Additional Information for Admission to the Doctorate of Veterinary Studies program
Please complete this form and submit together with your Application for Admission Form to the CSU Admissions Office
1. Student Details
Title
First Name
Last Name
Email
2. Proposed Course Details
Load
Mode
Entry Term
3. Proposed Veterinary Discipline
Choose
4. Research Experience
Briefly describe any previous research experience you have had and/or post-graduate training and/or post graduate degrees:
Comments:
Have you applied for a Postgraduate Scholarship from any other organisation?
Yes
No
If yes,
Comments:
Research Office: Additional Information for Admission to the Doctorate of Veterinary Studies program 070613
P1/2
5. References
Please provide the names and contact details of two referees who can comment on your ability to undertake supervised postgraduate professional training and clinical research
Name
Phone
Email
Name
Phone
Email
6. Supervision
Yes
Have you discussed your research area with a proposed Supervisor?
Title
First Name
No
If yes,
Last Name
School or Centre
7. Your Signature
PLEASE NOTE: This is an electronic form and requires your signature below and emailed submission to the Admissions
Office using the button below. For any queries about the completion of this form please contact the Research Office.
For more information please contact the Admissions Office or see the How to Apply page of the CSU website.
Please note, if you do not have an electronic signature, you can create one below, or you may print this form, sign manually
and scan and email to [email protected]
Name
Signature
Date:
Submit by Email to the
Admissions Office
Reset Form
Save As
Print Form
Research Office: Additional Information for Admission to the Doctorate of Veterinary Studies program 070613
P2/2