COMPLETE this expression of interest form to apply for honours projects under the Honours Degree of Bachelor of Health and Medical Sciences (Public Health)

DO NOT COMPLETE this form if you are applying for the Honours Degree of Bachelor of Psychological Science or a project outside of the Public Health specialisation

DUE DATE Applicants are strongly encouraged to apply by 30 November 2017 after the release of final results, however applications will continue to be accepted up until mid-January. For information on scholarships available to honours students please visit https://scholarships.adelaide.edu.au/.

ATTACH

All applicants:

☐ Current Academic Transcript (If you have completed undergraduate studies at an institution other than the University of Adelaide, you will also need to provide an official copy of your transcript once your final marks are available).

Bachelor of Medicine and Bachelor of Surgery students:

☐ Confirmation of an approved Leave of Absence.

International Applicants:

☐ International English Language Testing System (IELTS) banding results.

SUBMIT All applicants are to submit this expression of interest form via email to:

NEXT STEPS Once final results for the semester have been released (in July or December), Honours Coordinators will finalise their recommendations for Honours projects. Successful students will then be emailed with instructions to submit a formal application for admission to the honours degree via a University internal transfer, or, for external applicants, via SATAC.

Personal Details
Student ID / Name
Address / Postcode
Phone / Email
Undergraduate degree / Completion Year
Institution name
Alternate contact details (if required):
Honours Degree
Citizenship (Tick one)
☐ Australian citizen ☐ New Zealand citizen
☐ Permanent resident / ☐ I will hold a visa whilst studying honours (international students)
Visa type: ......
Intended Start date (Year/Semester) / 20 ____ / ☐ Semester 1 ☐ Semester 2
Intended Enrolment load / ☐ Full time / ☐ Part time
Honours Degree / Honours Degree of Bachelor of Health and Medical Sciences (Public Health)
Have you applied for any other projects within or outside the Faculty? (please specify)
This will not affect your eligibility. If you have applied for multiple projects, we will contact you to confirm which project you wish to pursue prior to recommending you for an offer. / ☐ Yes ☐ No
______
Project Preference
1st Preference / Select Academic Unit / Project Title
2nd Preference / Select Academic Unit / Project Title
3rd Preference / Select Academic Unit / Project Title
Applicant Declaration
I confirm that this form is complete and have included all relevant attachments in my submission
All applicants must submit complete forms with all required signatures and attachments to
Applicant Signature / Date