Application to Transfer to External Phd Candidature

Faculty of Medicine Nursing and Health Sciences

Transfer to External Candidature form for Masters by Research candidates

Faculty of Medicine, Nursing & Health Sciences use only

Guidelines:

. Regular interactive communication should take place between candidate and supervisor at least once every two weeks (full-time candidates) or four weeks (part-time candidates), via telephone, video conference, email or other interactive communication. . The conditions that apply to enrolment level, time available for research and attendance requirements also apply to external candidates. . The site or location where the prospective external candidate intends to undertake his/her research must offer appropriate resources, facilities and research expertise for the successful pursuit of the research project. . In the case of a student enrolled externally in a laboratory based discipline, an on-site supervisor, in addition to the Monash-based principal and associate supervisor/s (if applicable) would be mandatory. . Candidates are required to meet an annual five (5) day on-campus attendance requirement, or equivalent over the period of candidature. . The attendance requirements must be met each year. A portion of this attendance may be off-campus, provided that the candidate is able to interact with the principal or associate (university) supervisor during this time (for example, where candidate and supervisor(s) both attend a conference). .

Section A: To be completed by the student (Please place X in the appropriate boxes)

ID No: Department:

Family Name: Title:

Given Names:

Mailing Address:

Telephone No: Home: Work:

Email address:

Course:

Scholarship: APA MGS APA (I) IPRS Other 

CRICOS Provider number: 000008C 1 R:\Research Degrees\Masters courses\Forms andVariationLetters\Current Variation Forms\transfer to external Updated 23/03/2009 Please specify:

Enrolment and attendance details

The external candidature is to be undertaken: Within Australia Overseas

Level of enrolment Full-time Part-time

The transfer to external candidature should date from: Day Month Year

Reasons for seeking a transfer to external candidature:

Please indicate your employment commitments during your proposed candidature.

Employer:

Position Title:

Employment Level: Full-time Part-time or Casual  State the days and hours per working week during which you will undertake your employment responsibilities

A candidate who wishes to undertake research studies by external mode is required: i) to communicate with the supervisor by telephone, video conference or other interactive means at least once a month (part-time) or every two weeks (full time), and on a daily basis as required. Please indicate what arrangements have been made for this and how regularly contact will be maintained:

ii) to meet on-campus attendance requirements – students to undertake the equivalent of 5 days of full-time study within the university each year, or equivalent over the period of their candidature. Please indicate how this annual attendance requirement will be fulfilled in the first year (in the case of part-time external candidates, the first two years) of candidature:

Please indicate how you propose to meet this attendance requirement in subsequent years:

CRICOS Provider number: 000008C 2 R:\Research Degrees\Masters courses\Forms andVariationLetters\Current Variation Forms\transfer to external Updated 23/03/2009 iii) if proposing to enrol on a part-time basis: - to produce written confirmation stating which two days a week will be devoted to research. Applicants for non- laboratory disciplines may specify a Saturday or a Sunday as one of the days available for research. Please specify the days each week you will devote to your research:

iv) where employed to produce evidence stating that he/she has adequate leave/time to pursue Masters by research. A letter from an employer for example, would be considered acceptable evidence in this regard. This letter should confirm ii) and iii) above and give details of the leave arrangements which will enable you to undertake the research. Please attach relevant documentation.

I declare that I have read the instructions on this application form and that the information provided by me is true and complete. I recognise that it is my responsibility to provide all necessary documentation to support my application and I authorise the University to obtain official student records from any educational institution; or to verify my past and current employment for the purpose of making an informed decision about the application or matters that concern my admission and enrolment in this course.

I accept that documentation provided by me will become the property of Monash University and made available to commonwealth and state agencies, pursuant to obligations under ESOS Act 2000 and the National code. I have read and understood the above conditions and accept them fully.

I acknowledge that Monash University reserves the right to vary or reverse any decision regarding admission or enrolment made on the basis of incorrect or incomplete information. I have read and understand the above conditions and am prepared to accept them in full.

