DIRECT APPLICATION FORM - UNDERGRADUATE COURSES
For local/domestic students only

Instructions and information for using this form
If you are applying for a number of courses that are managed by different faculties, you must submit a separate application form and supporting documentation to each faculty, including all of your course preferences on each copy. For information on courses, entry requirements and which faculty manages your course(s) of interest, refer to the Monash CourseFinder www.monash.edu.au/study/coursefinder/

THIS FORM IS FOR:
•	Australian citizens     
•	New Zealand citizens      
•	Permanent residents of Australia      
•	Permanent humanitarian visa holders

International students, including permanent residents of New Zealand, must apply through Monash International Admissions. Please see: www.monash.edu/international/apply/

THIS FORM IS TO BE USED TO APPLY FOR:
•	Undergraduate courses not listed in the VTAC Guide.
•	Courses offered by Off-Campus Learning.

Applicants for courses listed in the VTAC Guide must submit their application via VTAC when the application process begins in August each year (for commencement in March of the following year). Please see www.vtac.edu.au for more information.

•	Undergraduate courses listed in the VTAC Guide that have opened for direct entry (see the VTAC website in February of each year).
•	Undergraduate courses open for mid-year applications (for commencement in July of that year). 

Submitting your application form and closing dates
The following website has information on the closing dates and return addresses for each course application. It also includes information on additional course application requirements. Please locate your course of interest and follow the corresponding instructions at www.adm.monash.edu.au/admissions/ugdirectappform.html
•	Please print boldly in blue or black ink using block letters
•	Please attach one set of supporting documentation (all documents must be certified copies – see below).
Please take careful note of your course’s specific application requirements and be sure to attach all relevant documentation.
Please visit the website of the faculty that manages your degrees of interest or contact the faculty directly.
Off-Campus Learning applications
A list of courses available via off-campus learning can be found at 
www.monash.edu.au/offcampus/courses.html

Off-campus application requirements:
1.	You must state your proposed study program for ALL courses, including the teaching period (ie, semester one, semester two, or full-year unit). It may be necessary to discuss your study program with a course adviser, particularly if applying for credit. Contact the relevant faculty office as listed in the Off-Campus Learning website www.monash.edu.au/offcampus.
2.	Nomination of an examination centre is compulsory (see last page of this form).

For further assistance with your off-campus application, contact: Onshore Student Recruitment Office, Phone: +61 3 9905 1320, Email: offcampus@monash.edu.au, Web: www.monash.edu.au/offcampus

Fee information
Higher education providers may offer students either a ‘Commonwealth-supported place’ or a ‘fee-paying place’. The majority of undergraduate students will be Commonwealth-supported students; however, students may choose to become a fee-paying student or be offered a fee-paying place if a Commonwealth supported place is not available. For more information on tuition fees and loan schemes available, please see: www.monash.edu.au/study/fees/

Certification of documents
All applicants to Monash University courses must provide certified copies of any previous results or qualifications from institutions other than Monash University or Monash College and any other supporting documentation in relation to your application. Examples of such documents include:
•	Birth/marriage certificates etc. required as evidence of name change
•	Academic qualifications from other institutions including testamurs/academic transcripts/result certificates
•	Copy of Australian Permanent Resident Visa or Australian Certificate of Citizenship 

Any documentation not properly certified will be returned and your application will not be assessed. Faxed copies will not be accepted.
Original documents will not be returned. 

The following people are acceptable signatories for certification of documents: A justice of the peace or bail justice; a notary public; a barrister and solicitor of the supreme court; a clerk to a barrister and solicitor of the supreme court; a member of the police force; the sheriff or a deputy sheriff; a registered medical practitioner; a registered dentist; a veterinary practitioner; a pharmacist; a principal in the Victorian government teaching service; the branch manager of a bank; a member of the institute of chartered accountants in Australia or the Australian society of accountants or the national institute of accountants; a minister of religion (not a civil celebrant); a fellow of the institute of legal executives (Victoria) 

Overseas qualifications & documentation
Please provide information on the grading structure of the institutions you have attended. Results in a language other than English must be translated. For translations contact the Department of Immigration and Citizenship, Level 24, 2 Lonsdale Street, GPO Box 241E, Melbourne 3000. Telephone: 1300-654-151. Monash University reserves the right to refuse documentation on the grounds of incorrect certification or translation procedures.

