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CRICOS Provider Number 00025B
International Student Application for
Graduate Coursework Studies
Applicant contact details (see note 2)2
Phone:
.................................................................................................................Mobile:
........................................................................................................
Email:
..............................................................................................................................................................................................................................................
Applicant’s permanent address outside Australia:
Number and street:
..............................................................................................................................................................................................................
Suburb/town:
............................................................................................................................................................................................................................
State:
....................................................................................................................Post/zip
code:
.......................................................................................
Country:
........................................................................................................................................................................................................................................
Applicant’s mailing address (if different from above):
Number and street:
..............................................................................................................................................................................................................
Suburb/town:
............................................................................................................................................................................................................................
State:
....................................................................................................................Post/zip
code:
.......................................................................................
Country:
........................................................................................................................................................................................................................................
Program of study (see note 3)3
Program commencement: Semester 1 (Jan-Feb) Semester 2 (July)
Year: .......................................
1st program code: .................................Program name:
......................................................................................................................Major:
...................................................................................Campus:
.............................
2nd program code: ................................Program name:
......................................................................................................................Major:
.....................................................................................Campus:
.............................
If your first program choice is not available for the semester
you have indicated, what would you like to be automatically
considered for?
the next available semester for your first program choice or
your second program choice
Important information
•PleasereadtheseparatesheetNotes for completing the
International Student Application form – Graduate Coursework
Studiesandfollowtheinstructions.Thiswillavoidanyunnecessaryprocessingdelays.
•Yourapplicationmustincludeanon-refundablefeeof$100unlessyouareapplyingforaUQscholarship.
•PleaseseeThe Application
Processonpage106ofthisprospectusfordetailsonhowtosubmityourapplication.
•DonotusethisformifyouareanAustralian/NewZealandcitizen;anAustralianpermanentresident;anapplicantforStudyAbroad,Exchange,orEnglishstudies;orifyouwishtochangeyourprogramtoanotherprogramatthesamelevel.
•Returnyourcompletedapplicationform,documentationandapplicationfeetoUQ’sInternationalAdmissionsSection(seebelow)ortooneoftheUniversity’sauthorisedrepresentatives(www.uq.edu.au/edureps).
TheManager,InternationalAdmissionsSection,TheUniversityofQueensland,Level2,JDStoryBuilding,
Brisbane,Queensland4072,Australia
Webwww.uq.edu.au [email protected]
Phone+61733657941 Fax+61733651794
Personal details (see note 1)1
Family name:
.............................................................................................................................................................................................................................
Given names:
............................................................................................................................................................................................................................
Order of names:
......................................................................................................................................................................................................................
Date of birth:
...................................................................................................Gender:
......................................................................................................
Citizenship:
.......................................................................................................Country
of birth:
...................................................................................
Country of current residence (countrywhere
youhavebeenlivingforthepastthreemonths):
........................................................................................................................................................
D D / M M / Y Y Y Y
Empl ID:
..........................................................................................
Event ID:
.........................................................................................
Agent ID:
.........................................................................................
UQ Agent Email:
..........................................................................
...........................................................................................................
Agent use only
A G E N T S TA M P
Scholarship details (if applicable) (see note 4)4
a) Are you applying for a UQ scholarship? No Yes Name of
scholarship:
..........................................................................................................................................
b) Are you applying for a scholarship from another provider? No
Yes Name of scholarship provider:
.....................................................................................................................
c) Have you received a scholarship? No Yes Name of scholarship
provider:
.....................................................................................................................
Student ID:
.....................................................................................
Priority level: P1 / P
Scholarship: Y / N
Payment method:
........................................................................
AO:
....................................................................................................
UQ office use only
D AT E S TA M P
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Overseas Student Health Cover (see note 8)8
ItisaconditionofastudentvisathatyoumaintainOverseasStudentHealthCover(OSHC)forthedurationofyourstudiesinAustralia.
