We encourage you to fill out the 2014 Application for... form online. It is quicker and easier than printing it...

We encourage you to fill out the 2014 Application for Admission
form online. It is quicker and easier than printing it first and filling
it in by hand.
To complete the form online you will need Adobe Reader Version 8 or above.
You can fill in this form online by typing directly into the highlighted fields. However, we
require your signature so you must print and sign it before sending it to UTAS.
The online form prompts you with details where required. If you print the form to complete
offline then follow the guidelines below to complete sections which may have multiple
answers.
Section A: Personal Details
If applicable, note your University of Tasmania Student ID Number. Complete the relevant
contact details, including any previous names (you must submit certified evidence of name
change with this application) and your emergency contact details.
Section B: Citizenship Details
You need to tell us your citizenship status.
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Australian citizen
New Zealand citizen
 (attach a certified copy of your New Zealand passport, or New Zealand
Citizenship Certificate)
Australian Permanent Resident
 (attach a certified copy of your Visa and indicate the date of permanent status)
Australian Permanent Humanitarian Visa holder
 (attach a certified copy of your Visa and indicate the date of permanent status)
If you were born outside Australia, please enter the name of the country in which you were
born and the date (dd/mm/yy) you first arrived in Australia.
Do you speak a language other than English at home?
If yes, enter the name of the non-English language that is spoken most often.
If you are of Aboriginal or Torres Strait Islander origin indicate which one applies to you. If you
are of both Aboriginal and Torres Strait Islander origin simply write 'BOTH'.
Section C: Course Preferences
Not all courses are available for mid-year entry and you need to check the Course List for
availability. If the course is not listed then it is not available for mid-year entry.
You can choose up to four course preferences. Enter the course code and title, which are
shown on the Course list and your preferred semester start. Some course have specialisations.
If it is shown on the Course List, select the appropriate specialisations, otherwise leave this
field blank. Select the campus you will be studying through.
University of Tasmania
Admissions Office
Private Bag 45
Hobart Tasmania
7001 Australia
T +61 1300 361 928
F +61 3 6226 2087
Admissions@utas.edu.au
www.utas.edu.au/admissions
ABN 30 764 374 782 / CRICOS 00586B
Section D: Secondary Educational Qualifications
Enter the details of
 any secondary education by completing the year you studied, your School/College
name and the state where you attended, and/or
 post-secondary education by writing in the year from/to, name of the institution you
attended, title of your award and your student number.
You also need to tell us if your courses are complete. If not, please advise which courses are
incomplete.
If you are currently studying you need to tell us if you have exams or results pending and
whether you are completing the course in 2014.
You also need to tell us about any exclusions.
You may apply for Credit (Advanced Standing) for any relevant study. If you are apply for credit
you need to complete the Credit Form and attach it to this application.
Section E: Education Level of Parents or Guardians
These questions are about the highest level of education completed by your parents or
guardians. The Department of Industry, Innovation, Science, Research and Tertiary
Education (DIISRTE) requires this information to be collected for statistical purposes.
You can indicate information for up to two parent/guardian(s).
Parent/Guardian - indicate whether male or female. Leave blank if there is no
parent/guardian.
In the second box write in the highest level of education from the following list:
 Postgraduate qualification (e.g. graduate diploma, master’s degree, PhD)
 Bachelor degree
 Other post-school qualification (e.g. associate degree, diploma, advanced
 diploma, completed apprenticeship, VET/TAFE certificate)
 Completed Year 12 schooling*
 Completed Year 10 schooling*, continued at school, but didn’t complete Year 12
schooling*
 Completed Year 10 schooling*
 Didn’t complete Year 10 schooling*
 Don’t know
* Or equivalent
Section F: Student Declaration and Signature
You must read and sign the declaration before sending it to UTAS. Applications with unsigned
declarations cannot be processed.
Section G: Final Check
 Completed all relevant questions on the application form
 Indicated your citizenship status
 Listed your course preference information
 Attached any documentation required (eg. visas, supporting statements, transcripts)
 Signed and dated the declaration
Your application cannot be processed if this information is not complete.
2014 Application for Admission and Enrolment
Applications for 2015 are not accepted on this form.
2015 Applications open online in August at www.utas.edu.au/apply
CRICOS Provider Code 00586B
Section A: Personal Details
If you have previously applied or enrolled at UTAS, what is your Student ID Number
Title:
Gender
First Name/s
Last Name
Previous Name
Male/Female
Date of Birth
Address
Suburb
State
Phone (home)
Postcode
Country
Phone (mobile)
Phone (work)
Email
Section B: Citizenship Details
What is your citizenship status? Australian Citizen
New Zealand Citizen
Permanent Resident Status
Permanent Humanitarian Visa
International Student
Country of birth if not Australia
Date of entry to Australia
Language spoken at home
Date of Permanent Status
Are you of Aboriginal or Torres Strait Islander descent?
