1、 Read the Application Instructions on page 4 carefully before completing this form. An A$100 application fee must accompany this application (an exemption may apply for government/externally sponsored students). The non-refundable fee must be paid either (a) in the form of a bank draft payable to Th
2、e University of Adelaide or (b) by credit card. Cash, personal cheque, or credit cards other than those stated are not accepted. This application will not be processed until the application fee is paid as specified.11PERSONAL DETAILS If you have previously enrolled at, or applied to this University,
3、 please state your student/application number: ID no:Surname/family name: Given/personal name(s):Gender: Female Male Title: Mr Ms Miss Mrs Other (please specify):Date of birth(day/mth/yr): / / Country of citizenship:Country of birth:If you are an Australian Permanent Resident or completing an Austra
4、lian Year 12 qualification do not fill in this form. Apply at: www.satac.edu.auWhat Australian Visa will you be studying on? Student Visa Another type of Temporary Resident Visa If not a Student Visa, attach certified copy of the visa from your passport. It is your responsibility to ensure that this
5、 visa allows you to study and covers duration of the program you have applied for.Permanent address in home country Note: Your application cannot be processed if this information is not supplied as it is required by the Australian Government.Street: Email:Agent email:City: Alternative email:Country:
6、 Postcode:Fax:Telephone: (country code) (area code) (local number)Mobile:2PROGRAM PREFERENCES AND COMMENCEMENT DATE Check in Postgraduate International Prospectus for exact program title and intake availability.Preference 1: Preferred semester start:Semester 2, July 2010Semester 1, February 2011Seme
7、ster 2, July 2011Preference 2:Preference 3:3SPONSORSHIP/SCHOLARSHIP INFORMATIONPlease indicate if you are being sponsored by: your employer home government other organisationName of sponsor: Scholarship awarded by:OFFICE USE ONLYPOSTGRADUATE INTERNATIONAL STUDENT APPLICATION FORM2011CRICOS Provider
8、No 00123MAPPLICATION FEEList of official agents at www.international.adelaide.edu.au/apply/ Applications from other agents are not accepted and will not be processed.Official agent stamp - event application receivedBank draft of A$100 attachedCredit card payment of A$100 authorised below: Visa Maste
9、rcard American ExpressC a r d N o . Exp. Date (mth/yr)/ Cardholders Name _ Cardholders Signature _Voucher Number (if applicable) 24ENGLISH LANGUAGE PROFICIENCYProficiency in English is essential for successful study at the University. All international applicants must demonstrate an acceptable level
10、 of English proficiency to gain admission to the University. Please refer to page 25 of the Prospectus for further information about English language requirements, then indicate below how you have met the requirements.Certified results attachedIELTS (Academic) test undertaken in the 24 months preced
11、ing application. Date of test: / / TOEFL test undertaken in the 24 months preceding application. Date of test: / / First language is English (you may still be required to provide formal test results).I will be sitting an IELTS (Academic)/TOEFL test on / / and will forward the results to the Universi
12、ty as soon as possible.I wish to enrol in a Pre-Enrolment English Program and have provided my IELTS (Academic)/TOEFL test result.Other - please give details:5ACADEMIC QUALIFICATIONSPlease provide details and documentation of all completed and/or current studies. Attach: 1. Certified copies of all t
13、ranscripts of academic results and award certificates.2. An official explanation/guide to the grading system for any post-secondary studies.3. If the documents are not in English, they must be accompanied by an official certified translation in English.A certified copy of an original document is one
14、 which has been certified by an official agent or a staff member of this University, a Justice of the Peace, a Notary Public, a university registrar, a police officer, or an examining authority, as a true copy of the original document.TERTIARY/POST-SECONDARY STUDIESQualifications(eg, Bachelor of Com
15、merce)Institution Country Year of commencementYear of completionCertified documentsattachedPROFESSIONAL QUALIFICATIONS (if any)Qualification/membership(eg, CPA Associate Member, Member of Institute of Engineers)Institution Country Year qualified/awarded6PROFESSIONAL/EMPLOYMENT EXPERIENCE (please lis
16、t your current or the most recent employment first)Position Employer Country Years of service(eg 2001-2004)7FINANCIAL SUPPORTInternational students must ensure that they have sufficient funds to meet the tuition fees and living costs. A sum of approximately A$290-475 per week is recommended for livi
