COLLEGE OF SCIENCE, HEALTH AND ENGINEERING DOMESTIC APPLICANTS ONLY 2017 APPLICANT SUPPLEMENTARY FORM Please ensure you include all documents outlined below with your online application Course Application CLOSES, MONDAY 31 st October 2016 Course commencement date: Week 03-09 January 2017 with PTY3GEP at the Melbourne (Bundoora) campus Apply online at: http://www.latrobe.edu.au/study/how-to-apply/direct/postgraduate Instructions to Applicant: 1. Read these instructions carefully before completing this f orm. 2. This is a domestic application form only, domestic applicants must apply online to La Trobe University by completing the Direct Application Form in addition to this form at: http://www.latrobe.edu.au/study/how-to-apply/direct/postgraduate International applicants must apply through La Trobe International: http://www.latrobe.edu.au/international 3. Forms and supporting documents must be submitted by the closing date. 4. If you have any results for semester 2 2016 you must submit these by 5pm Friday 9 th December 2016 (except La Trobe qualifications) 5. Supporting documentation as described in this form, MUST be supplied with this application. Failure to provide relevant supporting documentation may delay or prevent your application being considered. 6. A final decision on your application cannot be made until all the required documentation is received. 7. Meeting minimum prerequisites does not guarantee an offer of a place. Entry into all La Trobe courses is based on competitive selection and there may be limited places available. 8. We anticipate application outcomes will occur at the end of December 2016. 9. To view the Frequently Asked Questions and Answers for this program please visit : http://latrobe.custhelp.com/app/answers/list/kw/hmpyp/search/1 10. If you experience any difficulties with your online application please contact Future Students: 1300 135 045 SHE - 25082016 Page 1 of 9
2017 Master of Physiotherapy Practice-HMPYP: ME (BU), HMPYPB: BE SELF-ASSESSMENT APPLICATION CHECK-LIST ARE YOU ELIGIBLE TO APPLY? Answer the questions below to find out.. Q1 Q2 Have you completed a Bachelor degree in the past 5 years? YES - go to Question 2 In your completed Bachelor degree - did you achieve a minimum Grade Point Average (GPA) 5.5 out of 7? NO Unfortunately, you may not meet the entry requirements for this course. Continue to answer Q2 & Q3 and you must also answer Q4. NO - Unfortunately, you do not meet the entry requirement for this course. Q3 YES - go to Question 3 Have you completed tertiary-level subjects in regional musculoskeletal anatomy (comprising all of the following areas: head; neck; pelvis; spine; thorax; upper limb; lower limb) neuro-anatomy, physiology (including exercise physiology) and biomechanics? To achieve the regional musculoskeletal anatomy content your study would require between 2 and 4 regional anatomy tertiary level subjects. We recommend that you complete a second Bachelor NO - I only have one or two of the areas studied but not all of them. Unfortunately at this time, you are not eligible to apply as you do not meet the entry requirements for this course. The study required for neuro-anatomy examines the anatomy of the brain, central nervous system and cranial nerves. Please note that this study can be done within other subjects or as a separate subject. Need more information about the subject content required for the pre-requisite subjects? Refer to FAQs page 2. YES - I have completed subjects in the areas outlined above. If YES to Q2 & Q3 and you answered NO to Q1 then proceed to Q4. If you answered YES to Q 1-3, you are eligible to apply for this course. Submit an application with all supporting documentation prior to the closing date. Late and incomplete applications will not be considered. Q4 If you answered No in Q1 & Yes in Q2 & Q3 Have you completed recent postgraduate study and/or relevant work experience? YES - You may be considered for selection, please submit an application. NO Unfortunately at this time, you do not meet the entry requirement for this course. We recommend that you either complete a second Bachelor degree or postgraduate study with a GPA 5.5 out of 7 to be eligible for entry before you submit an application. If you would like to discuss your study options please contact Future Students: 1300 135 045 Self-Assessment Checklist Master of Physiotherapy Practice, La Trobe University SHE - 25082016 Page 2 of 9
APPLICATION CLOSING DATE: MONDAY 31 OCTOBER 2016 Section 1: Personal Details Are you currently enrolled in another La Trobe University course? Or have you previously been a student at La Trobe University? Yes La Trobe ID No: Family Name: (if different to current name) Family Name: Mr, Ms, Miss, Mrs: Date of Birth: Given Names: Gender: MALE FEMALE Address for correspondence: Number & Street Suburb: State: Postcode: Telephone (Home): Email Address (to receive university correspondence): (Mobile): Please indicate the course that you are applying for Indicate Course Campus Study Mode Course Code HMPYP Bundoora Full-time Master of Physiotherapy Practice HMPYPB Bendigo Full-time Master of Physiotherapy Practice Section 2: Confirmation of Admission Requirements To meet the entry requirements for the Master of Physiotherapy Practice programs all applicants must have : 1. Bachelor's degree completed within the past five years with a minimum GPA of 5.5 out of 7. Applicants who completed their degree more than 5 years ago may be considered on the basis of postgraduate study and/or relevant work experience. Yes, I have/will have completed a Bachelor of From (Institution) Year of Completion (Please indicate) I have attached a certified copy of the transcript of results for this degree or all results received to date I confirm that I have met the minimum GPA 5.5 out of 7 for my degree; and If you have any results for semester 2 2016 studies, you must submit these by 5pm Friday 9 th December 2016: Note: La Trobe University students are not required to provide certified transcripts of results SHE - 25082016 Page 3 of 9