General Information
•	This is an application form only and does not constitute enrolment for any course in the University or entitle an applicant to be classified as a student of the University. 
•	This application is the property of Monash University. Supporting documentation will NOT be returned. 
•	It is the applicant’s responsibility to advise Monash University regarding any change of address.
•	Applicants must provide correct and complete information (including information on all previous studies). If it is found that an applicant has provided incorrect information or withheld relevant information relating to their application, an offer for a place in a course may be withdrawn and/or the enrolment may be cancelled. 
•	Faxed applications and documents are NOT acceptable. If supporting documentation is not available at time the of mailing, enclose an explanatory note indicating an anticipated supply date.

Privacy Statement 
The information on this form is collected for the primary purpose of assessing your application. Other purposes of collection include the creation of a record on the student database, attending to administrative matters, corresponding with you and statistical analyses. If you choose not to complete all the questions on this form, it may not be possible for the University to assess your application. Personal information may also be disclosed to the education institutions or your employer(s) to make an informed decision about the application or matters that concern your enrolment at Monash. You have a right to access personal information that Monash University holds about you, subject to any exceptions in relevant legislation. If you wish to seek access to your personal information or inquire about the handling of your personal information, please contact the University Privacy Officer on 9905 6011.

Direct Application Form - Undergraduate Courses 
For local/domestic students only

Office use only – Session Details	
ID number:	Course code:	
Academic calendar:	Process category:	Admissions calendar:	

Personal details
	
Title:
	Family name:	Given names:	
Sex:    Male          Female 	Date of birth:	UMAT ID: (if applicable)
	
Preferred email address for Monash correspondence during the application process:

Have you applied for Monash courses through the Victorian Tertiary Admissions Centre (VTAC) in the current year?      
This applies to all courses listed in the VTAC Guide.                                                                             Yes    No 

If you have applied through VTAC in the current year, please supply your VTAC ID Number: 	
Have you previously applied for and/or studied at Monash College or Monash University?                  Yes    No 

If YES, please state Monash ID Number (if known):	
Have you changed your name since you last applied/studied at Monash University?                           Yes    No 

If YES, please attach relevant documentation.	
Have you been excluded from Monash or other tertiary institutions for academic reasons?                 Yes    No 

If YES, please provide details of the course(s), year and reasons for exclusion:

	

Are you a Monash staff member?    Yes   No 
	
If YES, please state your staff number:
	
Residency details
	
Are you a citizen or permanent resident of Australia?   

 Yes — If yes, please attach a certified copy of your birth certificate or the photo page of your passport.

 No — If no, please do not complete this form. International students (including permanent residents of New Zealand) should apply through Monash International Admissions (www.monash.edu.au/study/international/apply).
	
Home address (PO Box addresses not acceptable – must be your current home address)	
Address:	Suburb/town:
	
State:
	Country:	Postcode:	
Home Phone:
	Mobile:	
Business Phone:	Facsimile:
	
Postal address for correspondence (if different from home address)	
Address:	Suburb/town:
	
State:
	Country:	Postcode:	
Monash course preferences
Please note: if you are applying for a number of courses that are managed by different faculties, you must submit a separate application form and supporting documentation to each faculty, including all of your course preferences on each copy. For information on courses, which faculty manages your course(s) of interest and which courses are available off-campus, please refer to the Monash CourseFinder www.monash.edu.au/study/coursefinder/	
Preference 1
Course Title:   
Course Code:
Campus:
Major: (where required):
Commencing year and semester:	Are you applying for a:
 Commonwealth-supported place 
 Fee-paying place
 Both

 Full-time or           Part-time   
 On campus or       Off campus 	
Preference 2 
Course Title:   
Course Code:
Campus:
Major: (where required):
Commencing year and semester:	Are you applying for a:
 Commonwealth-supported place 
 Fee-paying place
 Both

 Full-time or           Part-time   
 On campus or       Off campus	
Preference 3
Course Title:   
Course Code:
Campus:
Major: (where required):
Commencing year and semester:	Are you applying for a:
 Commonwealth-supported place 
 Fee-paying place
 Both

