COMPLETEthis expression of interest form to apply for honours projects in the Faculty of Health and Medical Sciences.

DO NOT COMPLETEthis form if you are applying for the Honours Degree of Bachelor of Psychological Science

DUE DATEApplicantsare strongly encouraged to apply by 1 July 2018, however applications will continue to be accepted up until mid-July.For information on scholarships available to honours students please visit

ATTACH

All applicants:

☐Current Academic Transcript (If you have completed undergraduate studies at an institution other than the University of Adelaide, you will also need to provide an official copy of your transcript once your final marks are available).

Bachelor of Medicine and Bachelor of Surgery students:

☐ Confirmation of an approvedLeave of Absence.

International Applicants:

☐ International English Language Testing System (IELTS) banding results.

SUBMITAll applicants are to submit this expression of interest form viaemail to:

NEXT STEPSOnce final results for the semester have been released (in July or December), Honours Coordinators will finalise their recommendations for Honours projects. Successful students will then be emailed with instructions to submit a formal application for admission to the honours degree via a University internal transfer, or, for external applicants, via SATAC.

Personal Details
Student ID / Name
Address / Postcode
Phone / Email
Undergraduate degree / Completion Year
Institution name
Alternate contact details (if required):
Honours Degree
Citizenship (Tick one)
☐ Australian citizen ☐New Zealand citizen
☐Permanent resident / ☐ I will hold a visa whilst studying honours (international students)
Visa type: ......
Intended Start date (Year/Semester) / 20 ____ / ☐Semester 1 ☐Semester 2
Intended Enrolment load / ☐Full time / ☐Part time
Honours Degree / Select Degree / Discipline / School / Select Discipline /
Have you applied for any other projects within or outside the Faculty? (please specify)
This will not affect your eligibility. If you have applied for multiple projects, we will contact you to confirm which project you wish to pursue prior to recommending you for an offer. / ☐Yes ☐No
______
Project and Supervision Details
Project Title
Brief Project Background
Primary Supervisor / Location
Email / Phone
Co-supervisor(s) / Email(s)
By signing the below I/we confirm 1. The academic unit/lab has capacity to supervise this student and project. 2. The nominated research project is practicable and can be completed according to the course requirements 3. A sufficient body of data / lab resources are available to satisfy the demands of the experimental design.
4. Equipment/apparatus needs can be met.
Supervisor Signature
Conditions of offer (if applicable), e.g. two students are applying for this project and selection will be based on academic merit; project is available is subject to funding:
Project Suitability Statement – School/Discipline Coordinator
I confirm that this project meets the requirements of the research project course in the respective discipline/school
Note: this is not a recommendation for offer or placeholder
Coordinator Name / Signature
Applicant Declaration
I confirm that this form is complete with all signatures and have included all relevant attachments in my submission
All applicants must submit complete forms with all required signatures and attachments to
Applicant Signature / Date