COLLEGES OF SCIENCE by lindash

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									COLLEGES OF SCIENCE

            APPLICATION FOR CURRENT ANU STUDENT FOR ADMISSION TO HONOURS PROGRAM

This form is for current ANU students who wish to be admitted into the Honours program within the Colleges of Science only.
    •    Student must fill in all details in Section 1 of this form and submit to relevant Honours Convenor of the appropriate School
    •    External Applicants or ANU students who have completed their program prior to the current semester and did not
         apply for leave will need to complete the ANU Application for Undergraduate Admission form. This form does not apply
         to you.
    •    If you are planning to take a semester off before starting your program, you need to submit a leave form. Failing this, you
         will have to reapply into the University and will be charged the fee rate applicable for that year.
    •    Students applying for Honours in Psychology ONLY must also complete page 2 of this form.
    •    All correspondence to student will be via student email address only.

1. STUDENT DETAILS

Uni ID:                                Surname:                                                  First Name:

Phone Contact: (Daytime)                                                    (Mobile)

Are you an international Student?                  Yes                        No

Program of study (eg: 3600 BSc Hons etc):

Honours course (eg: SRES4005F)                                                                     Full-time        Part-time

Semester to commence Honours:                      1st Semester               2nd Semester              Year:


    I have / have not discussed my research proposal with my supervisor
                                                                                                 Name of Supervisor

    I am / am not the holder of a scholarship                                                                  ($                        )
                                                                  Name of Scholarship and Amount

I declare that the information in this application is correct and complete. I agree that whilst I am enrolled as a student, I am to be
bound by the statutes and standing resolutions of the Australian National University.

Applicant’s signature:                                                                  Date:


2. SCHOOL/DEPARTMENT APPROVAL

I am willing to accept / reject this student for the Honours program within
                                                                                                    (School/Dept)
Other comment:



Honours Convenor Approval:                                                                      Date:
                                                         Signature

Head of School to endorse (optional) :                                                          Date:
                                                         Signature

3. DELEGATED AUTHORITY (SUB DEAN) APPROVAL

          Approved

          Conditionally Approved – Student has outstanding results or on exchange program

          Not Approved – Student has not met the degree requirements

Other comment:


Delegated Authority:                                                                            Date:
                                               Signature
                      SUPPLEMENTARY INFORMATION FOR HONOURS IN PSYCHOLOGY

                                                       Tick your preference below


                               Mid-Year Intake - by 31 May for Semester 2 entry in the current year;
                               Provisional Offer - by 31 July for Semester 1 provisional offers for the following year;
                               End-of-year Intake - by 31 October for Semester 1 entry of the following year.


 Surname:    ______________________________ Given Name:  ________________________
 ANU Student Number (if applicable):  ___________________________________________


Please provide details for all psychology courses you have completed. (ie complete the table below)
   Course                                 st
                                        1 Year Courses - Course Name                                            Grade and   Course
    Code                                                                                                          Mark      Value




   Course                                 nd
                                        2 Year Courses – Course Name                                            Grade and   Course
    Code                                                                                                          Mark      Value




   Course                                 rd
                                         3 Year Courses - Course Name                                           Grade and   Course
    Code                                                                                                          Mark      Value

								
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