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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

1

Please ensure you have provided your initial research proposal. July 2015 2 . resources required and planned timetable.Supplementary Form – MPhil/PhD/DMA/EdD/SJD Please complete the form to this point and submit it for consideration with your application. including the proposed field and depth of study.

the chief supervisor must be a continuing staff member of the University. Exceptions to this recommendation are managed by Faculty Deans. Please contact postgrad@waikato.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.ac. The minimum supervisory requirement for all University of Waikato Higher Degrees is at least two panel members. 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. Chief Supervisor Title Full Name Departmen t Phone Email Are you approved onto the University Chief Supervisor’s 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 Candidate’s paper code for enrolment ____________________ Signature Date Other Members of Supervisory Panel Title Departmen t Phone Full Name Email Are you approved onto the University Supervisor’s Register Yes No Will there be any conflicts of interest if you join this supervision panel? Yes No Please indicate how many panels you are a member of as a: Signature Date Title Departmen t Phone Chief Supervisor Cosupervisor Full Name Email Are you approved onto the University Supervisor’s Register Yes No Will there be any conflicts of interest if you join this supervision panel? Yes No Please indicate how many panels you are a member of as a: Chief Supervisor Cosupervisor July 2015 3 .Supplementary Form – MPhil/PhD/DMA/EdD/SJD Part 2 – University of Waikato to complete. All members of the supervisory panel must be approved by the Postgraduate Research Committee and be on the University’s Supervisors Register.

Supplementary Form – MPhil/PhD/DMA/EdD/SJD 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 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 July 2015 4 .

Supplementary Form – MPhil/PhD/DMA/EdD/SJD Adequate resources are available Yes No Comments Name Departm ent Signatur e Date T I approve this application to enrol I do not approve this application to enrol Comments Nam e Signature Date July 2015 5 .