Deakin University
EXPRESSION OF INTEREST FORM - To undertake a Higher Degree by
Research
Thank you for your interest in studying for a research degree at Deakin University. Before you can apply, we need some
information from you to allow us to understand your academic background and research interests. Submission of this form
and accompanying documentation is not a formal application for a Research Degree at Deakin.
Please place ‘X’ in the appropriate box. If you wish to write (not type), please use CAPITAL LETTERS.
1.
PERSONAL DETAILS
Title
Mr
Mrs
Ms
Dr
Other
Family Name
Given Name
Email Address
Country of Birth
Date of Birth (dd / mm / yy)
Have you previously applied for a course at Deakin University?
No
2.
Yes
Deakin ID number
ACADEMIC QUALIFICATIONS – Please provide a copy of your CV or complete the information below
Please list up to three highest qualifications (undergraduate and postgraduate).
Qualification (e.g. Bachelors,
Masters)
Institution and its location
University World Ranking
Year completed
Major or discipline
Language of Instruction
Final grade
GPA
Privacy Statement:
The information on this form is collected for the primary purpose of assessing whether you are to be provided with an invitation to apply for
a research degree at Deakin University. In submitting this information you give your consent for it to be shared with Faculty staff who will
make this decision.
You have a right to access personal information that Deakin University holds about you, subject to any exceptions in relevant legislation. If
you wish to seek access to your personal information or inquire about the handling of your personal information, please contact the University
Privacy Officer via email at [email protected].
3.
THESIS / DISSERTATION
Please list the most recent Bachelor, Honours or Master’s thesis/dissertation.
Title
Word count
Mark or grade received
Which degree this thesis/dissertation was for.
Please describe the requirements of the thesis/dissertation: 1. the length of time you spent studying the research project, 2. the required length of
thesis/ dissertation, 3. how it was examined (for example internally by your supervisor, by an external marker or by a committee.The more details you
provide the better we can assess your qualifications. If these details are available online, please provide the web address.
4.
PUBLICATIONS
Title
Authors
Journal
Year
Volume
& Page
Impact
Factor
Please add more rows if needed
5.
RESEARCH EXPERIENCE
Please describe briefly any postgraduate research experience. This might include work as a researcher or research assistant, research project work for
a university or industry or any other forms of research experience. You should outline what actual research you have done and what new knowledge
you have discovered. Please outline the work done, as well as the dates and locations of such work.
6.
PROPOSED THESIS/DISSERTATION
Please attach a draft research proposal for your PhD of approximately 300 words using the following headings as a guide:
7.

a statement of the research project/problem/question;

the reason for the proposed research and its significance;
POSSIBLE SUPERVISOR
If you have discussed your proposed research with any Deakin staff members, or would like particular Deakin staff members to
be your supervisors, please list them below.
Name
Name
THIS IS NOT A FORMAL APPLICATION.
Please send the completed ‘Expression of Interest’ form and scanned copies of supporting documents by email to:
[email protected]
It is in your interest to provide ALL the information requested on this form as incomplete information can result in delays to
your progress. .
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