Onyourbehalf,TheUniversityofQueenslandcanorganiseprogram-lengthcoverwithOSHCWorldcare,itspreferredproviderofOSHC.
Yes, I would like UQ to arrange: Single rate OSHC for myself or
Family rate OSHC for myself and my dependant/s
No, I will make my own arrangements for the duration of my
studies at UQ
Declaration and signature (see note 10)10
Iagree:•toTheUniversityofQueensland(theUniversity)communicatingwithmeviaelectronicmeans;•topermittheUniversitytoobtainmyacademicresultsfromotherinstitutionsdirectlyorthroughQualsearch;•ifanyinformationprovidedbymeisdiscoveredtobeuntrueormisleadinginanyrespect,IconsenttotheUniversitycollecting,storinganddisclosingthisinformationtoUniversitiesAustralia(UA)andUAmemberinstitutions,theAustralasianConferenceofTertiaryAdmissionCentres(ACTAC)andanyotherrelevantauthority.
Iunderstandthat:•submitteddocumentssupportingthisapplicationbecomethepropertyoftheUniversityandwillnotbereturnedtome;•theUniversitymayvaryorcancelanydecisionitmakesiftheinformationIhavegivenisincorrectorincomplete;•informationiscollectedonthisformandduringmyenrolmentinordertomeetUQ’sobligationsundertheESOS
Act andtheNational Code
2007;toensurestudentcompliancewiththeconditionsoftheirvisasandtheirobligationsunderAustralianimmigrationlawsgenerally.TheauthoritytocollectthisinformationiscontainedintheEducation
Services for Overseas Students Act 2000,theEducation Services for
Overseas Students Regulations 2001andtheNational Code of Practice
for Registration Authorities and Providers of Education and
Training to Overseas Students
2007.Informationcollectedaboutmeonthisformandduringmyenrolmentcanbeprovided,incertaincircumstances,totheAustralianGovernmentanddesignatedauthoritiesand,ifrelevant,theTuitionAssuranceSchemeandtheESOSAssuranceFundManager.Inotherinstancesinformationcollectedonthisformorduringmyenrolmentcanbedisclosedwithoutmyconsentwhereauthorisedorrequiredbylaw.
I declare that the information I have given in this application
is correct and complete.
Applicant’s signature:
.....................................................................................................................................
Date: ....................................................
Signature of parent/legal custodian if student is under 18 years
of age. (see The Application Process section)
Parent’s/legal custodian’s signature:
....................................................................................................
Date: ....................................................
Permission to release information (see note 9)9
I authorise the following person to access details regarding my
application(compulsoryforstudentsunder18yearsofage):
Family name:
...........................................................................................................
Given name:
......................................................................................
Relationship to applicant:
.....................................................................
Delegate’s signature:
......................................................................................................................................Date:
..........................................................
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Academic qualifications and experience (see note 7)7
Pleaselistallsecondaryandpost-secondaryprogramsinwhichyouhavebeenenrolled:
Course/award Institution Country Year started Year completed
e.g.,Bachelordegree,Alevels e.g.,TaylorsCollege e.g.,Australia
e.g.,2001 e.g.,2005
....................................................................................................................
.................................................................................................................
............................................................
....................................
......................................
....................................................................................................................
.................................................................................................................
............................................................
....................................
......................................
....................................................................................................................
.................................................................................................................
............................................................
....................................
......................................
Areyoucurrentlystudying? No Yes
If‘Yes’,pleaseprovidedetailsbelow.
Course/award Institution Country Date results expected
....................................................................................................................
.................................................................................................................
............................................................
...............................................................................
Work experience: Tick box if statements are attached
Referees: Tick box if reports are attached
Do you wish to claim credit or exemptions on the basis of your
previous tertiary study? No Yes
Would you prefer an offer even if the credit or exemption
assessment has not been completed? No Yes
(Ifyoutick‘No’,anofferwillbesentwhenthecreditorexemptionassessmenthasbeencompleted.
