PLEASE NOTE /
  • This form must be typed. Handwritten forms will not be accepted.
  • Double clicking on the check boxes enables you to change them from not-checked to checked.
  • Applicants to the PhD complete Section 1
  • Applicants to a Professional Doctorate complete Section 2
  • Applicants to the School of Engineering are required to submit 2 academic references

Student ID / Name
Faculty / School/Dept
Discipline / Programme
Ethnicity / Residency / Citizen/PR / International
Proposed Start Date / Expected Submission Date
Working Title
Will this research involve working with children?
If yes, see note below / Yes / No
Please indicate where you will be based during your studies:
(This does not include trips for data collection)
City: / Country:
Study History
Have you ever been enrolled as a doctoral student prior to this application? / Yes / No
Topic
Institution / Department
Period of Candidature / Was the degree conferred? / Yes / No
Reason for non-conferment (if applicable):
Scholarships
Do you hold any scholarships/awards/sponsorship by an external organisation? / Yes / No
Are fees included in the scholarship? / Yes / No
Give the name(s) of scholarships/awards/sponsors
Language
Do you wish to present your research in a language other than English? / Yes / No
If yes, state which language
ADDITIONAL INFORMATION
  • Expected Completion:PhD students are normally expected to complete within 4 years; applications for extensions will be considered at the end of this period. Professional doctorate students are normally expected to complete their thesis within 3 years.
  • External parties: when working with external parties, contractual arrangements should be in place to clarify your rights and responsibilities. The University Research Office is responsible for such contracts and is available to assist and answer questions.
  • Conflicts of Interest: Please refer to the current version of the Postgraduate Handbook. This section establishes a set of questions to help identify any potential conflicts. If a conflict is identified, the supervisory agreement should outline how this will be managed.
  • Confidential Material: If the subject matter of the research is confidential and may require an embargo once completed this should normally be identified when the PGR09, full research proposal, is completed. Please refer to the current version of the Postgraduate Handbook. Your primary supervisor must supply a justification for confidentiality to the University Postgraduate Board.
  • Intellectual Property: Please refer to the current version of the Postgraduate Handbook. If you or your supervisor have reason to believe that Intellectual Property implications will arise out of independent research, your primary supervisor is responsible for discussing this with you and liaising with the University’s commercialisation arm – AUT Enterprises Ltd.
  • Confirmation of Candidature: PhDstudentsare normally expected to submit their PGR9 (Full research proposal) within 12 months from the date of first enrolment. Professional doctorate Students are normally expected to submit their PGR9 on completion of their coursework.
  • Ethics Approval: with the exception of pilot studies, ethics approval is not required until the PGR9 stage.please seek advice from the Ethics Secretariat (AUTEC)if you have any queries on ethics requirements.
  • Postgraduate Handbook: the postgraduate handbook is the overarching guide to postgraduate academic policies and procedures.
  • Vulnerable Children’s Act (2014):A student requiring sustained contact with a child or children will need to contact their primary supervisor and Faculty Associate Dean (Postgraduate) for advice on undertaking appropriate police checks.

APPROVALS(OFFICE USE ONLY)
PhD SUPERVISOR SUPPORT STATEMENTS
Please comment on the scope and feasibility of this project as a PhD?
Please comment on thestudent’s ability to complete a PhD within the normal timeframes? (4 years)
Please identify the potential resources and budget implications for this project.
PROFESSIONAL DOCTORATE ADVISOR SUPPORT STATEMENT
Please comment on the suitability of this studentfor doctoral study.
SUPERVISOR / ADVISOR DECLARATION (OFFICE USE ONLY)
As supervisors, we are committed to ensure that adequate and appropriate supervision will be provided according to University policy and any/all issues relating to conflict of interest with respect to the student and/or the project will be declared and managed appropriately.
Primary Supervisor/Advisor / Supervised PhD to Completion / Yes / No
Signature / Date
Second Supervisor/Advisor / Supervised PhD to Completion / Yes / No
Signature / Date
Additional Supervisor/Advisor / Supervised PhD to Completion / Yes / No
Signature / Date
Role of
Additional Supervisor/Advisor
Mentor Supervisor
Where a supervisor has not supervised a doctorate to completion a mentor should normally be appointed. The following supervisor will act as mentor for all who requires this within the supervisory team.
Name
Signature / Date
ENTRY CRITERIA (OFFICE USE ONLY)
Admitting Qualification / Institution / Country
Length (years) / Year Granted / NARIC
Honours (equivalent) / Research Component / Yes / No / Points/Total
Research Methods / Yes / No / Points/Total
Other Qualifications
Additional
Info/Consideration
English Language / Is English the applicant’s first language / Yes / No
Evidence of English Language / IELTS / TOEFL / Previous PG Study in English
Other (supply Evidence/Justification)
RESOURCE SIGN OFF (OFFICE USE ONLY)
HOD/HOS (name) / Confirm Resources
Available for this project / Yes / No
Signature / Date
FACULTY APPROVAL (OFFICE USE ONLY)
Recommendation / That this applicant be admitted to the above AUT Doctoral Programme
Condition(s) / Research Methods / Not Required
Required
Associate Dean
(Signature) / Faculty PGC Approval Date
UNIVERSITY POSTGRADUATE BOARD APPROVAL (OFFICE USE ONLY)
Approval / I approve admission to the above AUT doctoral programme with any conditions as listed above
Name / Title
Signature / UPB Approval Date
SECTION 1 DOCTOR OF PHILOSOPHY(PhD) RESEARCH PROPOSAL

