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Faculty of Sciences
Ground Floor, Darling Building
(entrance opposite the Barr Smith Library)
North Terrace Campus
The University of Adelaide SA 5005
AUSTRALIA

Phone: +61 8 8313 5673
Fax: +61 8 8313 4386
Email

Honours Program Expression of Interest Form

For entry into Semester 2, 2012

Please follow the instructions and provide all necessary information. If you require help with this form, please contact the Faculty of Sciences Office (phone 8313 5673).

Please note: * indicates required fields.

 

1. Student Details
Title:




Given Names:*
Date of Birth (DD/MM/YYYY)*
Residency Status*




2. Contact Details

  • Please provide contact details that will be valid for the period May 2012 to August 2012.
  • Contact will be made by email in the first instance and by post.
  • If you are travelling or working abroad, please provide details that you will be able to check, and make sure that you have the means to promptly respond to any offer made.
  • Any further communication concerning your Honours application, including the offering of an Honours place, will use these contact details.
Please select one:*

Use my existing contact details on Access Adelaide. I understand it is my responsibility to make sure these details are up to date.
Use the contact details given below. Do not use Access Adelaide details.
Email address: *
Postal address:
Phone numbers:

home:

work:

mobile:

3. Undergraduate Degree
Undergraduate Degree Name:

eg. B Sc (Biotechnolgy)
Major(s):

eg Genetics, Ecology

I completed/am completing my undergraduate degree:

within the University of Adelaide. University of Adelaide ID Number

outside the University of Adelaide. Name of Institution

*IMPORTANT: If you completed your undergraduate degree outside the University of Adelaide, you must supply an official transcript or letter from your institution, showing completion, before the Faculty can extend you an offer. These documents can be posted to the Faculty of Sciences Office (Ground Floor, Darling Building, The University of Adelaide, SA, 5005).

(*)I have provided/will provide evidence of completion of my undergraduate degree
4. Intended Honours Study
Honours Duration:



* Honours coordinator’s approval required
Are you also applying to another Faculty?


Please note that you may nominate your interest in more than one School. If you are interested in multiple Schools, be sure to fill out the information for all of the Schools you nominate.
School(s) you wish to apply for:

 

School of Agriculture, Food & Wine → Proceed to Part 4a

School of Chemistry & Physics → Proceed to Part 4b

School of Earth & Environmental Sciences → Proceed to Part 4c

School of Molecular & Biomedical Science → Proceed to Part 4d

School of Animal & Veterinary Sciences → Proceed to Part 4e
4a. School of Agriculture, Food & Wine

Steps to take:

  1. Nominate your preferred Agriculture Food & Wine Honours Supervisor(s) in the table below.
  2. Submit this form.

Preference

Preferred Supervisor

 Preferred Project

Supervisor Contacted

1

Yes No

2

Yes No

3

Yes No
4b. School of Chemistry & Physics

Students seeking entry into either Chemistry Honours or Physics Honours must :

  1. Submit this form.
  2. Contact the relevant Honours Coordinator (or email) to arrange a short interview.
  3. Which discipline Chemistry or Physics
4c. School of Earth & Environmental Sciences

Students seeking entry into Ecology, Evolutionary and Landscape Science or Geology and Geophysics must:

  1. Nominate your preferred Honours Supervisors and Honours Projects in the table below.
  2. Contact the Honours Coordinator if you want advice on suitable Honours Projects.
  3. Submit this form.
1st Preference
Area of Study:
Proposed Project:
Proposed Supervisor:

Proposed Supervisor Consulted Yes No

 
2nd Preference
Area of Study:
Proposed Project:
Proposed Supervisor:

Proposed Supervisor Consulted Yes No
3rd Preference
Area of Study:
Proposed Project:
Proposed Supervisor:

Proposed Supervisor Consulted Yes No
4d. School of Molecular & Biomedical Sciences

Steps to take:

  1. Nominate your preferred Honours Supervisors and Honours Projects in the table below
  2. Submit this form.
1st Preference
Area of Study:
Proposed Project:
Proposed Supervisor:

Proposed Supervisor Consulted Yes No

Honours Coordinator Consulted Yes No
2nd Preference
Area of Study:
Proposed Project:
Proposed Supervisor:

Proposed Supervisor Consulted Yes No

Honours Coordinator Consulted Yes No
3rd Preference
Area of Study:
Proposed Project:
Proposed Supervisor:

Proposed Supervisor Consulted Yes No

Honours Coordinator Consulted Yes No
4th Preference
Area of Study:
Proposed Project:
Proposed Supervisor:

Proposed Supervisor Consulted Yes No

Honours Coordinator Consulted Yes No
5th Preference
Area of Study:
Proposed Project:
Proposed Supervisor:

Proposed Supervisor Consulted Yes No

Honours Coordinator Consulted Yes No
6th Preference
Area of Study:
Proposed Project:
Proposed Supervisor:

Proposed Supervisor Consulted Yes No

Honours Coordinator Consulted Yes No
4e. School of Animal and Veterinary Sciences
Steps to take:
  1. Nominate your preferred Animal and Veterinary Sciences Honours Supervisor(s) in the table below.
  2. Submit this form.

Preference

Preferred Supervisor

 Preferred Project

Supervisor Contacted

1

Yes No

2

Yes No

3

Yes No

*I hereby acknowledge that all of the information provided above is true and correct.

*I acknowledge that I have read the additional information available on the Faculty Honours website.