Ifyoutick‘Yes’,youwillreceiveanofferassoonasyouaredeemedeligibleforprogramentry.Credit/exemptionassessmentadvicewillfollowatalaterdate.)
Important
note:Creditsandexemptionswillberecordedonyourofficialacademictranscriptand,oncegranted,creditsandexemptionscannotberescindedorremoved.
Student disability arrangements (see note 6)6
Forinformation,pleasevisitwww.uq.edu.au/student-services/DisabilityandcontactUQ’sDisabilitiesAdvisor:[email protected]+61733651704.
5
No YesIfyes,pleasecompletetheICTE-UQapplicationformavailableat
www.icte.uq.edu.auandreturnwiththisapplication.
English proficiency (see note 5)
a) Is English your first language? No Yes
(Ifyes,movetosection6)
b) If your current level of English language proficiency does
not meet UQ’s English language entry requirements and all other
entry requirements are met, would you like to receive a Package
Offer which includes English Language tuition at UQ’s Institute of
Continuing and TESOL Education (ICTE-UQ)?
c) Please tick the appropriate box if you have completed any
English test within the last two years: TOEFL IELTS
d) If you sat an IELTS test, please indicate the IELTS Test
Report Form (TRF) number if you can:
.........................................................................
e) If you sat an internet-based TOEFL test, please indicate your
registration number and test date:
Registration number:
.................................................................................
Test date:
......................................................................................................................................D
D / M M / Y Y
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CRICOS Provider Number 00025B
International Student Application for
Graduate Coursework Studies
General instructions
•Pleasedonotusethisformif:
–youareapplyingforStudyAbroad,forEnglishlanguagestudiesortobeanExchangestudent.ThereareseparateapplicationformsavailableontheUQwebsitefor
theseprograms–www.uq.edu.au/international/forms
–youareaneworcontinuingUQstudentandwishtochangeprograms.Instead,pleaserefertomyAdvisoronlineforadviceonhowtochange.•TheapplicationformmustbecompletedinEnglish.•
Informationshouldbetypedin,orifwritten,blockcapitalsshouldbeused.•Pleaseensurethatall
fieldsarefilledinontheform.Missingorincorrectinformationmaycauseavoidabledelaysintheapplicationprocess.•UQcomplieswithAustralianandQueenslandprivacylawsandguidelinesandtreatsinformationcollectedfromapplicantsasconfidential.InformationsuppliedbyyouwillonlybeusedfortheadministrativeoreducationalpurposesoftheUniversityorinaccordancewithaspecificconsentgivenbyyou.UQwillnotmakeavailabletoathirdpartyanypersonalinformationsuppliedbyyouunlessrequiredorpermittedbylaw.Thismayalsooccurwhereyouhaveconsentedtothedisclosure.TheUniversitymaydistributeaggregatedstatisticalinformationforstatutoryreportingpurposesbutonlyinaformthatwillnotidentifyanypersonindividually.Seewww.uq.edu.au/privacyformoreinformation.
•Returnyourcompletedapplicationform,documentationandapplicationfeetoUQ’sInternationalAdmissionsSection(seebelow)ortooneoftheUniversity’sauthorisedrepresentatives(www.uq.edu.au/edureps).
TheManager,InternationalAdmissionsSection,TheUniversityofQueensland,Level2,JDStoryBuilding,Brisbane,Queensland4072,Australia
Webwww.uq.edu.au [email protected] Phone+61733657941
Fax+61733651794
‘Agent use only’ box
•Thisboxshouldbecompletedinfullbyallregisteredagents.•Theagentemailprovidedinthisboxwillbethemainpointofcontactfortheapplicantconcerned.
