Login Home HMS student-support forms-documents Current: Graduate Certificate in Oral Health Science Graduate Certificate in Oral Health Science To apply, you must have submitted an application and received your ID from SATAC. Personal details Full name SATAC Reference number? Date of birth Email address Qualifying information Please upload your statement One file only.20 MB limit.Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip. Certification Please upload copies of the following current certificates. APHRA registration One file only.20 MB limit.Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip. Radiography licence/request for waiver One file only.20 MB limit.Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip. Personal competency statement Work experience Please provide a copy of your current CV which includes relevant work experience/employer details One file only.20 MB limit.Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip. Referees Full name Email address Postal address Phone number Alternative phone number Referee two Full name Email address Postal address Phone number Alternative phone number Supply details of two referees who are able to give references based upon their knowledge of your academic or work performance. Referee one Informed consent I certify that to the best of my knowledge all documentation and information submitted or made available by me in connection with this application is true, accurate and complete. I acknowledge that the provision of inaccurate or incomplete information may result in the withdrawal of any offer of enrolment or the cancellation of any enrolment allowed on the basis of acceptance of that offer. I consent to the collection, storage and disclosure of information relating to record falsification or other irregular acts in accordance with Australian Vice-Chancellors’ Committee procedures. If sponsored I authorise the University of Adelaide release details of my academic progress to my sponsoring body upon request. I understand that: The University of Adelaide is collecting this information in order to assess my entitlement to Commonwealth assistance under the Higher Education Support Act 2003 and allocation of a Commonwealth Higher Education Student Support Number (CHESSN) to me; The University of Adelaide will disclose this information to the Department of Education, Science and Training (DEST) for those purposes; DEST will store the information securely in the Higher Education Information Management System; DEST may disclose the information to the Tax Office; and The University of Adelaide will not otherwise disclose the information without my consent unless required or authorised by law or to reduce the threat to the life or safety of any person, as outlined in the University’s Privacy Policy. I also acknowledge: There are minimum IT requirements and students are responsible for their own computers and software, which are absolute requirements for this web-based course. Students must have regular access to an internet connection and a computer with a web browser. If you experience any issue when completing this form or have an enquiry, please contact Admissions Operations via email.