Coursework Masters Support Scheme for Academic Staff Application Form for Renewal of Financial Support

Applicants completing this form should refer to the Coursework Masters Support Scheme Procedure.

Submit the completed form, in the first instance, to the Head of School and then the Executive Dean. Then submit it to the, Division of People and Culture, pdprograms@csu.edu.au

The personal information you provide on this form is protected by the Privacy and Personal Information Protection Act 1998 (NSW).

Provision of this information is a requirement of participation in Charles Sturt’s Coursework Masters Support Scheme for Academic Staff.

Access to the information you provide is available to yourself, your Head of School, and those persons authorised to access the information in the course of their duties to Charles Sturt.

This document will be stored by the Division of People and Culture.

TO BE COMPLETED BY APPLICANT

I hereby apply for continued financial support for payment of the fees for a Coursework Masters for the coming academic session. I understand that I am bound by the current Academic Regulations of Charles Sturt University.

Staff member’s details

Applicant’s name:
Appointment Level:	Choose an item.
Faculty / School:
Staff number:
Employment commencement date:	Click or tap to enter a date.
Appointment type:	Choose an item. <enter period for fixed term>

Session details

Name of postgraduate course:
Number of subjects in coming academic session:
Total course fees for the session:	$
Start date of session:	Click or tap to enter a date.
End date of session:	Click or tap to enter a date.

Applicants Signature:	Date: Click or tap to enter a date.

Endorsement: Senior Manager, Culture, Capability

Signature:	Date: Click or tap to enter a date.

Senior Manager, DPC, Organisational Development

Coursework Masters Support Scheme for Academic Staff Application Form for Renewal of Financial Support (Applicants’ Checklist)

☐ Complete the “Application for Renewal of Financial Support Form” (PG4).

☐ Attach a copy of my results for the previous academic session

☐ Submit the renewal form directly to Division of People and Culture, PDPrograms@csu.edu.au.