Please write a short, 1000 word max,provisional proposal using the following headings as a guide. Your proposal should be in 12-point font, single spaced and written in lay English for a general audience under the headings as indicated. You may delete the italic text under each header (including these instructions).

Topic/Research Question:

Research Benefits/Significance:

Provide a brief outline (2-3 sentences) of the benefits/effects your research may produce –for whom, why and in what way?

Design/Plan of the Study:

Provide a brief outline of the potential methodology and methods/research technique(s) to be employed in the study.

Timeline (normally 4 years):

RESEARCH PUBLICATIONS
Provide details of any original research and/or publications for publication/abstracts you have authored/co-authored and indicate the percentage of your contribution, e.g. sole (100%), joint (50%), multi-authorship (20%); the nature and standing of the journal/conference; whether in press (accepted for publication) or published.
ADDITIONAL INFORMATION
State details (if any) and attach evidence (if any) of any additional information which may support your application.
DECLARATION BY APPLICANT
I declare that the information provided by me in this application is true and complete. I recognise that it is my responsibility to provide all necessary documentation to support my application and I authorise Auckland University of Technology, where necessary, to obtain further relevant documentation and to verify my qualifications as detailed in this application. I acknowledge that AUT reserves the right to vary or reverse any decision regarding admission to candidature on the basis of this application. I agree that I will endeavour to complete this programme within 4 years. I have read and understand the conditions of candidature outlined in the current Postgraduate Handbook and am prepared to accept them in full. I have read and understand the supervisors’ support statements as attached to this application.
Applicant’s signature: / Date:
SECTION 2 PROFESSIONAL DOCTORATE RESEARCH CONCEPT (DHScEdD)

Include an outline of the area of research that will be the focus of your doctoral programme and the significance of the proposed area. The word limit is 1000 words.

Area of Research:

Significance of Proposed Area of Research:

Timeline (normally 3 years for the thesis component):

RESEARCH PUBLICATIONS
Provide details of any original research and/or publications for publication/abstracts you have authored/co-authored and indicate the percentage of your contribution, e.g. sole (100%), joint (50%), multi-authorship (20%); the nature and standing of the journal/conference; whether in press (accepted for publication) or published.
ADDITIONAL INFORMATION
State details (if any) and attach evidence (if any) of any additional information which may support your application.
DECLARATION BY APPLICANT
I declare that the information provided by me in this application is true and complete. I recognise that it is my responsibility to provide all necessary documentation to support my application and I authorise Auckland University of Technology, where necessary, to obtain further relevant documentation and to verify my qualifications as detailed in this application. I acknowledge that AUT reserves the right to vary or reverse any decision regarding admission to candidature on the basis of this application. I agree that I will endeavour to complete this programme within 3 years (FTE) after completing the coursework component. I have read and understand the conditions of candidature outlined in the current Postgraduate Handbook and am prepared to accept them in full. I have read and understand the supervisors’ support statements as attached to this application.
Applicant’s signature: / Date:

PGR2 – Admission to a Doctoral ProgrammeV1.3Update Aug 16Page 1 of 5