 Full-time or           Part-time   
 On campus or       Off campus	
Preference 4 
Course Title:   
Course Code:
Campus:
Major: (where required):
Commencing year and semester:	Are you applying for a:
 Commonwealth-supported place 
 Fee-paying place
 Both

 Full-time or           Part-time   
 On campus or       Off campus	
Area of interest 
Please indicate the area(s) that you are interested in studying e.g. Anthropology, Biomedical Science etc.:

Education	
Secondary education 
Please indicate the highest level of secondary schooling undertaken. You must attach a certified copy of your final results or results to date (including ENTER, VCE study scores or equivalent Year 12 information). Any outstanding results should be forwarded to the University as soon as these become available.	
Qualification obtained:
	Institution name:	
Year obtained:	State/Country:
	
Tertiary education 
You must provide a certified copy of all academic transcripts (unless the previous study was at Monash, in which case you do not need to provide a transcript). Please use additional pages if space provided is insufficient or provide Curriculum Vitae.	
Name of institution	Country	Details of program, studies awards	Year first enrolled	Year last enrolled	Tick if completed	

						

						

						

						

Outstanding results	
Are you currently awaiting results of any post-secondary or tertiary studies?   Yes    No 

If yes, name of qualification and institution:

Date on which results will be available:
	
Credit	
Do you intend to apply for Credit on the basis of your tertiary education?   Yes     No 

If yes, an application for Credit must be submitted. For a credit application form, go to www.monash.edu.au/study/applications/credit/index.html. For more information, see the website of the Faculty that manages your degree/s of interest, or contact the faculty directly.
	
English Language Proficiency	
State in which way you fulfil the University’s English minimum language proficiency requirements by ticking the appropriate statement below. Certified copies of results must be provided in all cases. 

•	I have achieved a satisfactory level of performance in an English subject at Year 12 or equivalent level where the language of instruction for the whole curriculum was in English.
•	I have studied in an institution where English is the language of instruction and assessment for the entire institution for either the equivalent of the first year of a university course (within the past two years if outside Australia), or the equivalent of a two year tertiary program (within the past five years if outside Australia).
•	I have undertaken an IELTS (International English Language Testing System – academic) test within the past 24 months and have achieved a minimum overall test score of 6.5 (with reading 6.5, listening 6.5, writing 6.0 and speaking 6.0).  
•	I have undertaken a TOEFL (American Test of English as a Foreign Language) test within 24 months and have achieved a paper-based test score of 580 with a Test of Written English (TWE) score of at least 4.5 and an internet-based test score of 90 with at least 22 in writing and no section lower than 20.
•	All of my secondary schooling was in English and I have successfully completed at least two English-rich university level subjects in an institution where English is the language of instruction and assessment. 
•	I have successfully completed the Monash University English Language Bridging Program, or equivalent programs, at the appropriate level. 
Please note that some courses have higher requirements – please check course information on faculty websites www.monash.edu.au/faculties
•	I am applying for a degree in the Faculty of Education and have provided certified copies of results which fulfil the Faculty's requirements stated in www.education.monash.edu.au/students/prospective/english-requirements/	
Monash University Special Access Scheme	
Monash University has a Special Access Scheme that provides eligible applicants with special consideration in the selection process. For more information on the eligibility and application requirements, please see: www.monash.edu.au/study/applications/undergraduate/musas/index.html

If you believe you are eligible for consideration under the categories listed on the website above, please attach a letter to your application with information on the difficulties you have experienced and supporting documentation.

Will you be submitting an application for MUSAS?   Yes    No 
	
Employment History
Provide information on your employment history if required by your course(s) of interest. Details of courses requiring employment history information can be found at www.adm.monash.edu.au/admissions/ugdirect-app-instruct.html Please use additional pages if space provided is insufficient or provide a Curriculum Vitae.	
Dates: 
	Employer:	Position and duties:
	Full or part time 	Paid or voluntary 	

					
Professional experience and membership
Provide information on your professional experience/membership of professional societies/associations if required by your course(s) of interest. Details of courses requiring professional experience/membership information can be found at www.adm.monash.edu.au/admissions/ugdirect-app-instruct.html Please use additional pages if space provided is insufficient or provide a Curriculum Vitae.	
Year(s)	Appointment held	

		

		
Personal Statement
Applicants may be required or can elect to include a brief personal statement (300-500 words) about themselves and their interest in the course/s they are applying for. Details of courses requiring personal statements can be found at www.adm.monash.edu.au/admissions/ugdirect-app-instruct.html Please attach any personal statement on an additional sheet of paper.	
	
