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    International Applicants: Application Form

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    Devashish Dwivedi
    This document contains an application form for doctoral scholarships at the University of Otago. It requests information from candidates such as their contact details, academic history, proposed research topic, and publications. It also includes sections to be completed by the candidate's department head and faculty assessing the candidate's potential and suitability for different scholarship types. For Pacific Island applicants, there is an additional appendix asking questions about their ethnicity, community involvement, and inspirations.

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    Download as PDF, TXT or read online from Scribd

    International Applicants: Application Form

    Uploaded by

    Devashish Dwivedi
    92 views4 pages
    This document contains an application form for doctoral scholarships at the University of Otago. It requests information from candidates such as their contact details, academic history, proposed research topic, and publications. It also includes sections to be completed by the candidate's department head and faculty assessing the candidate's potential and suitability for different scholarship types. For Pacific Island applicants, there is an additional appendix asking questions about their ethnicity, community involvement, and inspirations.

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    This document contains an application form for doctoral scholarships at the University of Otago. It requests information from candidates such as their contact details, academic history, proposed research topic, and publications. It also includes sections to be completed by the candidate's department head and faculty assessing the candidate's potential and suitability for different scholarship types. For Pacific Island applicants, there is an additional appendix asking questions about their ethnicity, community involvement, and inspirations.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    92 views4 pages

    International Applicants: Application Form

    Uploaded by

    Devashish Dwivedi
    This document contains an application form for doctoral scholarships at the University of Otago. It requests information from candidates such as their contact details, academic history, proposed research topic, and publications. It also includes sections to be completed by the candidate's department head and faculty assessing the candidate's potential and suitability for different scholarship types. For Pacific Island applicants, there is an additional appendix asking questions about their ethnicity, community involvement, and inspirations.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    UNIVERSITY OF OTAGO DOCTORAL SCHOLARSHIPS

    APPLICATION FORM

    International Applicants

    SECTION A TO BE COMPLETED BY THE CANDIDATE


    If wishing to apply for a doctoral scholarship, please complete this form, and attach it to your completed University admission form. Please provide a transcript and brief c.v. if not provided with any admission documentation accompanying this form. For more information please see www.otago.ac.nz/applynow or email scholarships@otago.ac.nz

    1. Details
    University of Otago ID Number (If applicable) Family Name Given Name(s)

    2. Have you applied for a University of Otago Scholarship at doctoral level before?
    If Yes ~ ~ in which year did you last apply? were you offered a Scholarship? Yes No

    Yes

    No

    If you were not offered a scholarship, reapplication is on the basis that: it has been 12 months since my last application (for candidates not currently enrolled in a doctorate) I have since completed the papers year of the DClinDent or EdD I have Doctoral & Scholarships Office permission to re-apply (for current doctoral candidates) Note: reapplication will only be considered if at least one of these conditions are meet.

    3. Application for Standard University of Otago Doctoral Scholarships


    Please indicate the standard University of Otago scholarships for which you wish to apply at entry. It is recommended that you apply for at least one of the standard University of Otago scholarships If selecting more than one option, please rank your choices (1 for your first choice). Both options include tuition fees and a stipend of $20,000 per [full-time] year for up to three years. University of Otago Doctoral Scholarship University of Otago Pacific Islands Doctoral Scholarship Typically applicants should have an A- average or higher in order to be considered for this Scholarship. For Pacific Island applicants only; please complete Appendix A on page 4.

    Note: applicants will also be considered for University of Otago Prestigious Scholarships.

    4. Application for Special Purpose Doctoral Scholarships (Availability subject to funding)


    Please indicate any further scholarships for which you wish to apply. Eligibility conditions are indicated, but specific regulations should be consulted (these are available at www.otago.ac.nz/study/scholarships). University of Otago Special Health Research Scholarship Dr Sulaiman Daud 125th Jubilee Postgraduate Scholarship For research on a topic relevant to human health (NZ$23,000 per year + tuition fees). For Malaysian students who plan to return home after study only (NZ$20,000 per year + tuition fees, plus NZ$575 establishment allowance and additional allowances up to NZ$1150 per year).

    DS02
    1

    5. If applicable, please list evidence of your record of research other than academic record (e.g. publications, conference presentations, poster
    presentations at conferences, presentations of work at departmental seminars etc). For all publications which you wish to have considered in the scholarship decision-making process, please attach photocopies of the first page or title page of the publication (including author details) only.