Signature: Date:

Upon completion of this section this application should be forwarded to a) your on-site supervisor where research is being conducted at a host institution (if applicable) or b) The Head of Department in which you are enrolled at Monash

CRICOS Provider number: 000008C 3 R:\Research Degrees\Masters courses\Forms andVariationLetters\Current Variation Forms\transfer to external Updated 23/03/2009 Section B: To be completed by the on-site supervisor Where the research will be undertaken principally at a research site other than Monash University (eg archives repository, field site, laboratory, commercial or governmental research station, another university etc) the on-site supervisor needs to assure Monash that the site provides a research environment which offers appropriate resources, facilities and research expertise to support the candidature for the duration of the research program.

Host institution

Name of host institution:

Address of host institution:

On-site supervisor

Title Family name Given Names

Academic Qualifications

Degree or other qualifications held Awarding institution Year completed

Research/publications

Provide details of any original research and/or publications. (Attach additional sheet if necessary.)

Has the nominated on-site supervisor undertaken the supervision of doctoral candidates previously?

No Yes - please state approximate number

Is the nominated on-site supervisor currently undertaking the supervision of research students?

No Yes  Students currently supervised Number Masters Doctoral

CRICOS Provider number: 000008C 4 R:\Research Degrees\Masters courses\Forms andVariationLetters\Current Variation Forms\transfer to external Updated 23/03/2009 Facilities and source materials required for the research (Please place X in the box if the facility/activity is available.)

Will the student have access to the following general facilities?

computer and printer

desk and ergonomic chair

filing cabinet

telephone, facsimile and email facilities

photocopier

Will the student have access to appropriate research facilities?

library/archive resources

laboratories

specialist equipment

Please provide any additional comments regarding access to required research facilities.

Will the student have the opportunity to be involved in a community of scholars at the host institution through the following activities/interactions?

other research students or staff members engaged in similar research

presentation of the research proposal/outcome at the host institution

participation in research seminars within the host institution

encouragement and financial support to participate in national and international conferences

encouragement and financial support to undertake travel related to the research program

Signature of on-site supervisor:

Upon completion of this section, this application should be returned to the candidate, who is then required to forward the application to the Head of Department in which they are enrolled at Monash

CRICOS Provider number: 000008C 5 R:\Research Degrees\Masters courses\Forms andVariationLetters\Current Variation Forms\transfer to external Updated 23/03/2009 Section C - Head's certification and recommendation

To be completed by head of department, or director of centre, school or unit. As research candidates may seek to apply for a transfer to external candidature at varying stages during their programs, not all questions listed below will be relevant. Please indicate where a question is not relevant and why this is so.

Research proposal

Please comment on the candidate's proposed research program with particular reference to its feasibility and the methodology to be employed, including any requirement for particular facilities (such as travel, library, equipment or other resources). Remember that as the research may be principally undertaken at another research site (eg archives repository, field site, laboratory, commercial or governmental research station, another university etc) the Research Degrees Committee will need to be assured by the prospective candidate’s department that the site provides a research environment which offers appropriate resources, facilities and research expertise to support the particular candidature for the duration of the research program. Please attach additional documentation if necessary.

Will the project require ethics clearance from the relevant committee? Approval required Approval obtained (if necessary) Human ethics Yes No Yes No

Animal ethics Yes No Yes No

Ionising radiation Yes No Yes No

Biosafety* Yes No Yes No *(recombinant DNA technology)

Where ethics approval is required both from this university and the candidate’s host institution please comment upon the additional procedures required. Attach additional documentation, as required.

Facilities and source materials required for the research

Please indicate whether all the source material and facilities required for the successful completion of the research program will be available at Monash and/or the external candidate’s host institution, and whether the candidate is expected to require material and resources outside these locations. Please detail the arrangement that will be made for the candidate to access material from Monash. Give details of any outside sources and travel that will be necessary. Please attach additional documentation if necessary.

