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Monash Undergraduate Diploma Application Form 2017
Monash Undergraduate Diploma Application Form 2017
Faculty of Arts
Places are limited and fill very fast. Early applications are advised. Late applications will be waitlisted.
Entry Requirements
Applicants must meet minimum university entry requirements and the criteria, as stated on the Diploma
Information website at:
https://www.study.monash/courses/find-a-course/2017/liberal-arts-a0502 (Liberal Arts)
https://www.study.monash/courses/find-a-course/2017/languages-a0501 (Languages)
Monash ID number:
Title: Last name:
First name(s):
Date of birth: / / Female: Male:
Postal address:
Home Faculty Approval - I give permission for this applicant to undertake concurrent study for a Diploma.
Faculty Stamp
SECTION C – COURSE DETAILS
Please select the course and campus you wish to apply for from the following table:
Have you completed units in your degree that may count towards the diploma? Yes No
Please indicate below details of your previous tertiary studies for which you are seeking credit. A certified
photocopy or original transcripts of official results, including proof of completion (where relevant), must
accompany this application. We do not require academic transcripts for studies undertaken at Monash University.
A maximum of 24 points may be credited towards your undergraduate diploma.
Declined? Y/N
Monash Unit
Exemption?
Unspecified
Authorising
Credit? Y/N
credit? Y/N
Completed
Signature
Unit code
Specified
Unit Title
Credit
Code
Year
Y/N
I declare that the information supplied on this form and the information given in support of my application is
correct and complete. I acknowledge that the provision of incorrect information or the withholding of relevant
information relating to my application and/or academic transcript may result in the withdrawal of an offer of a
place. I acknowledge Monash University reserves the right to seek from other relevant bodies verification of the
standing of my claimed qualifications. I authorise the university to obtain official records from any tertiary
institution previously attended by me. I agree to abide by the statutes and regulations of Monash University. I
authorise the university to obtain official student records from any educational institution necessary to make an
informed decision about the application or matters that concern my enrolment. Where employment work
experience is considered in determining my application, I authorise the university to verify my past and current
employment for the purpose of making an informed decision about this application or matters that concern my
enrolment.
Privacy statement
The information on this form is collected for the primary purpose of assessing your application. Other purposes
of collection include attending to administrative matters, statistical analyses and the creation of an enrolment
record on the student database corresponding with you. If you choose not to complete all the questions on this
form, it may not be possible for the Faculty of Arts to assess your application. 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 +61 3 9905 6011.
Office use only
CSP offer Full-fee offer only CSP conditional offer Pending Reject
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