Graduate Research Centre
City West campus	
	Application for Completion Scholarship
	
To be completed by Higher Degree by Research (HDR) students who wish to apply for a completion scholarship 
Please complete all sections and obtain all signatures
(Electronic submission to your Principal Supervisor will only be accepted via your STUDENT EMAIL account)
You will be notified of the outcome of your application via your student email account
Student ID number:	     	
Family name:	     	First name(s):	     	
HDR program:	     	
Are you an International student (eg not Australian/New Zealand citizen or Permanent Resident)?   No   Yes	
SCHOLARSHIP DETAILS – HDR student to complete	
Have you received a scholarship with a living allowance?      No	 Yes
If Yes, please indicate type:   APA   USAPRA     APA(I)   IPRS     Presidents     Other:      
My scholarship with a living allowance finished/will finish on:     /    /     (dd/mm/yr)	
ELIGIBILITY– HDR student to complete	
Are you currently enrolled?                                                No	  Yes  (if unsure please check myUniSA)
Have you completed your data collection or equivalent?   No	  Yes 
Are you in the writing up stage?                                         No  Yes 
Are you within candidature (not overtime)?                        No	  Yes, candidature will finish on     /    /     (dd/mm/yr)
Are you a continuing UniSA saff member?                         No  Yes	
PERIOD REQUESTED– HDR student to complete	
Please indicate length of scholarship being applied for:	
  3 months    4 months    5 months    6 months                  Scholarship to commence on:    /    /     (dd/mm/yr)	
SUPPORTING INFORMATION	
HDR student:	  Statement addressing the criteria (including a detailed work plan & evidence that time release from paid employment is available) (Attachment 1)	
	  Other (please specify):	     	
Principal Supervisor:	  Statement of assessment and/or support from the Principal Supervisor (Attachment. 2)	
Research Degree Coordinator:	  Comments and Recommendation(s) (Attachment 3, Part A)	
Dean of Research (or equiv.):	  Comments and Recommendation(s) (Attachment 3, Part B)	
I, the HDR student, acknowledge that: I will be required to remain enrolled for the duration of the Completion Scholarship and that I am required to make satisfactory progress otherwise the scholarship may be terminated. I certify that all the details on this form are correct.	

HDR student signature:	     	Date	     	
Principal Supervisor:	     	     		     	
 Approved   Not approved	Signature	Printed	Date		
Research Degree Coordinator:	     	     		     	
 Approved   Not approved	Signature	Printed	Date		
Dean of Research (or equivalent):	     	     		     	
 Approved   Not approved	Signature	Printed	Date		

Graduate Research Centre Use Only (Last Updated Dec 2010)
	
Scholarships Officer:		
Completion Schol. to Commence on:		
GRC approved	

(Attachment 1)

APPLICATION FOR COMPLETION SCHOLARSHIP – HDR student to complete	
	
HDR Student’s Statement Addressing the Criteria (it is compulsory for all sections to be completed) 	
Please provide a detailed work plan of activities to complete within the scholarship (Please attach a separate sheet if required)	
     	
How have you demonstrated the ability to meet deadlines during your candidature? Please provide examples. (Please attach a separate sheet if required)	
     	
Do you intend to publish as a result of the thesis?  Yes   No	
Have you or will you publish with your Principal Supervisor as a result of the thesis?  No   Yes     Please provide details	
 (please attach a separate sheet if necessary)       	
Please provide details of your employer (if applicable) and the name and contact details of your line manager. 
(Please enclose evidence of time release from paid employment)  	
 (please attach a separate sheet if necessary)       	
Have you discussed potential examiners for the thesis with your supervisor?  Yes   No	
Date you intend to submit your final thesis:         /    /     (dd/mm/yr)	
Other information you wish to provide: 	
(please attach a separate sheet if necessary)       	

HDR student	     	     		     	
	Signature	Printed	Date		

(Attachment 2)

APPLICATION FOR COMPLETION SCHOLARSHIP – Principal Supervisor’s statement	
	
PRINCIPAL SUPERVISOR’S ASSESSMENT AND/OR SUPPORT (it is compulsory for all sections to be completed) 	
Are you confident that the HDR student will complete the thesis during the nominated timeframe? Please provide details	
(please attach a separate sheet if necessary):      	
Please verify the detailed work plan of activities provided by the HDR student and attached to the application 
Please provide details  (please attach a separate sheet if necessary):	
     	
Has the HDR student demonstrated the ability to meet deadlines throughout his/her candidature?   Please provide details	
Please provide details (or outline why you believe the HDR student will meet the deadlines with the scholarship) (please attach a separate sheet if necessary):
     	
Does the HDR student intend to publish as a result of the thesis?  Yes  No
Have you, or will you, publish with the HDR student as a result of the thesis?  Yes  No    Please provide details	
(please attach a separate sheet if necessary)      	
Does your workload enable you to give the necessary support to the HDR student during the duration of the scholarship? Please provide details (please attach a separate sheet if necessary)	
     	
Will the HDR student require additional support during the duration of the scholarship?   Please provide details
Have resources indicated in the Statement of Minimum Resources for HDR students been identified (eg office space, computer equipment etc).  Please provide details. (please attach a separate sheet if necessary)	
     	
Are there any reasons why you think the HDR student will NOT meet their objectives for the duration of the scholarship?  Please provide details. (please attach a separate sheet if necessary)	
     	
Have you identified potential examiners for the thesis and discussed these with the HDR student?  Yes  No
Have you completed the Nomination of Examiners form and had it approved?  Yes  No 
Have you approached the examiners?  Yes  No   If No, when do you anticipate doing so?     /    /     (dd/mm/yr)	

Principal Supervisor	     	     		     	
	Signature	Printed	Date		

(Attachment 3 – Part A)

APPLICATION FOR COMPLETION SCHOLARSHIP – Research Degree Coordinator’s statement	
	
RESEARCH DEGREE COORINATOR’S ASSESSMENT AND/OR SUPPORT (it is compulsory for all sections to be completed) 	
Do you support the HDR student’s application for a completion scholarship? Please provide assessment and/or comments	
(please attach a separate sheet if necessary)       	

Research Degree Coordinator	     	     		     	
	Signature	Printed	Date		

(Attachment 3 – Part B)

APPLICATION FOR COMPLETION SCHOLARSHIP – Dean of Research’s (or equivalent) Statement	
	
DEAN of rESEARCH (or equivalent) ASSESSMENT AND/OR SUPPORT (it is compulsory for all sections to be completed) 	
Do you support the HDR student’s application for a completion scholarship?   Please provide assessment and/or comments	
 (please attach a separate sheet if necessary)       	

Dean of Research (or equivalent)	     	     		     	
	Signature	Printed	Date