Research degrees and scholarships information evening

Thursday 27 August
Monash University, Caulfield campus
4.30 - 7 pm

Fields marked with an asterisk (*) are compulsory.

Please fill out a separate registration for each person.

Your details

*Title
*First name
*Last name
Company name (if applicable)
*Email address

Academic interest and background

Area of research interest
Highest level of qualification (Select one)
		Bachelor degree
		Bachelor degree with honours
		Graduate Certificate or Diploma
		Postgraduate Certificate or Diploma
		Masters - coursework only
		Masters - coursework and research
		Masters - research
Name of highest qualification
Awarding institution
Country of awarding institution

What is your primary relationship with Monash University?

(Select one)

Community member
Industry/business
Monash alumnus
Monash staff member
Monash student
Secondary school student
Staff member from another university
Student from another university
Other (please specify)

How did you find out about this event?

(You can select more than one)

The Age
Billboard
Email
Friend or family member
Monash Alumni newsletter
Monash University website
Poster
Link from another website
Other (please specify)

* Please indicate if you would like to remain informed about:

Monash research public lectures	Yes No
eNews Art, Design	Yes No
eNews Business, Economics, Law	Yes No
eNews Health, Pharmacy, Medicine	Yes No
eNews Humanities, Social Sciences, Teaching	Yes No
eNews Science, Engineering, Information Technology	Yes No

Note - Unless specified, Monash will only use this information to register and correspond with you regarding this event. See privacy statement for full details.

If you have problems registering online please contact:

Melinda Pipan
Email: melinda.pipan@adm.monash.edu.au
Telephone: +61 3 9903 4181