Application Form

Application Form
Doctoral Fellowships, School of Computer Science, UNSW, ADFA

Please Note: Doctoral Fellowship applicants must also complete an application for admission to the PhD programme (unless already enrolled).

Preferred Title: Mr / Mrs / Ms / Other (specify) ____________________________________________

Date of Birth: __/__/__

Sex: Male / Female

Family / Last Name: _________________________________________________________________

Other Names: ______________________________________________________________________

Residential Address:

____________________________________________________________________________

Phone No: ___________________________________________

Fax No: ___________________________________________

e-mail: ___________________________________________

Business Address:

____________________________________________________________________________

Phone No: ___________________________________________

Fax No: ___________________________________________

e-mail: ___________________________________________

Student Status:

Are you an Australian citizen?: Yes / No

Are you an Australian permanent resident?: Yes / No

Are you a New Zealand citizen?: Yes / No

If you answer no to all the above, our understanding is that the fellowships will be compatible with an overseas student visa. However if you wish to apply, you should seek information from the Australian embassy in your region regarding the visa conditions which will apply. We are also seeking information on what overseas student fees will apply to overseas doctoral fellows.

Country of Citizenship if no to all the above: _________________________________________

English Proficiency

Have you completed a degree where the primary language of instruction was English?: Yes / No

If yes, state details:

Degree: ________________________________________________________________

Institution: ______________________________________________________________

Years: __________________________________

If no, have you undertaken a recent written English language test? Yes / No

Test Name: _____________________________________________

Date: _________________

Result: ________________

A recent oral English language test? Yes / No

Test Name: _____________________________________________

Date: _________________

Result: ________________

PhD Application

Have you already applied for admission to the School's PhD programme?: Yes / No

If not, you must do so concurrently with this application.

Attachments:

With this application, you should supply:

Transcripts of all academic qualifications
Curriculum Vitae showing any relevant teaching experience
At least one academic referee, and where you have previous teaching experience, at least one referee who can comment on your teaching
Full application for admission to the School's PhD programme if you have not already lodged one

Declaration:

I declare that all the information submitted in this application is correct and complete

Signature: ______________________________________ Date: __________________________________________