Application to Extend Provisional Candidature PHD, Professional Doctorate and Master by Research

Form: SSC_203_02_16

Candidates should ensure they have read the Candidature Management of Higher Degree by Research Candidates Policy before submitting this application. http://www.ecu.edu.au/GPPS/policies_db/policies_view.php?rec_id=0000000396

You will be advised the outcome of this application via your student email only (eg xxx1@our.ecu.edu.au). Please ensure that you monitor this email account on a regular basis.

SECTION A - TO BE COMPLETED BY CANDIDATE

STUDENT NUMBER: DAYTIME CONTACT PHONE NO:

SURNAME / FAMILY NAME: GIVEN NAME/S:

EMAIL ADDRESS:

@our.ecu.edu.au

COURSE: SCHOOL:

INTERNATIONAL STUDENT VISA EXPIRY DATE:

EXTENSION FROM (DATE):

REQUESTED EXTENSION TO (DATE):

FULL TIME / PART TIME ENROLMENT: FULL TIME OR PART TIME

PLEASE OUTLINE THE REASONS WHY YOU NEED TO EXTEND YOUR PERIOD OF PROVISIONAL CANDIDATURE:

I understand that if my extension is approved, and I do not submit within the extension period, I may be excluded from the course.

INTERNATIONAL STUDENTS ONLY: I have discussed this application and its implications with a Student Connect Officer at Student Central:

NAME OF STUDENT CONNECT OFFICER: DATE OF MEETING:

SIGNATURE OF CANDIDATE: DATE

SECTION B: TO BE COMPLETED BY PRINCIPAL SUPERVISOR

I CONFIRM THAT ALL SUPERVISORS INVOLVED IN THE CANDIDATURE SUPPORT THIS APPLICATION YES

To assist the Associate Dean Research in considering this application, you are requested to provide a comprehensive statement on the progress the candidate has made toward his / her Confirmation of Candidature.

SUPERVISOR’S NAME: EMAIL:

SUPERVISOR’S SIGNATURE: DATE:

SECTION C: ENDORSEMENT BY ASSOCIATE DEAN RESEARCH

EXTENSION TO PROVISIONAL CANDIDATE APPROVED? YES NO

SUBJECT TO THE FOLLOWING CONDITIONS:

DATE THE PROVISIONIAL CANDIDATURE EXTENDED TO:

ASSOCIATE DEAN RESEARCH (OR NOMINEE) SIGNATURE: DATE:

PLEASE EMAIL THE COMPLETED APPLICATION AND FINISHING CONTRACT TO:

RESEARCHASSESSMENTS@ECU.EDU.AU

THE ORIGINAL SHOULD THEN BE SENT TO RESEARCH ASSESSMENTS AT JOONDALUP CAMPUS

SECTION D: TO BE COMPLETED BY THE RESEARCH ASSESSMENTS OFFICE

MILESTONE UPDATED ON CALLISTA

GRC EXEC OFFICER ADVISED (FOR NOTING ON AGENDA)

DOCUMENTS PROCESSED BY: DATE: