SUPERVISOR RE-REGISTRATION APPLICATION

TO CONTINUE TO SUPERVISE HIGHER DEGREE BY RESEARCH CANDIDATES

INSTRUCTIONS TO APPLICANTS:

Please complete Section A and then submit the form to the Research Hub. The Research Hub will liaise with the Head of School (HoS) to have SectionB. The Research Hub will submit your application to the Dean of Graduate Research for consideration.

Please note that for each school/institute you wish to be re-registered with, you will need to complete a separate form with approval from the HoS from that school.

If your registration period ended more than 12 months ago, you will need to submit an updated CV with this application.

NOTE: To add your electronic signature, copy (CTR+C) and paste (CTR+P) your signature file (JPG, BMP or PNG formats only) into the signature box, you can then click and drag the image to resize.

SECTION A – TO BE COMPLETED BY THE SUPERVISOR (APPLICANT)
  1. Applicant Details

UTAS Staff ID:
Title, Given Name, Family Name:
Date of Birth (dd/mm/yy):
UTAS School/Institute:
  1. UTAS Employee Details

What type of appointment do you hold with University of Tasmania? / ☐Permanent (7 year registration)
☐Limited Term / Fixed Contract / End Date:
☐Honorary / Clinical / Adjunct / University Associate / End Date:
For Honorary / Clinical / Adjunct / University Associate researchers, please provide your non-UTAS Employee details
Phone:
Name of Current Employer:
Work Address:
  1. Qualification Details

What is your highest academic qualification
☐PhD / ☐Professional Doctorate / ☐Master of Research / ☐Other (please specify):
I confirm my highest qualification is listed in MyHR: / ☐Yes / ☐No
If NO, are you in the process of updating your highest qualification in MyHR? (please contact HR for assistance) / ☐Yes / ☐No
  1. Supervisor Details

You must meet the following eligibility requirements to remain on the supervision register:
  • you are an academic staff member or honorary, adjunct, clinical or university associate appointment at UTAS with a minimum 12-month appointment;
  • you have a Higher Degree by Research at the level or higher at which you wish to supervise or equivalent; and
  • you are research active; and
  • you have participated in professional development or training activities pertaining to supervisory practice.
Where the eligibility requirements are not met, a case for equivalence should be attached to this application.
Since your initial registration as a supervisor have you supervised Higher Degree by Research candidates to completion? / ☐Yes / ☐No
If YES, please provide details below
# PhD: / # Professional Doctorates: / # Master of Research:
  1. Supervision Development

I have undertaken the following development activities during my previous registration period:
☐ / Facilitated a generic skills workshop or attended University-based workshops/seminars on supervision
☐ / Served as a Graduate Research Coordinator
☐ / Reading of web-based supervision material and undertaken related activities
☐ / Attended and contributed to an internal school seminar on supervision best practice
☐ / Presented at or attended a conference relating to postgraduate education and supervision
☐ / Conducted a research project or submitted material for publication in the area of supervision
Please provide further details for each box selected above
  1. Applicant Declaration

I have organised access to University systems and downloaded MyVPN (My Virtual Private Network) software to ensure that I can action requests in a timely manner when I am off campus (Please contact IT if you require assistance with MyVPN installation) / ☐Yes / ☐No
I agree to:
  • comply with all University policies, rules and codes of conduct relating to research and research supervision;
  • use all reasonable endeavours to be informed about quality supervision practices and institutional policies by undertaking relevant activities during the period of registration;
  • keep in regular contact with the candidate and supervisory team, and participate in annual review processes;
  • take and maintain records of meetings with candidates; and
  • to discuss my performance as a supervisor, with the Head of School, Graduate Research Co-ordinator, or the Dean of Graduate Research, if required.

Signature: / / Date:
SECTION B – TO BE COMPLETED BY THE HEAD OF SCHOOL
  1. Head of School Endorsement

I confirm that
  • the supervisor is Research Active;
  • I hold a reasonable expectation that the supervisor has participated in professional development activities pertaining to supervisory practice as required by the HDR Supervision Policy; and
  • I hold a reasonable expectation that the supervisor will continue to satisfy the entry criteria to remain on the Register and will be available to supervise any associated candidate for the maximum degree period.
NOTE: If a Head of School is applying for registration, the application must be endorsed by the Faculty Dean.
I support the re-registration of this supervisor / ☐Yes / ☐No
Name / Signature / Date
  1. Submission

Please submit the application to your Research Hub

(Sciences, IMAS, AMC) /
(Arts, Law, Education) /
(Health and Menzies)

(Tasmanian School of Business and Economics)
SECTION C – OFFICE USE ONLY
The supervisor is:
☐ / Approved under Rule 4
☐ / Approved through equivalence / Reason:
☐ / Not Approved / Reason:
Approved Highest Level of Supervision::
☐ / Doctoral Candidates / ☐ / Master of Research Candidates

Supervisor Re-Registration Form (Version: 20180508)1 | Page