THE UNIVERSITY OF GOROKA APPLICATION FOR ENROLMENT IN 2015 CLOSING DATE: 31st OCTOBER 2014 _________________________________________________________________________ POSTGRADUATE STUDIES PROGRAMS INFORMATION FOR APPLICANTS GENERAL INFORMATION: 1. COMPLETE ALL RELEVANT SECTIONS OF THE FORM. FAILURE TO DO SO MAY RESULT IN THE REJECTION OF YOUR APPLICATION. 2. THE FORM MUST BE SENT WITH CERTIFIED COPIES OF ALL EDUCATIONAL QUALIFICATION DOCUMENTS (CERTIFICATES, TRANSCRIPTS OF RESULTS ETC) 3. APPLICANTS FOR DOCTORAL STUDIES AND MASTERS BY RESEACH OR RESEARCH AND COURSE WORK ARE TO SUBMIT WITH THIS APPLICATION A STATEMENT OF 500 WORDS IN THE AREA OF INTERESTS THAT THEY WISH TO STUDY. 3. DO NOT SEND ORIGINAL COPIES. ORIGINAL COPIES MUST BE PRODUCED FOR SIGHTING AT THE TIME OF REGISTRATION. FAILURE TO PRODUCE ORIGINAL COPIES WILL RESULT IN YOUR ADMISSION BEING REJECTED. 4. ENCLOSE TWO CURRENT PASSPORT SIZE PHOTOGRAPHS WITH YOUR APPLICATION FORM. (Your name and program applied for must be clearly printed on the back of the photos) 5. A FIFTY KINA (K50.00) NON-REFUNDABLE FEE IS CHARGED FOR EVERY APPLICATION LODGED. PLEASE PAY INTO THE UNIVERSITY OF GOROKA ACCOUNT AT YOUR NEAREST BSP BRANCH AND ATTACH THE RECEIPT WITH THE APPLICATION FORM. (Your name and program applied for must be clearly printed on the bank receipt). 6. THIS APPLICATION DOES NOT AUTOMATICALLY GUARANTEE A PLACE FOR STUDY AT THE UNIVERSITY. 7. THE UNIVERSITY RESERVES THE RIGHT TO MAKE CHANGE(S) TO PROGRAMME (S) WITHOUT NOTICE. 8. IN THIS APPLICATION YOU CAN ONLY APPLY FOR ONE PROGRAMME OF YOUR CHOICE. 9. FAXED APPLICATION FORMS WILL NOT BE PROCESSED BANK BSP ACCOUNT NO. 1000751407 ACCOUNT NAME UNIVERSITY OF GOROKA STUDENT FEES ACCOUNT BRANCH GOROKA THIS FORM SHOULD BE COMPLETED AND RETURNED TO: THE DIRECTOR, STUDENT ADMINISTRATION THE UNIVERSITY OF GOROKA P O BOX 1078 GOROKA, EHP, 441 PAPUA NEW GUINEA PHONE: 531 1739 , 531 1737 OR 531 1736 OR FAX 5323916, Email: apingiw@uog.ac.pg orstdadsecretary@uog.ac.pg -1- Stick Passport Photograph here APPLICATION FOR ENROLMENT 10. PERSONAL DETAILS Given Name(s): Date of Birth: Citizenship: Surname: Country of Birth: Home Province: Address: Phone Number A/H: Phone Number B/H: Fax: B Mobile: E-mail: Digicel: 11. IF NON-PNG CITIZEN – COMPLETE THIS SECTION i) Country of Citizenship: _______________________________________________ ii) Are you a ‘Bona Fide’ dependent of an employee working in PNG? (Tick where appropriate) Yes ( ) No ( ) If Yes, provide proof. 12. TERTIARY EDUCATION Qualification Attained (Highest to Lowest) Year Attained Name of School/College/ University at which qualification was attained. 13. SECONDARY EDUCATION Level Secondary Education or Equivalent Year Attained Name of School at which qualification was Attained. Grade 12 Grade 10 14. OTHER SHORT COURSES AND WORKSHOPS Indicate any short courses and workshops attended since leaving school. Name of Institution Period of Qualification attained Study -2- Comments 15. EMPLOYMENT RECORD (Where Applicable) Position Name & Address Date of of Employer Employment Present Description of Work Previous 16. SPONSORSHIP a) Do you have a sponsor? Yes [ ] No [ ] If yes provide the name and address of your sponsor in the space provided. Indicate any correspondences relating to your sponsorship( if you have any) __________________________________________________________________ __________________________________________________________________ b) If you do not secure a sponsor how do you intend to fund your studies? __________________________________________________________________ __________________________________________________________________ UOG does not sponsor students in any of the programmes. Candidates are responsible for securing sponsorship. All fees must be paid as required by the University. 17. REFERENCE Provide names and addresses of two (2) referees specified other than your family who can be contacted about your character and suitability for admission to the programme. Where applicable one should be from your present or most recent employer, school or institution? In order to expedite the screening process of your application, you must contact your referees to send reports directly to the Director, Student Administration. 