    6. If there is anything further which you wish to be to be taken into account in the assessment of your application (for example ill health during
    study). If so, please provide details below, and attach any supporting documentation to this form.

    UNIVERSITY OF OTAGO DISCLOSURE OF INFORMATION The Privacy Act 1993 requires that students must have given specific permission in order for any personal information they have provided for any purpose to be passed on to another person or institution. In order for the University to comply with the Act, and so that your scholarship application may be processed, you should read this statement and sign the appropriate section of your application form. I consent to: (i) The disclosure of personal information supplied or obtained in connection with my application for a scholarship awarded, or administered by the University of Otago, for the purposes related to the application, to: Academic staff within the University Scholarship staff, members of the Scholarships Committee, and scholarship providers Other agencies where disclosure is required under the provisions of the Privacy Act 1993.

    (ii) The Doctoral and Scholarships Office obtaining, for purposes related to my application for a scholarship, any personal information about me held by: The Academic or Finance Sections of the University (including academic records, enrolment information and scholarship information) Academic staff of the University Other Universities to, or from which, I am or may be transferring Other agencies where disclosure is required under the provisions of the Privacy Act 1993.

    The University of Otago undertakes to store your application in a secure place. Successful applicants shall agree to co-operate with any publicity of the scholarship for which they have applied. Such publicity may include photographs and interviews with scholarship recipients, and publication of the names of successful applicants. STATEMENT FROM APPLICANT I have read and understand the Regulations and Notes for the University of Otago Postgraduate Research Scholarships (available at www.otago.ac.nz/study/scholarships) and believe that I am eligible for the scholarships for which I have applied. I have read, and agree to accept, the provisions relating to Disclosure of Information outlined above. Signature of Applicant: Date:
    Day Month

    20
    Year

    If applying at admission, please attach this form to your admission documents. If applying after admission, please send this form and supporting documentation to the Head of Department of your primary department.

    SECTION B TO BE COMPLETED BY THE UNIVERSITY


    This section is to be completed by the Head of the Candidates proposed Primary Department, and the Pro-Vice-Chancellor (or nominee) for that Departments Division. This section should not be completed in consultation with the candidate.

    DEPARTMENTAL ASSESSMENT
    In your experience of PhD candidates, how would you rate the applicants potential ability as a PhD candidate? Moderate (is expected to need above average assistance to complete) Average (in the middle of the range of PhD candidates) Good (is expected to be an above average candidate) Excellent (in the top 5 to 10% of PhD candidates) How well suited is the applicants proposed research to Your Department? Somewhat suitable (will research in a new area that we could develop) Suitable (will add to a developing and promising research area) Very suitable (will join an established, productive research area) Do you support the awarding of a scholarship to this candidate? (Please tick one only; add comments in the text box if further explanation is required). Support awarding of a University of Otago Prestigious Scholarship (typically for A+ level applicants only; please provide reasons for this assessment below) this also implies support of special purpose and standard scholarships unless otherwise stated. Support awarding of a special purpose Scholarship (please see Question 4; if applicant is applying for multiple special purpose scholarships, and not all of these are supported, please indicate clearly in comments section) this also implies support of a standard scholarship unless otherwise stated. Support awarding of a standard University of Otago Scholarship Do not support award of a scholarship Comments:

    20 Head of Department Signature Name


    Day Month Year

    Please send the completed form to the Pro-Vice-Chancellors nominee for Divisional assessment.

    DIVISIONAL ASSESSMENT
    Do you support the awarding of a scholarship to this candidate? (Please tick one only; add comments in the text box if further explanation is required). Support awarding of a University of Otago Prestigious Scholarship (typically for A+ level applicants only; please provide reasons for this assessment below) this also implies support of special purpose and standard scholarships unless otherwise stated. Support awarding of a special purpose Scholarship (please see Question 4; if applicant is applying for multiple special purpose scholarships, and not all of these are supported, please indicate clearly in comments section) this also implies support of a standard scholarship unless otherwise stated Support awarding of a standard University of Otago Scholarship Do not support award of a scholarship Comments:

    20 Pro-Vice-Chancellor (or nominee) Signature Name


    Day Month Year

    APPENDIX A TO BE COMPLETED BY APPLICANTS FOR THE UNIVERSITY OF OTAGO PACIFIC ISLAND DOCTORAL SCHOLARSHIP

    Please indicate which ethnic group you identify with What does your ethnicity mean for you?

    Describe your involvement in your community

    Name a member of your community who inspires you and detail why

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