Personal detailsNote 1
•Youmustgiveyourfamilyname(s)andgivenname(s)asshownonyourpassport.Ifyournameappearsdifferently,wewillreservetherighttoamenditonourrecords.•
IfemailingacopyofyourpassporttoUQ,pleasesendthisasaseparateattachmenttotherestofyourapplication.•PleasealsogivetheorderinwhichyouwantyournamestoappearonyourofferletterandConfirmationofEnrolment
Applicant contact detailsNote 2
•ApermanentaddressoutsideofAustraliamustbegiven,aswellasanydifferentmailingaddress.Thisisrequiredaspartoftheproofthatyousatisfytherequirementsof
beinganInternationalstudent.ThiscannotbeaPOBoxaddress.
Program of studyNote 3
•Itisessentialthatyourefertothecurrentprospectusoronlineatwww.uq.edu.au/studyforthecorrectprogramcodes,names,applicationdeadlines,semesteravailability,
specificprogramentryrequirementsandadditionaldocumentationrequired.
Scholarship detailsNote 4
•Ifyoualreadyhaveconfirmationthatyouwillbegettingascholarship,pleaseattachofficialdocumentationfromyourfundingorganisation,includingdurationofscholarship,expensescoveredbyscholarship(eg.,tuitionfees,livingallowance,OSHC)anddetailsofanyrestrictionsonstudy.
ThesenotescontainimportantinstructionsforapplicantswishingtocompleteandsubmitanapplicationformforGraduateCourseworkStudiesattheUniversityofQueensland(UQ).
Notes for completing the application form
•This fee slip must be completed and, if emailed to UQ,
submitted as a separate document from the rest of the student’s
application.•Anon-refundableAUD$100applicationfeemustaccompanythisapplication,unlesstheapplicantcanprovideevidencethattheyhavebeenofferedascholarship.•Notethatonlybankdrafts,MastercardorVisacanbeacceptedforpayment.Othercreditcardsanddebitcardscannotbeaccepted.Beforecompletingandsubmittingthisform,pleasecheckwithyourbankthatyourcreditcardcanbeprocessedinAustralia.
Fee slip – international students application fee
Cut here and keep the top section of this page for
information
See overleaf for more notes
Family name:
................................................................................................................................................................
Given names:
...............................................................................................................................................................
Date of birth:
...........................................................................................
Address for correspondence:
...........................................................................................................................................................................................................................................................................................................................
...............................................................................................................................................................................................................................................................................................................................................................................................
I would like to pay my application fee of AUD$100 by: Bank draft
Mastercard Visa
CardNo:
Nameoncard:...........................................................................................................................................................
Expirydate:...............................
Signature:.........................................................................................................
D D / M M / Y Y Y Y
M M / Y Y(Currencyconverter:www.oanda.com)
Makebankdrafts in Australian dollars payableto TheUniversity
ofQueensland.
...............................................................................................................................................................................................................................................................................................................................................................................................
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IntP
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English proficiencyNote 5
•TOEFLandIELTSTestresultsareonlyvalidfortwoyearsfromthedateofthetest.TestresultsmuststillbevalidthemonthyourUQdegreeprogramstartsortheycannotbeaccepted.•UQwillnotacceptinstitutionalTOEFLtests,photocopiesorcertifiedcopiesofexaminees’TOEFLresults.Ifyouhavenotdonesoalready,youmustaskyourTOEFLtestingcentretosendyourofficialresultstoUQ.UQ’sTOEFLcodeis0987.
•
IfyousatanIELTStestandyoucanprovideanIELTSTestReportForm(TRF)numberonyourapplicationform,youdonotneedtoprovideanofficialcopyofyourIELTSresultstoUQ.
Academic qualifications and experienceNote 7
•Yourapplicationwillonlybeassessedifitisaccompaniedbycertifiedcopiesofacademictranscriptsforallofthecoursesyouhaveundertakentodate.
Seethe‘Applicationprocess’sectionoftheProspectus.
•
Inmostcasesapplicationsforcreditmayonlybeconsideredonceyouhaveprovidedofficialcourseoutlines,descriptions,assessmentresultsandcontacthoursofcoursesforwhichyouareseekingcredit.CourseoutlinesanddescriptionsmustbeinEnglish;ifnot,pleaseincludecertifiedofficialEnglishlanguagetranslations.