CRICOS Provider number: 000008C 6 R:\Research Degrees\Masters courses\Forms andVariationLetters\Current Variation Forms\transfer to external Updated 23/03/2009 Enrolment and attendance details

I certify that: . Suitable facilities and adequate supervision are available in the Department, Centre, School or Unit and (where appropriate) the external candidate’s host institution for the full period of candidature. . With regard to the level of enrolment: I am satisfied that the applicant: •will maintain regular interactive communication between candidate and supervisor at least once a month (part-time) or every two weeks (full-time) via telephone, video conference, email or other interactive communication; and the opportunity for the candidate and supervisor to be able to communicate daily as required. Yes No  Please state what arrangements have been made for this communication

•will attend all such courses, seminars, workshops and conferences (both at Monash and elsewhere), as are deemed necessary by the head of the academic unit through which the candidate is enrolled; Yes No

•will complete the equivalent of 5 days of full-time study within the university each year or equivalent over the period of candidature; Please state what arrangements have been made for this attendance and detail any additional departmental/faculty residency/attendance requirements

•will have sufficient time to the participate in the intellectual life of the Monash academic unit, in particular during the annual 5 days residency period, eg seminar attendance, etc; Yes No  Please indicate the level/nature of this interaction

(For part-time external candidates only) I am satisfied that the candidate will be able to comply with the residency/attendance requirements. (NB: Candidates who are employed on a full-time basis are expected to attach to this application form, a letter from the employer detailing the time available to undertake study towards an external degree.)

Yes No 

CRICOS Provider number: 000008C 7 R:\Research Degrees\Masters courses\Forms andVariationLetters\Current Variation Forms\transfer to external Updated 23/03/2009 Supervision

The main supervisor at Monash is:

Title Family name and initials Department Monash Staff ID No

The associate supervisor at Monash is:

Title Family name and initials Department Monash Staff ID No

Note: The Research Degrees Committee strongly recommends that an external candidate have at least one associate supervisor.

I wish to nominate the following person as an external supervisor:

Title Family name and initials Research Institution Location

Note: The Research Degrees Committee has recommended that in the case of laboratory-based candidature, the appointment of an external associate would be mandatory.

The external supervisor is to be: Associate supervisor Joint supervisor

Please comment on the external supervisor’s suitability for this role:

Where two additional supervisor(s) have been appointed, please provide an indication of the split in load (expressed as a percentage) between the supervisors. Note that usual practice is for an associate to receive 25% of the load and a joint supervisor 50%.

Main Supervisor: %

Assoc Supervisor: %

External Supervisor (if applicable): %

Please specify the roles of the associate and principal supervisors, the means of communication and the frequency of meetings.

CRICOS Provider number: 000008C 8 R:\Research Degrees\Masters courses\Forms andVariationLetters\Current Variation Forms\transfer to external Updated 23/03/2009 Enrolment

The external candidature is to be undertaken: Within Australia Overseas

The external candidature is to be undertaken: Full-time Part-time

The transfer to external candidature should date from: Day Month Year

The candidature status should be: Firm Probationary*

*Probationary candidature is compulsory for students who have not yet confirmed their candidature.

I support the student's application for the following reasons, subject to the conditions set out below:

I do not support the student's application on the following grounds:

Name of Head (Please print):

Signature of Head: Date:

Section D - Endorsement by the Faculty of Medicine, Nursing and Health Sciences

Signature: Date:

Associate Dean of Research Dean’s Approved nominee

This completed form should be submitted to: Research Degrees Office Faculty of Medicine, Nursing and Health Sciences Building 64, Clayton Campus Monash University Vic 3800 Australia Telephone + 61 3 9905 4313 Facsimile + 61 3 9905 4302 Email [email protected]

CRICOS Provider number: 000008C 9 R:\Research Degrees\Masters courses\Forms andVariationLetters\Current Variation Forms\transfer to external Updated 23/03/2009