1) Name: ___________________ 2) Name: _____________________ Relationship with Applicant (Employer, Pastor etc. ) _________________________ Relationship with Applicant (Employer, Pastor, etc. ) ____________________________ Title: (Position held & Address) ____________________ ____________________ Phone :____________________ Fax: ____________________ Mobile:____________________ E-mail:____________________ Title: (Position held & Address) _________________________ _________________________ Phone: _________________________ Fax: _________________________ Mobile:_________________________ E-mail:_________________________ -3- PROGRAMS ON OFFER IMPORTANT: In this application you can only apply for one program: NA – Programs not available in 2015. Indicate the programme and the specialisation of your choice with a tick in one of the boxes. 18. A. Doctoral Studies Programs 1. Doctor of Philosophy [3 – 4 years)] – NA Specialisation: Education Arts Science 2. B. 3. Doctor of Education (D.Ed) [3-4 years] - NA Other Postgraduate Studies Programs Masters of Education [1 year] By Research Only By Coursework and Research By Coursework Only Specialisation: Educational Leadership and Management Teaching and Learning Curriculum Studies –NA 4. Masters of Arts [1 year] By Research Only By Coursework and Research By Coursework Only Specialisation: Business Studies Creative Arts Communication Social Change Development Studies Language & Literature Linguistics Melanesian Perspectives Sociology 5. Masters of Science [1 year] By Research Only By Coursework and Research By Coursework Only Specialisation: Agriculture Extension Agriculture Education Biology Chemistry Ethno-mathematics Environmental Science Mathematics Physics Science Education -4- 6. Bachelor of Education (Honours) [1 year] Specialisation: Educational Leadership and Management -NA Teaching and Learning - NA Curriculum Studies 7. Bachelor of Arts (Honours) [1 year] Specialisation: Business Studies Creative Arts Communication Social Change Development Studies Language & Literature Linguistics Melanesian Perspectives Sociology 8. Bachelor of Science (Honours) [1 year] Specialisation: Agriculture Extension Agriculture Education Biology Chemistry Ethno-mathematics Environmental Science Mathematics Physics Science Education 9. Post Graduate Diploma in Education (PGDE) [1 year] Specialisation: Curriculum and Assessment Education Educational Leadership and Management -NA Gender Studies Psychology Teaching and Learning -NA 10. Post Graduate Diploma in Arts (PGDA) [1 year] Specialisation: Business Studies Creative Arts Communication Social Change Development Studies Language & Literature Linguistics Melanesian Perspectives Sociology TESOL -5- 11. Post Graduate Diploma in Science [1 year] Specialisation: Agriculture Extension Agriculture Education Biology Chemistry Ethno-mathematics Environmental Science Mathematics Physics Science Education 12. Post Graduate Diploma in TVET [1] Specialisation: Design and Technology Applied Science (Home Economics) Human Movement (Physical Education) 13. Post Graduate Certificate in Arts [One Semester or Two Semesters DFL] Specialisation: Business Studies Creative Arts Communication Social Change Development Studies Language & Literature Linguistics Melanesian Perspectives Sociology TESOL 19. CHECKLIST Check List for all candidates Tick Tick if you have enclosed them. Two Current Referees Reports. Certified copy of School Certificates (Gr. 10/12). Proof of completion of other qualification(s) with transcript. Two Current Passport size Photographs (One affixed on the Application Form and the other to be Original receipt of K50.00 enclosed with printed name & programme applied for on the back) Application Fee (Print your name on the back & programme applied for) A statement of 500 words in the area of interest. 20. DECLARATION I have read and understood all the questions and information in this form. I declare that the information I have provided in this application is true and complete. Signature: ______________________________ -6- Date: _____________ -7-