Additional Information for Admission to a HDR 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. Research Area Briefly describe your proposed area of research and a brief description of your proposed methodology Comments: Will you require the resources and/or facilities of an organisation other than CSU? Yes No If yes, Comments: Research Office: Additional Information for Admission to a HDR program 081111 P1/2 Yes Have you applied for a Postgraduate Scholarship from any other organisation? No If yes, Comments: 4. References Please provide names and contact details of two academic referees who can comment on your ability to undertake research Name Phone Email Name Phone Email 5. Supervision Have you discussed your research area with a proposed Supervisor? Title First Name Yes No If yes, Last Name School or Centre Faculty <select> Email Phone 14. 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 Reset Form Signature Save As Print Form Date: Submit by Email to the Admissions Office Research Office: Additional Information for Admission to a HDR program 081111 P2/2
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