Higher Degree Research – Change of Supervision Form
Student Details
Student Number: / Degree (Course):
Surname: / First Name:
Current Supervision Team (Please Print Names):
Supervision %
Principal Supervisor: / Title: / %
Co-Supervisor: / Title: / %
Co-Supervisor: / Title: / %
Proposed Supervision Team (Please Print Names):
Supervision Discipline Area: http://planning.une.edu.au/UNE/Statistics/codes/org_unit_codes.htm / Supervision % / Supervision Discipline Area:
Principal Supervisor: / Title: / %
Co-Supervisor: / Title: / %
Co-Supervisor: / Title: / %
Effective Dates (Dates on which the changes of supervision are effective): / Start Date: / End Date:
NB: If end date is specified, supervision arrangements will revert to previous/current supervision arrangements unless otherwise specified.
EXTERNAL SUPERVISORS
External Supervisors are persons not employed by UNE.
External Supervisors cannot be a Principal Supervisor.
External Supervisors being nominated as a Co-Supervisor must have approval from Head of School.
Contact details for external supervisors:
Name:
Address:
Phone:
Email:
REASON FOR CHANGE OF SUPERVISION:
Please indicate the reason for the proposed change(s) in the supervision team:
SCHOOL TRANSFER
If it is required that the student transfer from one School to another School, due to the CHANGE of Principal Supervisor, please indicate below:
NB: International Students transferring Schools may be required to reapply for admission
Domestic: (Yes/No) / International: (Yes/No)
ETHICS (If applicable)
Is this student’s project covered by current ethics approval? (Yes/No)
If yes, please provide the current approval number:
Please seek advice from the UNE Ethics Officer about whether changing supervisors contravenes the conditions of Ethics approval.
Declaration By Student
I am transferring to another school? (Yes/No)
I confirm that I agree with this change of supervision.
Student Signature: / Date:
SignatureS of Proposed NEW SUPERVISION TEAM:
Principal
Supervisor: / Sign: / Date:
Print:
Co-supervisor / Sign: / Date:
Print:
Co-supervisor / Sign: / Date:
Print:
Declaration by Head of School or Nominee:
If supervision is from multiple Schools the signature is required from all of the relevant Head(s) of School(s).
As Head of School (or nominee) I confirm that:
- Each member of the proposed supervision team is formally registered on the UNE Register of Supervisors and is qualified to supervise at the degree level indicated.
- Supervisors who are being replaced have been advised of these changes
Head of School or nominee signature:
School: / Date:
Head of School or nominee signature:
School: / Date:
The completed form can be submitted via the AskUNE HDR Student interface:
Incomplete forms will be returned to the School(s).
Updated August 2015Page 1