authority to approve Credit Transfer, which is compliant with RPl Policy, rests with the relevant Faculty Pro Vice-Chancellor.• Previously studied units must be completed and have been studied 7 years or less prior to your application.• Professional or life experience must be directly relevant to the unit for which RPl assessment is sought and a maximum of 1/3 of the

credit value of your course or one year of course duration, whichever is the lesser, may be granted for this type of RPl.• Credit Transfer will not usually be granted for study below Australian Qualifications Framework higher education level

i.e. Diploma and above.• Credit Transfer will not be granted based on units which themselves were the outcome of being granted a Credit Transfer.• Previously studied units can only be used once in any particular course for Credit Transfer.• You must obtain a revised study plan if the granted Credit Transfer affects your study program.

Forms of Credit: • Unit Transfer is granted on the basis of completed study equivalent to a specific unit in your current course. If the transfer is of

identical units from one Curtin course to another Curtin course the transferred unit will show on your Academic Transcript with the unit title, credit points and a grade/mark.

• Credit Exemption is granted on the basis of completed study or work experience which relates specifically to the content of a particular unit. Such credit exemption will show on your Academic Transcript as the unit title and credit in the ‘RPl’ section.

• general or Option/Elective Credit is granted on the basis of completed study or work experience but is not unit specific. Such credit will show on your Academic Transcript as a specific number of credit points.

• Bulk Transfer of Units is granted towards a whole stage or time period based on unit equivalence. The units will show on your Academic Transcript with the unit titles, credit points and a grade/mark.• Designated Unit credit is granted on the basis of completion of an identical Curtin University unit through one of the partners of

Curtin University. The unit will show on your Academic Transcript with the unit name, credit points and a grade/mark.• Degree by Incorporation usually occurs through an approved collaborative partnership with another institution or, in exceptional

circumstances approved by the Director, Student Services, it allows a student to graduate with a lower level or alternative award from their enrolled award. The units will show on your Academic Transcript with the unit name, credit points and a grade/mark. To apply for this you must complete the form ‘Application for Award - Degree by Incorporation’ rather than this form.

Notification: You will be notified through the Official Communication Channel (OCC) of the outcome of your application. Any indication from any other source prior to this official communication, regarding the outcome of this application, is an indication only and should not be viewed as the official outcome. If you are not granted the requested Credit Transfer you will be informed of the reason for the rejection. You must not consider that your credit transfer has been granted until you have received official notification via OCC in Oasis. It is a condition of your enrolment that you check the OCC at least once a week.

International Students: Granting of credit transfer may affect your course duration. The revised course duration and course completion date will be reported to the Dept of Immigration and Citizenship.

Appeals: If you believe your application has not been fully or fairly assessed you may request a review of the application and maylodge a formal written appeal within 10 working days of receipt of notification of the outcome of your application to the Manager,University Admission Centre, Student Central. Please discuss your concerns initially with the relevant Faculty Assessment Officer. For further information please see the Admission & Enrolment Manual at http://policies.curtin.edu.au/policies/students.cfm.

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