APPLICATION FOR ADMISSION - Graduate Certificate, Diploma or Masters in Organisational Leadership
Students may choose to undertake individual modules as stand-alone units, combine any 4 units and be awarded with a Graduate Certificate in Organisational Leadership, combine any 8 units and receive a Graduate Diploma in Organisational Leadership, or complete all 12 units and receive a Masters in Organisational Leadership.
Form instructions
The Applicant should complete the first part of the form, including providing details of their referee and uploading supporting documentation (or emailing it in accordance with the instructions), sign and date the declaration and then 'Save' the form. The Application should then send the link to the draft form to their referee who should complete the Referee Assessment, sign and date the referee declaration and then 'Submit' the form.
Applicant information
Details need to match your passport
First (given) name(s)
*
Family name
*
Middle name
Preferred name
Work address
*
Home address
*
Telephone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Work email address
*
example@example.com
Alternative email address
example@example.com
Date of birth
*
-
Day
-
Month
Year
Date
Country of birth
*
Nationality/residency
*
Languages spoken
Academic history
Provide information for ALL tertiary institutions attended and degrees or diplomas awarded.
Name of university/college
*
Country of institution
*
Title of degree/diploma
*
Year of commencement of study
*
Year of graduation
Transcripts attached
*
Yes
No
Provide these details (university/college, country, title of degree/diploma, years of commencement and graduation, if transcripts attached) for all other tertiary education
High school completion
Highest school level completed (e.g. Year 12)
*
Year completed
*
Highest level of education completed by your parents/guardians
Please indicate the highest level of education completed by your parent(s) and/or guardian(s)
Highest level of education completed
*
Rows
Parent/guardian 1
Parent/guardian 2
Postgraduate degree (e.g. Masters degree, PhD)
Bachelor degree (e.g. Bachelor of Arts, Bachelor of Science)
Advanced diploma/Diploma
Certificate I, II, III or IV (including trade certificate)
Year 12 or equivalent secondary school completion
Year 11 or equivalent secondary school completion
Year 10 or equivalent secondary school completion
Year 9 equivalent or below
Unknown
Employment details
Current position
*
Employer
*
Supporting documentation
Ensure that you have completed all sections above. Please then upload a certified copy of your passport, including any work visas you have, and suitably verified transcripts of your undergraduate degree and any post graduate qualifications detailing all subjects undertaken and results (a copy of a graduation certificate is not sufficient). Please ensure that all photocopies are correctly certified by a University Administrator, Justine of the Peace, lawyer, pharmacist, doctor or police officer.
File upload
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If you're unable to upload all documents, please email them to katrina.bacon@feal.asn.au and renee.villasanti@feal.asn.au
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Referee contact information
The Selection Committee requires that candidates submit one confidential referee report by asking their chosen referee to complete the Referee Assessment below. If possible, the referee should have knowledge of your work experience and management aptitude. The referee should be a person of good standing who is in a position to provide helpful comments about you. Please note that the Selection Committee may wish to consult with your referee directly.
Referee full name
*
Referee position/title
*
Referee employer
*
Referee telephone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Referee email
*
example@example.com
Relation to applicant
*
Applicant declaration
I declare that to the best of my knowledge the information on this form is correct and complete. I acknowledge that the provision of incorrect information or the withholding of any information relating to my academic record may result in the withdrawal by the institution of a place which may be offered and that this withdrawal may take place at any stage during the tertiary course I undertake. I recognise that this application is submitted and received on the understanding that the institution may obtain official records with respect to my application from the appropriate education institution(s).
Applicant's signature
*
Date
*
-
Day
-
Month
Year
Date
Forwarding the form to your referee
Once you have completed the first part of the form and signed and dated the declaration, 'Save' the form using the button at the bottom of the form and provide the link to the saved form to your referee for them to complete the Referee Assessment. On completion of the Referee Assessment the referee should then 'Submit' the form.
Referee Assessment
How long have you known the Applicant?
*
Briefly describe your relationship with the Applicant
*
Please describe the reference group against which you rate the Applicant (reference group may be: University graduate, middle management, etc.)
*
Keeping in mind your reference group, please evaluate the Applicant as best and as fairly as you can in each of the categories below.
Rows
Below average
Lowest 40%
Average
Middle 35%
Above average
Next 15%
Outstanding
Next 5%
Truly exceptional
Top 5%
General ability
Judgement
Creative qualities
Maturity
Initiative
Self-discipline
Leadership
potential
Analytical skills
Verbal skills
Writing skills
Please provide, by completing the grid below, an overall estimation of the Applicant’s potential.
Rows
Below average
Lowest 40%
Average
Middle 35%
Above average
Next 15%
Outstanding
Next 5%
Truly exceptional
Top 5%
Academic potential
Character and
personal potential
Future managerial
and
business potential
How do you see the Organisational Leadership program contributing to the Applicant’s career?
*
Additional comments on the Applicant’s aptitude and career potential
*
Referee declaration
I declare that to the best of my knowledge the information on this form is correct and complete.
Referee's signature
Date
*
-
Day
-
Month
Year
Date
Melbourne Business School Privacy Statement
To gain maximum benefit from this program we encourage participants to share their feedback with their immediate superior or organisational sponsor. However, in accordance with the Privacy and Personal Information Act 1988, we do not disclose program participant information without their express prior consent. Melbourne Business School respects the privacy of all individuals. The information you provide on this form is what the Privacy and Personal Information Act 1988 defines as personal information. We are collecting and storing these details so that we can process your enrolment or enquiry, inform you of future activities or events and improve the service we offer you. The only organisations that may use this information are Melbourne Business School and the data service providers we engage from time to time. You may choose not to provide certain details, as is your right, but as a result we may be unable to process your enrolment or enquiry, or complete the process for which we were collecting the information. You are entitled to access and alter your personal details at any time by contacting us by telephone, fax or email. If you do not wish to receive any mail, faxes or emails in the future, let us know by return fax. Please contact Melbourne Business School’s Director, Marketing Services if you have any questions about privacy issues. Melbourne Business School Ltd ABN 80 007 268 233
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