Aboriginal
Torres Strait Islander
No
Both
If you were born outside of Australia, your application will not be valid without certified copies of your citizenship or visa
documents
Section C: Course Preferences
Course Code
Course Title – Enter a valid course from Course List
Semester
Specialisation
Section D: Secondary Educational Qualifications
Year of Completion
Grade/ Year 10
School/ College
State
Grade/ Year 11
School/ College
State
Grade/ Year 12
School/ College
State
Campus
Post Secondary Educational Qualifications (this means TAFE and all tertiary studies, including previous studies at UTAS)
Year From
Year To
Name of Institution
Are all your post-secondary studies listed above complete?
Title of Award
Yes
Do you have any current examinations or results pending?
Yes
No
If No, please provide the details below
Are you completing your current course this year?
Yes
Have you ever been excluded from any course?
Yes
No
No
Student Number
No
Do you wish to apply for credit (Advanced Standing)?
Yes
No
Section E: Education Level of your Parents or Guardians
These questions are about the highest level of education completed by your parents or guardians and is a requirement of The Australian Government
Department of Employment, Education and Workplace Relations (DEEWR). It is not used by the University of Tasmania.
Please answer about the people (up to two) who, during all (or most) of your school years, were your parents or guardians. If you have more than two, answer
about those you have spent the most time with.
What is the highest level of education completed by:
Parent/ guardian 1
Male
Female
Parent/ guardian 2
Male
Female
Education level
Postgraduate qualification (e.g. graduate diploma, masters degree, PhD)
Bachelor Degree
Other post-school qualification (e.g. associate degree, diploma, advanced diploma)
Don’t know
Didn’t complete Year 12 schooling (or equivalent)
Completed Year 12 schooling (or equivalent)
Didn’t complete Year 10 schooling (or equivalent)
Completed Year 10 schooling (or equivalent)
Education level
Postgraduate qualification (e.g. graduate diploma, masters degree, PhD)
Bachelor Degree
Other post-school qualification (e.g. associate degree, diploma, advanced diploma)
Don’t know
Didn’t complete Year 12 schooling (or equivalent)
Completed Year 12 schooling (or equivalent)
Didn’t complete Year 10 schooling (or equivalent)
Completed Year 10 schooling (or equivalent)
Section F: Student Declaration and Signature
The University of Tasmania collects, stores and uses personal information, including student images, for the purpose of:
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Admission assessment and university entry;
Administration of the student’s enrolment and progress in their study;
The provision of other services to the student by the University; and
To comply with the Higher Education Support Act 2003, the Education Services for Overseas Students (ESOS) Act 2000 and the National Code of Practice
for Registration Authorities and Providers of Education and Training to Overseas Students 2007.
All information and images are collected and stored on a secure server; only accessed by University staff for the purposes for which they have been collected;
and will only be used or disclosed in accordance within the University of Tasmania Privacy Policy at http://www.utas.edu.au/policy.
I understand that
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I have the right to access my personal information held by the University in accordance with the Right to Information Act 2009 (Tas);
It is my responsibility to ensure that my enrolment is correct;
I agree to pay all fees, levies and charges within the specified timelines;
I will received information and notices in relation to my course of study or general information via my University e-mail account;
 I am required to abide by the University Ordinances, Rules, Policies and procedures;
 I am aware of the conditions under which I can use the University’s Information technology facilities and I accept responsibility to obtain and read the
relevant documents;
 I consent to the provision of my personal details as required by law to government departments, statutory bodies and other institutions involved in the
delivery of my course of study;
 I authorise UTAS to obtain official records from any educational institution I have attended to enable my application to be considered.
Where necessary QualSearch will be engaged to access this academic information. I understand that UTAS is not responsible if any educational body/
institution does not supply these records. I understand that the results of the search will be made available to me on request and that an audit of this
authority may also be undertaken; and
 I acknowledge I have read and understood the University’s Privacy Policy.
Applicable to Seafaring applications only: I agree to authorise AMC/UTAS to release my details to MAST and/or AMSA and potential sponsors.
I declare to the best of my knowledge and belief the information given in this form is correct and complete in every detail.
Signature*
Date*
* This form must be printed, signed and dated prior to sending to the Admissions Office.
Section G: Final Check
I confirm I have answered all questions and signed the declaration.
I have attached certified citizenship or permanent resident documents (if required).
I have attached a supporting statement and/or certified academic transcripts (if required).
I have attached an Application for Credit (Advanced Standing) (if required).
Please return this form and all relevant documents to:
Or email a signed scanned copy to:
UTAS Admissions Office
Private Bag 45
Hobart TAS 7001
Admissions@utas.edu.au