Graduate Certificate in Nursing Science (Infection Control Nursing) application form

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 Universities Australia procedures. I authorise The University of Adelaide to obtain my academic record from other educational institutions. If sponsored I authorise The University of Adelaide to release details of my academic progress to my sponsoring body upon request.

I understand:

1. The University of Adelaide is collecting information on this form for the purposes of assessing my eligibility for admission to the Program and allocation of a Commonwealth Higher Education Student Support Number (CHESSN) to me;
2. The University of Adelaide will disclose this information to the Department of Education and Training (DET) for those purposes;
3. DET will store this information securely in the Higher Education Information Management System;
4. DET may disclose the information to the Tax Office; and
5. The University of Adelaide and DET will not otherwise disclose this information without my consent unless required or authorised by law.

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 to release details of my academic progress to my sponsoring body upon request.

I understand:

• The University of Adelaide is collecting the information in this form for the purpose of assessing 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
• 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; and
• I agree to notify DIAC of any change which may result in changes to my visa

Make sure you have attached:

• Proof of your status as a permanent resident or a holder of an appropriate visa (if required).
• A copy of your current CV
• Certified copies of any professional qualifications/memberships
• Proof of name changes if your qualifications were awarded in a different name
• Two letters of reference
• Certified English language translations of your qualifications if these are not in English