ATE Supplementary Form 2016

Supplementary Form
MPhil/PhD/DMA/EdD/SJD
Part 1 Applicant to complete part 1 and submit as part of the application

process. The completed form should be attached to the online application as a
supporting document.
A
Name
:
ID
number:
S
Have you had contact with specific staff at the University of Waikato regarding your
proposed area of study?
Yes
No
If yes, please provide names:
__________________________________________
F
Do you have any available funding (e.g. Scholarship) to support your proposed study?
Yes
No
If yes, please specify:
________________________________________________
E
Ethical approval is required for all research involving human subjects (including medical and
teaching related research), animals, genetically modified organisms or sensitive official and
archival documents. Please select the appropriate statement below:
This research involves the participation of human or animal subjects, genetically modified organisms or sensitive offi
archival documents. An application for ethics approval will be submitted to the Faculty Ethics Committee during the p
of conditional enrolment, OR
This research does NOT involve the participation of human or animal subjects, genetically modified organisms or sen
official or archival documents. Therefore there is no requirement to submit an application for ethics approval to the F
Ethics Committee during the period of conditional enrolment
When would you like your enrolment

to start?
01 /
Do you intend to
enrol
Full Time Part

Time
Supplementary Form
Please complete the form to this point and submit it for consideration with your
application. Please ensure you have provided your initial research proposal,
including the proposed field and depth of study, resources required and planned
timetable.
July 2015
Supplementary Form
Part 2 University of Waikato to complete.
S
All members of the supervisory panel must sign below to indicate their availability and
suitability to supervise the research outlined in the attached proposal. The minimum
supervisory requirement for all University of Waikato Higher Degrees is at least two panel
members, the chief supervisor must be a continuing staff member of the University. All
members of the supervisory panel must be approved by the Postgraduate Research
Committee and be on the Universitys Supervisors Register. Please contact
postgrad@waikato.ac.nz for more information. The University recommends that a chief
supervisor have a maximum of six (6) doctoral candidates for whom they hold
chief supervision responsibility. Exceptions to this recommendation are managed by
Faculty Deans.
Chief Supervisor
Title
Full Name
Departmen
t
Phone
Email
Are you approved onto the University Chief Supervisors Register
Yes
No
Will there be any conflicts of interest if you join this supervision panel?
Yes
No
Ethical approval is required for this research?
Yes
No
Please indicate how many panels you are a member

of as a:
Chief
Supervisor
Cosupervisor
Candidates paper code for enrolment

____________________
Signature
Date
Other Members of Supervisory Panel

Title
Departmen
t
Phone
Full Name
Email
Are you approved onto the University Supervisors Register
Yes
No
Yes
No

of as a:
Signature
Date
Title
Departmen
t
Phone
Chief
Supervisor
Cosupervisor
Full Name
Email
Are you approved onto the University Supervisors Register
Yes
No
Yes
No

of as a:
Chief
Supervisor
Cosupervisor
July 2015
Supplementary Form
Signature
Date
T
I approve this application to enrol
I do not approve this application

to enrol
The applicant satisfies the academic requirements for

study Honours or Masters with minimum 2nd class
honours (1st division)
Yes
No
Special arrangements will be required to

undertake the proposed research in this
department
Yes
No
Adequate supervision is available
Yes
No
Adequate resources are available
Yes
No
Comments
EFTS Apportionment
Dept 1
% of
EFTS
COD
Signature
EFTS Apportionment
Dept 2
% of
EFTS
COD
Signature
Name
Departm
ent
Signatur
e
Date
T
I do not approve this application

to enrol
The applicant satisfies the academic

requirements for study
Honours or Masters with minimum 2nd class
honours (1st division)
Yes
No
Special arrangements will be required to

undertake the proposed research in this
department
Yes
No
Adequate supervision is available
Yes
No
July 2015
Supplementary Form
Adequate resources are available
Yes
No
Comments
Name
Departm
ent
Signatur
e
Date
T
I do not approve this

application to enrol
Comments
Nam
e
Signature
Date
July 2015

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Supplementary Form

Part 1 Applicant to complete part 1 and submit as part of the application

When would you like your enrolment

Full Time Part

Part 2 University of Waikato to complete.

Are you approved onto the University Chief Supervisors Register

Ethical approval is required for this research?

Please indicate how many panels you are a member

Candidates paper code for enrolment

Other Members of Supervisory Panel

Are you approved onto the University Supervisors Register

Please indicate how many panels you are a member

Are you approved onto the University Supervisors Register

Please indicate how many panels you are a member

I do not approve this application

The applicant satisfies the academic requirements for

Special arrangements will be required to

Adequate supervision is available

Adequate resources are available

I do not approve this application

The applicant satisfies the academic

Special arrangements will be required to

Adequate supervision is available

I do not approve this

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