Section 2: Confirmation of Admission Requirements continued 2. Applicants must also have completed tertiary-level subjects in regional musculoskeletal anatomy (upper and lower limb, pelvis, spine and thorax, head and neck), neuro-anatomy, physiology (including exercise physiology) and biomechanics. Yes, I have completed or I am currently completing each of the PRE-REQUISITE tertiary level subjects in - REGIONAL MUSCULOSKELETAL ANATOMY (upper and lower limb, pelvis, spine and thorax, head and neck), To achieve this content your study would require between two (2) and four (4) regional anatomy subjects; and NEURO-ANATOMY (this study examines the anatomy of the brain, central nervous system and cranial nerves). Please note that this study can be done within other subjects, or as a separate subject; PHYSIOLOGY (INCLUDING EXERCISE PHYSIOLOGY) and BIOMECHANICS. For each table below, you are required to provide information about the subjects in your prior tertiary education that you are claiming towards meeting the course admission pre-requisites. You are also required to provide handbook entries (subject descriptions) for every subject listed in the tables below. The handbook entries (subject outline) documents MUST relate to the year in which you undertook each subject as shown on your academic transcript. Subject descriptions may be PDF documents downloaded from the University website, or a link to the subject description on the University website. ANATOMY YOUR ANATOMY STUDIES MUST INCLUDE - REGIONAL MUSCULOSKELETAL ANATOMY AND NEURO-ANATOMY PHYSIOLOGY YOUR PHYSIOLOGY STUDIES MUST INCLUDE EXERCISE PHYSIOLOGY BIOMECHANICS SHE - 25082016 Page 4 of 9
Section 3: Additional Information SUPPLEMENTARY APPLICATION FORM Completed tertiary-level subjects in pathophysiology, psychology, pharmacology, evidence-based practice, research methods or statistics, determinants of health, human movement, communication or education are also desirable. Yes, I have completed or I am currently completing each of the tertiary level subjects as outlined above. For each table, provide information about the subjects in your prior tertiary education that you are claiming towards meeting the optional subjects. You are also required to provide handbook entries (subject descriptions) for every subject listed in the tables below. The handbook entries (subject outline) documents MUST relate to the year in which you undertook each subject as shown on your academic transcript. Subject descriptions may be PDF documents downloaded from the University website, or a link to the subject description on the University website. EVIDENCE BASED PRACTICE, RESEARCH METHODS OR STATISTICS PATHOPHYSIOLOGY PHARMACOLOGY DETERMINANTS OF HEALTH SHE - 25082016 Page 5 of 9
Section 3: Additional Information continued Completed tertiary-level subjects in pathophysiology, psychology, pharmacology, evidence-based practice, research methods or statistics, determinants of health, human movement, communication or education are also desirable. HUMAN MOVEMENT COMMUNICATION OR EDUCATION PSYCHOLOGY Section 4: Work Experience Relevant recent work experience and voluntary experience will be considered. Applicants are required to list details of their relevant employment/voluntary experience below. Please include email address of employer. All applicants must submit all necessary documentation, by the closing date. Employment Record: Dates From Dates To Employer Organisation Name and Contact name and Email address Position Held Reference attached SHE - 25082016 Page 6 of 9
Section 4: Work Experience continued Volunteer Record: Dates Dates Organisation Name and Contact name and Activities Reference From To Email address attached Section 5: Personal statement Personal Statement Your statement should outline, in strictly no more than 250 words: your professional background (briefly) and why you want to study in this field; your understanding of the field you have chosen to study, in your own words; how you intend to use this qualification, in your own words SHE - 25082016 Page 7 of 9
Section 6: Referees Referee Report Instructions to Applicant: Please submit up to 2, Professional Referee Report/s from work supervisors and/or co-workers and /or academic staff to support your application. Referees will be asked to comment on your ability to interact with people, interpersonal skills, management skills, work ethic and character and suitability for the Master of Physiotherapy Practice course. Please provide the below form to the referee/s to complete. Instructions to Referee: Referees are asked to comment on the applicant s ability to interact with people, interpersonal skills, management skills, wo rk ethic and character and suitability for the Master of Physiotherapy Practice course. All responses will be treated in strict confidence and will be available only to those involved in the selection process. Thank you for your assistance. Referee 1: Applicant s name: Referee s Contact Details: Name: Present Position: Telephone No: Address: Email address: How long have you known the applicant: In what capacity (e.g. lecturer/employer): General comments on the applicant s ability to interact with people, interpersonal skills, management skills, work ethic, character and suitability for the Master s program; Referee 2: Applicant s name: Referee s Contact Details: Name: Present Position: Telephone No: Address: Email address: How long have you known the applicant: In what capacity (e.g. lecturer/employer): General comments on the applicant s ability to interact with people, interpersonal skills, management skills, work ethic, character and suitability for the Master s program; SHE - 25082016 Page 8 of 9
Section 7: Declaration and Agreement 1. I declare that the information supplied with this application is true and complete in every detail. 2. I understand that the University reserves the right to vary or reverse any decision made on the basis of incorrect or incomplete information provided by me. 3. I authorise La Trobe University to request and obtain further information from any educational institution or employer which may be required to confirm or clarify my suitability and eligibility for this course of study. 4. I accept that the application and supporting documentation become the property of La Trobe University and are not returnable. Signature: Date: Section 8: Supplementary Application Form Checklist I enclose the following: Completed and signed Supplementary Application Form Completed Direct Online Application Form Certified copy of transcript (results) to date from relevant bachelor degree (except for La Trobe qualifications) Submit outstanding Semester 2 2016 Results (if any) by the relevant deadline-(except for La Trobe qualifications) Specific evidence of completion of pre-requisite subjects including handbook entries Specific evidence of completion of additional subjects including handbook entries Work Experience/Voluntary Experience Personal Statement Referees It is the responsibility of the applicant to submit all necessary documentation by 31 OCTOBER 2016 SHE - 25082016 Page 9 of 9