17、ng in Adelaide. Please indicate your source of financial support while studying at the University of Adelaide:Self Family Loan Sponsored by: your employer home government other organisationEvidence of sponsorship/scholarship attachedName of sponsor:Sponsorship awarded by: Submission date: / / Deadli
18、ne to receive offer letter if applying for external scholarship: / / 3CLIP DOCUMENTS HERE. DO NOT STAPLE.9CHECKLISTYour application cannot be considered unless all required documents are attached. Please ensure you have:Completed all sections of this application form.Paid the A$100 application fee.A
19、ttached certified copies of all transcripts of academic results, award certificates, grading systems, and translations (if applicable) - see Section 5Attached certified copies of subject descriptions/syllabuses - see Section 5Attached certified copies of IELTS/TOEFL/other English Language Proficienc
20、y results - see Section 4Attached certified copies of any professional qualifications/memberships - see Section 5Attached evidence of sponsorship/scholarship (if applicable) - see Section 3Attached a certified copy of your visa (if not a student visa) - see Section 1Attached required additional docu
21、mentation or evidence - only for programs specified in Section 8Contacted your referees and requested their sending the Academic Referees Confidential Reports to International Office, University of Adelaide, SA 5005, Australia - only for programs specified in Section 8Signed the declaration (a proxy
22、 cannot be authorised to sign on your behalf) - see Section 10Made a copy of this application for your record and reference.10DECLARATION AND SIGNATUREI agree to: Comply with the rules on admission, enrolment, fee payment and refunds of the University of Adelaide; Notify the International Office if
23、there is any change to the information I have given in this application for admission; Notify DIAC of any change which may result in changes to my visa; Permit the University to access my academic records from other institutions; Permit the University to disclose personal information collected from
24、this application form to the relevant bodies for the verification and assessment of my previous qualifications; and Receive electronic communication and information from the University relating to my application.I understand that: The documents submitted for my application become the property of the
25、 University of Adelaide and will not be returned to me; The University may vary or reverse any decision regarding admission or enrolment made on the basis of incorrect or incomplete information provided by me; The University reserves the right to inform other institutions, if any of the material pre
26、sented to support my application is found to be false; The personal information that I have provided may be released to Australian Government and State agencies under the Education Services for Overseas Students (ESOS) Act; I am seeking temporary entry into Australia as a fee paying international st
27、udent for education purposes only, and that I may not undertake part-time studies, nor full-time employment; I, or my sponsor, will be responsible for the full costs of the program for which I am seeking admission and for all travel and living costs; The University will not provide a subsidy to me f
28、or any costs incurred by, or on behalf of, my dependants; and I may be subject to different rules and conditions prescribed by the University and the Australian Government if I change my visa status.I declare that I have read the Application Instructions on this application form and that the informa
29、tion provided by me in this application is true and complete in every detail.I authorise the University of Adelaide to release personal information relevant to my application and visa documentation to the following official agent of the University of Adelaide (see list of official agents at www.inte
30、rnational.adelaide.edu.au/apply/) Name of agent: Signature of applicant:_ Date: / / 8SPECIAL PROGRAM REQUIREMENTS (Only for applicants to programs named in this section)All Masters programs offered by the Faculty of SciencesIndicate (if available) an area of research interest for the final semester
31、project of the program: REFEREESList below the names and addresses of two referees who can comment confidentially on your academic and/or professional background. Please give your referees the Academic Referees Confidential Report (at www.international.adelaide.edu.au/apply/appforms) and ask them to
32、 send the completed reports to International Office, University of Adelaide, SA 5005, Australia or online at: www.international.adelaide.edu.au/enquiries as soon as possible. Psychology applicants should, however, use the Referees Form at www.adelaide.edu.au/psychology/students/prosp/pgApplications
33、for the asterisked programs above cannot be processed without the referees reports.Name (with title, eg Dr/Prof/Ms) Organisation Email address Phone/fax: Country code Area code Local numberPhone:Fax:Phone:Fax:Tick box if documents attached (page number indicated for requirement details in Postgrauat
34、e International Coursework Prospectus 2011)Architecture (p34) Forensic Odontology (p56) Music Performance (p68) Plant Biotechnology* (p74)Clinical Dentistry (p56) Grief & Palliative Care Counselling (p56) Occupational Health & Safety Management* (p58) Plant Health* (p78)Creative Writing (p62) Health
35、 Economics and Policy (p57) Oenology* (p78) Psychology (p70)Food Writing (p62) MBA (p40) Petroleum Business Management (p51) Public Health (p59)* Applications for this program cannot be processed without the referees reports (see below). Viticulture* (p81)41. Complete this application form (see How
36、to complete this form below).2. Attach all required documentation and any fees (refer to checklist in Section 9 of the application form).3. Submit the completed application form and required documentation: online at: www.international.adelaide.edu.au/enquiries by post to International Office, Univer
37、sity of Adelaide, South Australia, 5005, Australia(couriers should enter via Gate 13, Kintore Avenue, Adelaide), or to one of the Universitys official representatives/agents (see the Overseas Representatives page on our website: www.international.adelaide.edu.au/apply/)Admission and acceptance proce
38、dureAfter assessment of qualifications and English language proficiency, successful applicants will receive an official written offer of a place from the University. Students must accept their place, in writing, by the deadline specified in their letter of offer, otherwise the offer will lapse. If a
39、 conditional offer has been issued, and the applicant subsequently demonstrates that they have met the conditions, an email confirmation will be sent by the International Office to the student. An updated offer letter will not be issued.Unsuccessful applicants will be notified via email if they are
40、not accepted into an undergraduate academic program.Students (or their sponsors) will be required to pay a deposit for tuition fees of A$9,000, plus entire payment of program length Overseas Student Health Cover (OSHC). On receipt of these payments and fulfilment of any conditions of the offer, the
41、University will send the documents necessary to apply for a student visa at the Australian Diplomatic Mission selected by the student, to the student or the nominated University official representative.ScholarshipsA separate application process is required, and will require completion of a web-based
42、 form. Students wishing to be considered for a scholarship will be required to have met all conditions of their offer of admission at the time of scholarship application. Therefore, students wishing to be considered for a scholarship should lodge their application for admission at least 8 weeks prio
43、r to the scholarship application closing date. More information on available scholarships and the application process is available at: www.international.adelaide.edu.au/scholarshipsWho should use this form?You should use this form if you are an international student applying for full-time study in a
44、 postgraduate program at the University of Adelaide.Do not use this form if you are one of the following: a citizen of Australia or New Zealand a permanent resident of AustraliaHow to complete this form Write clearly in ink using BLOCK LETTERS. Complete all sections from pages 1-3, including the Che
45、cklist in Section 9 and the Declaration in Section 10. An A$100 application fee must accompany this application. An exemption may apply for government/externally sponsored students. The non-refundable fee must be paid either (a) in the form of a bank draft payable to The University of Adelaide or (b
46、) by credit card. Please indicate your payment details in the Application Fee section. Cash, personal cheque, or credit cards other than those stated are NOT accepted. This application will not be processed until the application fee is paid as specified. Attach all required documentation. Your appli
47、cation cannot be considered unless all essential documents are attached.Certification and submission of documents Documentation submitted with the application must be certified. A certified copy of an original document is one which has been certified - by an official agent or a staff member of this
48、University, a Justice of the Peace, a Notary Public, a university registrar, a police officer, or an examining authority - as a true copy of the original document. The University reserves the right to inspect and verify the originals of your qualifications and transcripts prior to and during your en
49、rolment. Do not staple any attached documents. Clip all documents, preferably with a foldback clip, on top of page 3 of this application folder. The documents should be presented (in A4 format) in the same sequence as they are requested in the application form. All submitted documents become the property of the Univers
