Research Services - UNE



|Research Services |

|Higher Degree Research – Change of Supervision Form |

|Student Details |

|Student Number: | |Degree (Course): | |

|Surname: | |First Name: | |

| |

|Current Supervision Team (Please Print Names): |

| |Supervision % |

|Principal Supervisor:|Title: | | | |

| | | | |% |

|Co-Supervisor: |Title: | | |% |

|Co-Supervisor: |Title: | | |% |

| |

|Proposed Supervision Team (Please Print Names): |

|Supervision Discipline Codes and Areas |Supervision % |Supervision Discipline Area: |

|Principal Supervisor: |Title: | | |% |

|NB: If end date is specified, supervision arrangements will revert to previous/current supervision arrangements unless otherwise specified. |

| |

|EXTERNAL SUPERVISORS |

|External Supervisors are persons not employed by UNE. |

|External Supervisors cannot be a Principal Supervisor. |

|External Supervisors being nominated as a Co-Supervisor must have approval from Head of School. |

|Contact details for external supervisors: |

|Name: | |

|Address: | |

|Phone: | |

|Email: | |

| |

|REASON FOR CHANGE OF SUPERVISION: |

|Please indicate the reason for the proposed change(s) in the supervision team: |

| |

| |

| |

| |

|SCHOOL TRANSFER |

|If it is required that the student transfer from one School to another School, due to the CHANGE of Principal Supervisor, please indicate below: |

|NB: International Students transferring Schools may be required to reapply for admission |

|Domestic: (Yes/No) | |International: (Yes/No) | |

| |

|ETHICS (If applicable) |

|Is this student’s project covered by current ethics approval? (Yes/No) | |

|If yes, please provide the current approval number: | |

|Please seek advice from the UNE Ethics Officer about whether changing supervisors contravenes the conditions of Ethics approval. |

| |

|Declaration By Student |

|I am transferring to another school? (Yes/No) | |

|I confirm that I agree with this change of supervision. |

|Student Signature: | |Date: | |

| |

|SignatureS of Proposed NEW SUPERVISION TEAM: |

|Principal |Sign: |Date: | |

|Supervisor: | | | |

| |Print: | | |

|Co-supervisor |Sign: |Date: | |

| |Print: | | |

|Co-supervisor |Sign: |Date: | |

| |Print: | | |

| |

|Declaration by Head of School or Nominee: |

|If supervision is from multiple Schools the signature is required from all of the relevant Head(s) of School(s). |

|As Head of School (or nominee) I confirm that: |

|Each member of the proposed supervision team is formally registered on the UNE Register of Supervisors and is qualified to supervise at the degree level |

|indicated. |

|Supervisors who are being replaced have been advised of these changes |

|Head of School or nominee | |

|signature: | |

|School: | |Date: | |

|Head of School or nominee | |

|signature: | |

|School: | |Date: | |

The completed form can be submitted via the AskUNE HDR Student interface:

Incomplete forms will be returned to the School(s).

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