Master of Engineering Science (Research)

Application for Variation to Supervisor Details

Section A:Details of the candidate

Monash Student ID:
Surname:
Given names:

Section B:Current supervision arrangements

Please detail the supervision arrangements in place prior to the proposed change:
Main Supervisor: / %
Other Supervisor(s): / %
Has appropriate consultation taken place between the current supervisors and the candidate? If necessary the Head of Academic Unit/Graduate Co-ordinator should convene a meeting. / Yes / No

Section C:New supervision arrangements

Supervision change to date from:
Is the main supervisor to be replaced?
No / If the main supervisor is unchanged do not complete the main supervisor details
Yes

1. Main Supervisor

I nominate as main supervisor the following person, who is qualified and has agreed to act in this capacity:

Full name:
Position:
Supervision %: / Accreditation level:
Number of current student supervisions: / Callista ID:
Supervision start date:
Signature:

2. Associate Supervisor

Full name:
Position:
Supervision %: / Accreditation level:
Number of current student supervisions: / Callista ID:
Supervision start date:
Signature:

3. Other supervisor or External Supervisor (if applicable)

Full name:
Position:
Supervision %: / Accreditation level:
Number of current student supervisions: / Callista ID:
Supervision start date:
Signature:

Section D: Declaration by the candidate

I am satisfied with the proposed changes to my supervision arrangements.

Signature: / Date:

Section E: Endorsement by the Head of Department (or nominee)

I endorse this recommendation.

I confirm that any relinquishing supervisor/s have been informed of the change in arrangements. / Yes / No
The supervisions comply with load limits according to the university’s accreditation requirements for the appointment of supervisors. / Yes / No
Signature: / Date:
Name (please print)

Section F: Endorsement by the Associate Dean Research Training

Approved the application / Rejected the application
Signature: / Date:

Privacy statement:

The information on this form is collected for the primary purpose of assessing your application to vary your supervisor details. Other purposes for collection include attending to administrative matters, corresponding with you and statistical analysis. If you choose not to complete all questions on this form it will not be possible for Monash University to assess your application. You have a right to access personal information that Monash 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 at: .

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