Referees
Applicants may be required or can elect to include information on referees on an additional sheet of paper. Details of courses requiring referee information can be found at www.adm.monash.edu.au/admissions/ugdirect-app-instruct.html	
	
Declaration	
I warrant that the information on this form, or provided in support of my application, is correct and complete. 
I acknowledge that the provision of incorrect information or the withholding of relevant information relating to my application, including academic transcript/s, might invalidate my application and that the University may withdraw an offer of a place or cancel my enrolment in consequence.
Should the University determine that I have submitted a false document, I consent to the University disclosing this information to other relevant tertiary institutions.
I consent to any educational institution at which I have previously been a student and/or my current or any past employer, providing Monash University with information which that institution or employer holds about me for the purpose of Monash verifying my grades and/or qualifications or experience.
I have read the University’s statement on privacy and the purposes for which my personal information will be used (available at www.privacy.monash.edu.au/guidelines/collection-personal-information.html).
I agree to abide by the statutes, regulations and policies of Monash University.

Applicant’s Signature:                                                                                               Date      /        /
	
Checklist	
   Completed and signed application
   Evidence of Australian citizenship or Australian permanent residency
   Certified copies of official academic transcripts
   Evidence of English language proficiency (if not established by secondary/tertiary transcripts).
	  A curriculum vitae (where appropriate)
  An application for credit if relevant
  Any other additional information required by individual courses
•	Nomination of examination centre for off-campus applicants (see next page).
•	You have the correct mailing address for your form as advised on
Off campus: www.monash.edu.au/offcampus 
On campus: www.adm.monash.edu.au/admissions/ugdirect-app-instruct.html

Off-campus study program	
Off-campus applicants may be required to nominate which units they wish to study in the first year of the course. 
Contact the relevant course advisers via the contact number as listed in the Off-Campus Learning website www.monash.edu.au/offcampus. For course structure and unit outlines, refer to Monash University handbooks at www.monash.edu.au/pubs/handbooks (updated each October). If you are unsure of how to complete this section, or are applying for credit transfer, leave this blank. A suggested study program will be sent to you with your offer letter.

Unit code	
Unit title	
Teaching period	
Unit approved (office use only)	

	

	

	

	

	

	

	

	

	

	

	

	

Off-campus student examination centres	
Nomination of an examination centre is compulsory unless ALL your subjects are non-examinable. Applicants should record an examination centre, code and name from the list below: Note: O/S = overseas.

Students who do not live within 150 km of a listed examination centre may use ‘149 – Alternative Centre Required’: they will be given the opportunity of nominating a local supervisor. 

Important examination information, including your timetable, will be sent to your Monash email address seven weeks before the commencement of the examination period. Examination timetables will not be sent by post mail. 

Students will have the opportunity to change their nominated examination centre nearer the examination period if circumstances have changed. Centres are listed alphabetically; centre numbers are therefore not consecutive.	
Exam centre number:

	Location:
	