Visitwww.uq.edu.au/international-students/credit-transfer.Applicationsforcreditareassessedonacase-by-casebasisandtheapplicationprocessmaytakelonger
ifyouapplyforcredit.
•Creditsandexemptionswillberecordedonyourofficialacademictranscriptandoncegrantedcreditandexemptionscannotberescindedorremoved.•Ifworkexperienceisaprerequisiteforyourpreferredprogram,attachcopiesofstatementsofserviceoncompanyletterhead,whichclearlystateyouroccupation,employer
details,thedateofemployment(startdate/enddate),andthestatusofemployment(i.e.full-timeorpart-time).RefertotheCoursesandProgramswebsiteatwww.uq.edu.au/studyforprogramprerequisites.
•Someprogramsrequirerefereereportstoaccompanytheapplication.Youcandetermineifyouarerequiredtosubmitrefereereportsbylookingattheprogramdetailsat
www.uq.edu.au/study.Ifyourapplicationrequiresrefereereports,youwillneedtosubmitthesenowtoavoidanydelaysinassessingyourapplication.
Overseas Student Health CoverNote 8
•SomeapplicantsmaybeexemptfromtheOSHCrequirement.Pleasecheckwww.uq.edu.au/international/feesforeligibility.
Permission to release informationNote 9
•Ifyouareunder18yearsofage,youwillneedtogivepermissionforaclosefamilyrelativetoaccessdetailsregardingyourapplication.•Pleaseobtainasignaturefromthedelegatedperson.
Declaration and signatureNote 10
•Pleasereadthedeclarationcarefully.•Youmustsignyournameonthesignatureline.Atyped-innamecannotbeaccepted.•
Ifyouwillbeunder18yearsofageatthetimeyouareduetostartyourstudiesatUQifyougetaplace,youwillneedtoobtaintheapprovalandsignatureofaparentor
legalcustodianwhomustbeaclosefamilyrelative.
Student disability arrangementsNote 6
•Forinformation,pleasevisitwww.uq.edu.au/student-services/DisabilityandcontactUQ’sDisabilitiesAdvisor:[email protected]+61733651704.
micoddyTypewritten Text
www.uq.edu.au/international-students/credit-transfer
Graduate Coursework Studies: Family name: Given names: Order of
names: Gender: Citizenship: Country of birth: you have been living
for the past three months: Phone: Mobile: Email: Number and street:
State: Postzip code: Number and street_2: Suburbtown_2: State_2:
Postzip code_2: Year: 1st program code: Program name: Major:
Campus: 2nd program code: Program name_2: Major_2: Campus_2: Name
of scholarship: Name of scholarship provider: Name of scholarship
provider_2: Given name: Relationship to applicant: Date: Date_2:
Date_3: Graduate Coursework Studies_2: Given names_2: Address for
correspondence 1: Address for correspondence 2: Date of birth
(DD/MM/YYYY): Suburb / town: Group2: OffGroup1: OffGroup3:
OffGroup4: OffGroup5: OffGroup6: OffGroup7: OffGroup8: OffTest date
(DD/MM/YYYY): IELTS Test Report Form TRF number: Registration
number: Country: Group9: OffGroup10: OffGroup11: OffGroup12:
OffGroup13: OffGroup14: OffDate of brith (DD/MM/YYYY): Group15:
OffFamily name_3: DD/MM: Family name_2: Delegate's signature:
Applicant's signature: Parent's / legal custodian's signature: Name
on card: Signature: Course/award_1: Course/award_2: Course/award_3:
Institution_1: Institution_2: Institution_3: Country_1: Country_2:
Country_3: Year started_1: Year started_2: Year started_3: Year
completed_1: Year completed_2: Year completed_3: Current
course/award: Current institution: Current country: Current date
results expected: 1: 2: 3: 4: 5: 6: 7: 8: 9: 10: 11: 12: 13: 14:
15: 16:
