Joint Research Centre of Grains for Health
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Joint Research Centre of Grains for Health Domestic Student PhD Application Form
Email completed form with attachments to Iain Searle [email protected]
SECTION 1 – PERSONAL DETAILS
Full name
Gender
Date of Birth (DD/MM/YYYY) Please select from the following, are you: An Australian citizen A New Zealand citizen An Australian permanent resident
Country of Birth
Permanent address in Australia
Suburb Post code
Email Address
Contact phone number
Mobile phone number
SECTION 2 – PROGRAM DETAILS
Please provide your top three preferences for First preference ______research areas that most interest you Second preference ______
Third preference ______SECTION 3 – TERTIARY QUALIFICATIONS (e.g. BSc, BSc (Hons), MSc etc)
Qualification 1
Institution
Country
Year Year commenced completed
Qualification 2
Institution
Country
Year Year commenced completed
Qualification 3
Institution
Country
Year Year commenced completed
Qualification 4
Institution
Country
Year Year commenced completed
*Please attach additional sheets, if required SECTION 4 – RESEARCH/EMPLOYMENT EXPERIENCE
Position 1
Employer
Country
Year Year commenced completed
Position 2
Employer
Country
Year Year commenced completed
Position 3
Employer
Country
Year Year commenced completed
Position 4
Employer
Country
Year Year commenced completed
Position 5
Employer
Country
Year Year commenced completed
*Please attach extra sheet if needed SECTION 5 – DETAILS OF YOUR RESEARCH BACKGROUND
Based on your highest degree Did your highest degree require you to undertake research and / or produce a formal thesis/dissertation?
Yes
No
If yes, what proportion of your study was allocated to your research thesis/dissertation?
Months (full-time) ______
Total course in months ______
Please enter the results/grade received for your thesis:
GPA %
Do you have any publications? Yes No
If so, how many: ______
SECTION 6 – ENGLISH LANGUAGE PROFICIENCY
If your first language is not English, you may be required to provide an English certificate. Please indicate how you meet the language requirements:
IELTS (academic) test (Undertaken in the 24 months preceding application)
Date ______
Overall score ______
TOEFL test (Undertaken in the 24 months preceding application)
Date ______
Overall score ______
First language is English SECTION 7 – FUNDING
PhD students must ensure they have sufficient funds for living costs in Adelaide. Please indicate your source of financial support while studying at the University of Adelaide:
Self Family Loan Sponsor*
I have no funding, but am willing to apply for a scholarship by:
University of Adelaide
FOODplus Research Centre
*Name of sponsor ______
SECTION 8 – DOCUMENTATION
Please provide a copy of the following documents as an attachment to your email:
Letter of interest (written by you) Resume/CV (including the details of at least two professional referees and any research publications) Scanned copy of academic transcript results (include an explanation of the grading system used and a translation in English if applicable) Scanned copy of IELTS/TOEFL scores (if applicable – for more details visit http://www.international.adelaide.edu.au/apply/admission/)