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APPLICATION FOR VERIFICATION OF ELIGIBILITY FOR

THE GRADUATE DIPLOMA OF EDUCATION (PRIMARY) 2010


OUA ID Office Use Only:

Monash ID Approved degree Yes  No 

Title Mr  Mrs  Miss  Ms  English Language Yes  No 


requirement met
Family Name Comment:

Maiden Name
(if applicable)

Given Names
Date of Birth
Postal Address

State Postcode
Phone (BH)
Phone (AH)
Mobile
Email Address

ELIGIBILITY CRITERIA
To be eligible to undertake units for the Graduate Diploma of Education (Primary) applicants must
have completed an approved undergraduate degree or equivalent diploma
meet the English Language proficiency requirements

PREVIOUS COURSE INFORMATION: You must provide a certified copy of all academic transcripts/results with
this application – copies must be sighted, verified, stamped and signed off as an authentic copy of the original. If
this information is not provided it will not be possible to assess your application.
Record 1
Degree/qualification
Field of Study/Major/Specialisation Institution

State Country

Year commenced Year completed

Length of course Did you complete  Yes  No


Record 2
Degree/qualification
Field of Study/Major/Specialisation Institution

State Country

Year commenced Year completed

Length of course Did you complete  Yes  No

Graduate Diploma of Education (Primary 2010) Page 1


Record 3
Degree/qualification
Field of Study/Major/Specialisation Institution

State Country

Year commenced Year completed

Length of course Did you complete  Yes  No

SUPPORTING INFORMATION: (please attach additional information if there is insufficient space below)

Note: Any claims made regarding work experience with children (paid or voluntary) must be corroborated by
professional or institutional reference and should relate to your academic and personal qualities regarding your
suitability to undertake a course in teaching. Please attach these to your application.

1. Please complete a statement outlining your reasons and motivation for wishing to become a teacher of
primary aged children. This information may contain your career goals and course expectations.

2. Please provide any other relevant information in support of your application for this course.

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ENGLISH LANGUAGE REQUIREMENTS:
State in which way you fulfill the Faculty’s English Language proficiency requirements by ticking the appropriate
statement below. Documentary evidence must be provided with this application.
 At least three years of study in an English medium institution# AND one of the following:
A pass in units 3&4 in any VCE English subject or what is judged by the Faculty to be an equivalent
#
Completion of all secondary schooling entirely in English in an English medium institution
At least three years of further full-time tertiary study or full-time communicatively demanding work
conducted in English*.
#
An English medium institution is one where English is the language of instruction and assessment for the entire institution.
Documentary evidence in the form of a letter or transcript is required from the institution at which the study was undertaken.
* Communicatively demanding work conducted in English is defined as work where communication in oral and written forms
is conducted in English at least 50% of the time, and where this English medium communication involves the ability to
negotiate solutions to problems, explain processes and concepts, provide persuasive arguments, critique written
information and provide constructive feedback, all at a high level.

 IELTS (academic) of at least 7 with a score of at least 7 on speaking and writing and at least 6.5 on reading
and listening.
 Internet-based TOEFL of 100 with at least 25 on writing and speaking scores and at least 22 on reading and
listening.
Note: All test scores must be no more than 2 years old at the time of application (or accompanied by evidence
of substantial studying/working in an English speaking environment and with English communicatively
demanding work after testing). A Faculty interview to assess oral proficiency may also be required.

PERMISSION TO RELEASE RESULTS:


I hereby authorize Open Universities Australia to release my academic record to the Faculty of Education,
Monash University for the purposes of determining my ability to graduate from the Graduate Diploma of
Education (Primary) course offered by Monash University.
Signature: Date:

DECLARATION:
I declare that the information supplied on this form and the information supplied in support of my application is
correct and complete.
Signature: Date:

Application Checklist:
Please note that applications with incomplete documentation will not be assessed and will be returned to applicant.
The following original, or certified copies of, documents are enclosed:
 Evidence that qualifications have been completed
 Academic Transcript of Results and other supporting documents
 Verification that the English Language requirements have been met
 Permission for Monash University to obtain your results has been signed
 Declaration signed

Where to send your application:


By Mail: Co-ordinator, Admissions & Student Services
Faculty of Education
Monash University, Gippsland Campus
Northways Road
CHURCHILL
VIC 3842
th
APPLICATIONS MUST BE RECEIVED NO LATER THAN FRIDAY, 8 JANUARY 2010

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 Faculty of Education 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 the student’s 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.

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