The University of Melbourne

MCKENZIE POST-DOCTORAL FELLOWSHIPS PROGRAM

Eligibility Exemption Request Form for 2016 Commencement

Please note that submission of an Eligibility Exemption Request does not guarantee an exemption.

  1. INSTRUCTIONS TO APPLICANTS
  2. Eligibility Exemption Request Forms must be submitted by 11.59PM (AEDT) Monday 3 August 2015.
  3. Eligibility Exemption Request(s) may be submitted to request an exemption under the following circumstances only:
  • If the applicant’s PhD was awarded[1] prior to 1 January 2013;
  • Clarification of the applicant’s appointment at the University of Melbourne;
  • Other exceptional circumstances.

Research, Innovation and Commercialisation (RIC) will not support Eligibility Exemption Requests for applicants who have undertaken employment or made a decision to follow a different career path prior to 1 January 2013 and/or if the applicant was awarded their PhD ten (10) or more years ago at the time of application.

1.3Applicants who were awarded a PhD on or after 1 January 2011 and have had a period of significant research career interruption between 1 January 2013 and 25 September 2015due to circumstances described in Section 4.1(b) of the Funding Guidelines are not required to submit an Eligibility Exemption Request Form, however Part E of the Application Form must be completed.

1.4To complete and submit an Eligibility Exemption Request applicants must:

  • Complete this Eligibility Extension Request Form;
  • Clearly state and justify alleligibility issues;
  • Attach supporting documentation, maximum five (5) A4 pages. Supporting documentation may include, but is not limited to, evidence of teaching-only position or personal travel leave;
  • Savethe Eligibility Exemption Request as a single pdf filewith the filename format ‘McKenzie_2016_SURNAME OF APPLICANT_EER’;
  • Email to using the subject heading‘McKenzie 2016 – Eligibility Exemption Request – SURNAME’by 11.59PM (AEDT) Monday 3 August 2015.
  • Research, Innovation and Commercialisation (RIC) may, in its absolute discretion, and only in exceptional circumstances, accept late Eligibility Exemption Requests.
  • Submission of an Eligibility Exemption Request does not guarantee an exemption.
  • RIC will endeavour to notify applicants of the outcome of their Eligibility Exemption Request by Friday 14 August 2015.
  • Where the Eligibility Exemption Request is approved, applicants will be invited to submit a full application by 25 September 2015.

2.ELIGIBILITY EXEMPTION REQUEST DETAILS

2.1Administrative Summary

Title / Surname
Given Name(s)
Address
Nationality
Telephone
Email Address
Date PhD Awarded (Day, Month, Year)
Project Title

2.2Type of Fellowship Exemption Requested

Please tickall relevant boxes.

Your PhD was awarded prior to 1 January 2013 /
Clarification of appointment at the University of Melbourne
You have a fixed term or continuing appointment that is greater than one year at the University of Melbourne /
Other proposed candidate eligibility issue /

2.3Research Experience Gained

Please specify the total months/years since your PhD award and describe as fully as possible research experience gained(maximum 700 words).

2.4Justification for the need of an Eligibility Exemption

Applicants must provide details and make a compelling argument as to why they should be granted an Eligibility Exemption (maximum 700 words).

2.5Non-Employment and Employment History

Indicate non-employment andemployment history (in months/years and fraction Full Time Equivalent), in reverse chronological order since the date of PhD award.

Time Period
(Month/Year – Month/Year) / Non-employment and employment history (include position title) / Was employment research related
(Yes/No) / Total period
(Months/Years) / Fraction Full Time Equivalent / Documentation attached
(Yes/No)
eg. Jan 11 - present / Teaching-only position, Level A / No / 8 months / 0.5 / Yes
eg. Jun 10 – Jan 11 / Career interruption due to travel / No / 1 year / 1.0 / Yes
eg. Jan 09 – Jun 10 / Researcher / Yes / 6 months / 1.0 / No

(Add or delete rows in the table above as required)

2.6Applicant Declaration

I declare that the information I have given in this Eligibility Exemption Request is true to the best of my belief and I understand that any offer of a Fellowship or employment as a Fellow may be withdrawn if false information is given.

Signature / Date

McKenzie Post-Doctoral Fellowships Program: Eligibility Exemption Request Form for 2016 commencement Page 1

[1]The date of the award is considered to be the date of the official notification letter. For those applicants attending institutions where no such letter is provided, equivalent evidence that they have graduated or have completed all the required steps to be eligible to graduate with a PhD must be provided to RIC.