No.	Centre	Place
	No.	Centre	Place
	No.	Centre	Place
	
20 
82 
2 
3 
4 
6 
146 
7 
8 
115 
9
10
12
57
83
84
14
121
15
16
21
24
39
17
18
19
85
22
144
38
116
23
25 
26
096
27
145	Adelaide City Albany 
Albury 
Alexandra 
Alice Springs Armidale 
Auckland 
Bairnsdale 
Ballarat 
Bangkok 
Bathurst 
Bega 
Bendigo 
Berri 
Biloela 
Blackwater
Bordertown
Bowen 
Brisbane 
Broken Hill 
Brunei 
Bundaberg Bunbury 
Burnie 
Cairns 
Canberra
Ceduna 
Churchill 
Christchurch
Coffs Harbour Condobolin 
Cooma 
Darwin 
Deniliquin 
Dubai 
Dubbo 
Dunedin	SA 
WA 
NSW 
VIC 
NT 
NSW 
O/S 
VIC 
VIC 
O/S 
NSW
NSW
VIC
SA
QLD
QLD
SA
QLD
QLD
NSW
O/S
QLD
WA
TAS
QLD
ACT 
SA
MUGC 
O/S
NSW
NSW
NSW
NT 
NSW 
O/S
NSW
O/S	86
141
147
30
112
87
31
11
109
77
32
143
33
34
35
36
137
123
37
88
44
79
80
45
142
40
1174
1
42
138
43
59
106
76
46
47
89	Emerald Esperance 
Fiji 
Geelong 
Geraldton Gladstone 
Gold Coast Gosford
Goulburn 
Grafton 
Hamilton 
Hamilton 
Hobart 
Hong Kong 
Hopetoun 
Horsham 
Indonesia 
Ingham 
Inverell 
Jabiru 
Johannesburg 
Kalgoorlie 
Karratha 
Katherine 
Kuala Lumpur Launceston 
Leeton 
Leongatha 
Lismore 
London 
Mackay 
Mallacoota 
Maryborough 
Melbourne 
Mildura 
Mount Gambier 
Mount Isa 	QLD
WA
O/S
VIC
WA
QLD
QLD
NSW
NSW 
NSW 
VIC
O/S 
TAS 
O/S 
VIC 
VIC 
O/S 
QLD 
NSW 
NT 
O/S 
WA 
WA 
NT 
O/S 
TAS 
NSW 
VIC 
NSW 
O/S 
QLD 
VIC 
QLD 
VIC 
SA
SA 
QLD	120
48
49
50
81
91
51
52
53
54
92
93
55
58
131
60
74
61
78
44
94
122
90
62
64
98
65
66
67
140
68
69
70
71
95
75
73	Mudgee 
Naracoorte 
Narooma 
Newcastle 
Newman 
Nhulunbuy 
Orbost 
Perth 
Pinnaroo 
Port Augusta 
Port Lincoln 
Port Macquarie 
Port Pirie 
Rockhampton 
Roxby Downs 
Sale 
Seymour 
Shepparton 
Singapore 
Sth Africa 
South Hedland 
St George 
Sunshine Coast 
Swan Hill 
Sydney 
Tamworth 
Tom Price 
Toowoomba 
Townsville 
Tuncurry 
Wagga Wagga 
Wangaratta 
Warragul 
Warrnambool 
Warrick 
Wellington 
Wollongong 	NSW 
SA 
NSW 
NSW 
WA 
NT 
VIC 
WA 
SA 
SA 
SA 
NSW 
SA 
QLD 
SA 
VIC 
VIC 
VIC 
O/S 
O/S 
WA 
QLD 
QLD 
VIC 
NSW 
NSW 
WA 
QLD 
QLD 
NSW 
NSW 
VIC 
VIC 
VIC 
QLD 
O/S 
NSW	

Office Use Only

 Offer of admission

Offer authorised by: _________________________________

Date: _ _ / _ _ / _ _ _ _

 CSP Offer
 Full Fee Offer

 Offer of admission with conditions

Offer conditions – please state:
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------

If conditions met –    CSP   or      Full Fee offer

Conditional offer authorised by: ______________________ 

Date: _ _ / _ _ / _ _ _ _

 Offer conditions met

Authorised by: ___________________________________ 

Date: _ _ / _ _ / _ _ _ _

 Rejection – No offer

Reason for rejection: (please tick)

 Not qualified
 Insufficient quota
 Documentation unsatisfactory

Rejection authorised by ______________________________

Date: _ _ / _ _ / _ _ _ _

 Reconsideration requested

Outcome: 
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------

Authorised by:  _____________________________________ 

Date: _ _ / _ _ / _ _ _ _

Basis for Admission:

 Completed higher education course (AUS/OS)
 Complete or incomplete higher education course   
     (AUS/OS)
 Completed secondary education at school/TAFE or other  
     HEP (AUS/OS)
 Complete or incomplete TAFE award course other than 
     secondary education
 Mature age special entry provisions
 Professional qualification
 Other basis

English language entry requirements met by:
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
	
Application keyed   Yes   No 

Date: _ _ / _ _ / _ _ _ _

Letter sent                Yes   No 

Date: _ _ / _ _ / _ _ _ _

Credit assessed:   Yes   No 

Date: _ _ / _ _ / _ _ _ _

Comments:

	
Additional Comments or administrative steps: