Start body copy here (please use any style within the Arial Font Family)....
Applicant Information
Full Name: /Date:
Last
/First
/M.I.
Address:Street Address
City
/State
/Post Code
Phone: /Applicant Education
Undergraduate Degree: /University & year
Postgraduate Degree: /University & year
Other Qualifications______
Copies of transcripts (attach)
Applicant Justification
Justification:
Applicant Statement of Service & CV
Statement of service - health/health related (attach)
CV (attach)
Referees Report
(refer to guidelines available)
Referee report from Employer (attach)
Referee report (one other) (attach)
Employer Details
Name: /Address:
Street Address
City
/State
/Post Code
Phone: /Contact person: ______
Employer Justification & Support
Justification:
I agree to support ______(name of candidate) to enroll in a DrPH. The organization will provide paid employment/scholarship to the value of Aus $______for a period of 3 years from Year______to Year______.
Signature: /Date:
Applicant Signature
I certify that my answers are true and complete to the best of my knowledge.
Signature: /Date:
(Applicant)
Referee Report on Applicant for the Future Health Leaders Program
The Future Health Leaders program is a Professional Doctorate in Applied Public Health (DrPH) offered by the School of Public Health and Community Medicine, University of New South Wales.
Referee reports will assist us to select candidates who are most suited for this program. In your report, please comment on the following:
1. The potential of the applicant to develop high level skills in:
· health leadership
· critical thinking and analysis
· independent applied research within their professional setting.
2. The abilities of the applicant to meet the program requirements of being:
· highly motivated
· demonstrating a high degree of intellectual independence, responsibility and accountability
· possessing excellent written and oral communication skills
Please also indicate how long have you known the candidate and in what capacity are you providing this report (e.g employer, academic supervisor etc). Please provide any further comments on any other areas that may be of relevance.
All referee reports will be held in confidence, and may be followed up with a phone call.
As referee reports are required to process the candidate’s application, please send the report to the candidate at your earliest convenience. Please inform the candidate if you are unable to provide a report or if there is likely to be a delay.
CHECKLIST FOR CANDIDATES:
Before submitting your application please ensure the following are included/attached:
r Completed Application form
r Employers support and details
r Academic transcripts
r Statement of service
r Curriculum Vitae (CV)
r 2 x referees reports
Please note this application process is only an expression of Interest to apply for selection into DrPH and is only part of the application process. Once candidates are approved by the selection panel they will be given instructions on how to enrol formerly through Graduate Research School (GRS)
1