Graduate Certificate in Sustainability Application

Online Application Form

National Centre for Sustainability

Years (e.g. 1998 - 99)

School/Institution

Course (e.g. Secondary Year 11, Certificate, Diploma, Degree, etc.)

Course Title (e.g. Diploma of Business)

Full or Part time

% Completed

Any Documents Sent? (Yes or No)

Applications now open for 2008 mid year intake

Who should complete this form?

Australian and New Zealand citizens or holders of an Australian Permanent Residence visa who wish to apply for the Graduate Certificate in Sustainability offered by the National Centre for Sustainability at Swinburne University of Technology.

Note: * denotes compulsory field

Section A: Personal details

Surname or Family Name:*
Given Names:*
Home Address:*
Correspondence Address:*
Telephone:*	*Please include area code.
Business Hours Telephone:*	*Please include area code.
Mobile:
Email:*
Date of Birth:*
Previous Surname/Family Name:
If your present name is different from that appearing on any documentation you are including with this application, you must provide appropriate legal documentation (e.g. deed poll certificate, marriage certificate)

How did you find out about this course?*
Other:
Have you previously enrolled in a credited or non-credited course at Swinburne University of Technology?*
Yes No
If you answered Yes to the previous question please complete:
Year of last enrolment at Swinburne:
Program (Course) of Study:
Swinburne Student ID No.:

Section B: Educational history

List below any studies you have completed or attempted. You must provide documentation concerning previous studies in order for the selection officer to determine your eligibility for the course. Send copies of documents only; do not send originals. Send all documentation to address listed at bottom.

* At least one example of education is required

If you wish to apply for Recognition of Prior Learning (RPL) or exemption for one or more units please complete the following:

Course title
Title of relevant subject/unit completed
Reasons for applying for RPL or exemption

Section C: Employment History and relevant experience

Complete the following employment history, attaching a detailed Curriculum Vitae and extra sheets it there is insufficient space. Write NONE in the first box if no employment history. Send CV to address listed at bottom.

Years (e.g. 1998 - 99)	Job Title	Employer	Full or Part time

Section D: Reasons for applying and study preferences

Please state your reasons for applying for the course, including what benefits you expect to obtain and your career objectives over the next five years.*

If possible, please indicate your preferences for second semester study by selecting two units of study from the following options.

HVBN764 - Integrated Land and Water Management

HVBN765 - Eco-design

HVBN766 - Energy for the Future

HVBN767 - Global Citizenship: Corporate and Community Sustainability

HSF601 - Future studies and Foresight

Preferred unit of study 1:
Preferred unit of study 2:

Other relevant Information

Please supply any other supporting information and documentation that you wish the selection officer to take into account.

Note to the applicant:

	A final decision on your application will not be made until after the relevant closing date
	All applicants will be notified in writing of the outcome of their application with successful applicants being provided with exact dates and times for enrolment
	No information regarding the progress of applicants can be given to applicants during the selection process
	Electives are offered subject to number of student enrolments

Checklist:
Ensure you have:

	Completed all sections of the application form
	Sent copies of all relevant documentation including certified copies of all transcripts of results of previous studies and proof of completion of academic qualifications. Address is listed at the bottom of this page. Please send documentation after submitting this application form.
	Not attached any original documents
	Signed and dated the application form in Section E
	Sent a comprehensive CV detailing employment history, duties and responsibilities. Address is listed at the bottom of this page. Please send CV after submitting this application form.

Additional Information
Australian citizens or permanent residents

	Complete this form. Once completed click the submit button. Send all documentation and CV to address below. Application will be considered complete when the documentation and CV have been received
	When we receive your complete application you will be contacted should an interview or further information be required (e.g. you may be required to submit a letter from your employer indicating support for your studies)

Note: Australian citizens and/or permanent residents who have obtained an award outside Australia must submit:

	Evidence of Australian acceptance of the standard of any overseas qualifications. Such evidence may be a letter from NOOSR (National Office of Overseas Skills Recognition), a photocopy of the appropriate page of the NOOSR handbook and/or notification of acceptance of the qualification by an Australian professional body, (e.g. The Institute of Engineers Australia)
	Evidence of completion of the relevant award i.e.award certificate or letter of completion. Please provide translations if in a language other than English
	Transcript/s of results. Please provide translations if in a language other then English
	Applicants requiring equivalence documentation should contact NOOSR by telephoning 1800 020 086

Section E: Applicant's declaration

I declare that to the best of my knowledge the information above is correct and complete. I acknowledge that the provision of incorrect information or the withholding of relevant information relating to my academic record may result in the withdrawing by the University of a place which may be offered, and that this withdrawal may take place at any stage during the course I undertake. I also acknowledge that completing this form does not guarantee a place at Swinburne and that enrolments will depend on the number of vacancies available.

Please type your full name here as confirmation of the above declaration:*

Privacy

Swinburne University of Technology collects, uses and destroys information in accordance with our Privacy Policy. The Privacy Statement can be located at http://www.swin.edu.au/privacy. Enquiries relating to information included on this form should be directed to the administering department or school.

Send all relevant documentation to:

Mail

Email

Graduate Certificate of Sustainability
National Centre for Sustainability
Swinburne University of Technology
369 Stud Rd,
Wantirna Vic 3152

Click here to send your CV or other documents via email

Please include the following information in your email:
Name
Course Title

Before clicking the 'Submit Application' button please ensure that your email address has been entered correctly. An email containing the details entered in this form for your records will be sent to the email address you have included above.