Admission Form
The closing date for applications is 30 November, 2000

This form is also available in Word 97 and Rich Text formats. If you don't wish to fill out the form online, you can download one of these files, print it, and send it to:

Ms Irene Spong
Program Administrator
Joint Universities' Masters Program in Hydrology and Water Resources
University of South Australia
Division of Information Technology, Engineering and the Environment
Mawson Lakes Campus
Mawson Lakes  SA 5095.

Country of Origin:
Proposed Year: February to February
Title: Mr      Ms     Miss
Given name:
Family name:
Home address:
Postal address:
Telephone:
Country
code
Area
code
Number
Email address:
Date of birth: 19
Country of birth:
Nationality:
Are you a citizen of either Australia or New Zealand?   Yes    No   
Do you have Permanent Resident status for either Australia or New Zealand? Yes    No   

If either of these answers is "yes", please complete the following details:

In what country is your permanent home residence?
In what country were you born?
In what year did you arrive in Australia?
What is the main language spoken in your home?
Employment:
Name and Address of Employer Since Position Held or Function
University Studies:
1 2
Name and location of university
Years of attendance
Degree (Ord or Hons)
Grade
Date Awarded (dd/mm/yyyy)
3 4
Name and location of university
Years of attendance
Degree (Ord or Hons)
Grade
Date Awarded (dd/mm/yyyy)
Where did you first learn about our program?
Do you wish to apply for the GCert, GDip or a full Masters program?
G. cert     G. dip     Masters     Non-award
If Masters or Grad Diploma, please indicate your initially preferred elective topics: (Masters select 4, GDip 3) [descriptions of electives]
Advanced Water Quality Remote Sensing and Data Visualisation Soil-Plant Water Relations
Flood Hydrology Urban Hydrology Statistical Analysis in Hydrology
Groundwater and Solute Transport Modelling Water Resources Planning
Water & Wastewater Treatment Water Distribution Systems
Please state the broad area of research in which you are interested:
Please indicate which degree is your preferred final qualification in Hydrology & Water Resources:
University of South Australia University of Adelaide Flinders University of South Australia
M. Engineering M. Engineering M. Science
Graduate Diploma M. Applied Science Graduate Certificate
Graduate Certificate Graduate Diploma Non-Award
Non-Award Graduate Certificate
Non-Award

If Non-Award, please indicate which subjects:

Do you wish to undertake the program on a full-time or part-time basis? Full-time     Part-time*

* Please note: Overseas students must study full-time.

If part-time, list the subjects you wish to undertake in the first year:

[descriptions of compulsory subjects] [descriptions of electives]

Have you applied for any fellowships or scholarships?
Yes    No
Were you successful?
(Please enclose a copy of letters indicating financial support)
Yes    No

If you were not successful, what is the source of funding for study?

Employer } Please attach
} documentation
Home Government
Family/Self
Other:
If English is not your first language:
What is your first language?
Was English the language of instruction in any tertiary studies already completed?
Yes    No

If yes, please, give details:

IELTS Score: Year:

TOEFL Score: Year:
GCE O Level English Course: Grade:     Year:

(Certified copies of TOEFL or IELTS Results and academic transcripts and translations must be included with application)

Do you use a computer? If so, which platforms?   DOS     Mac   Other
Please give details:

Have you used any specialist programs/applications? If so, please give details:

Have you developed any programs/applications? If so, please give details:

Which computer languages are you familiar with?

Referees:
Name
Address
Phone   Fax

Name
Address
Phone   Fax

Name
Address
Phone   Fax

Supporting documentation is also required. Please mail to:

Ms Irene Spong
Program Administrator
Joint Universities' Masters Program in Hydrology and Water Resources
University of South Australia
Division of Information Technology,  Engineering and the Environment
Mawson Lakes Campus
Mawson Lakes SA 5095

Telephone number (618) 8302 3207 Facsimile: (618) 8302 3609 or Email: irene.spong@unisa.edu.au

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