APPLICATION FOR MEMBERSHIP - Charles Sturt University€¦ · “Application for Membership” in...

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Page 1 of 3 APPLICATION FOR MEMBERSHIP Important: 1. Please read the Membership Policy before completing your application. 2. Sections A and E must be completed by all applicants. 3. In addition to Sections A and E, please only complete the section which is relevant to the type of membership for which you are applying. 4. If you require approval from your line manager to support your application for membership, please attach appropriate documentation (e.g. an email from your manager). 5. Please email your completed form (together with any attachments) to [email protected] (and include “Application for Membership” in the subject line of your email). 6. You will receive an email acknowledging receipt of your application within 24 hours OR by the next working day following submission of your application. 7. If your application is successful, membership will be valid for a period of up to two years. 8. If you experience any difficulties with the form please email [email protected] or phone (02) 6933 4400. * Denotes a required field. Courtesy Title * First Name * Last Name * Telephone No. * Email * Section/Location * I am applying for * Application Date (dd/mm/yyyy) * Please select the Research Pathway which is most relevant to your activities * PLEASE PROCEED TO THE RELEVANT SECTION BY CLICKING THE APPROPRIATE LINK: (B) Full or Associate Membership (C) Student Membership (D) Affiliate (A) Applicant Details

Transcript of APPLICATION FOR MEMBERSHIP - Charles Sturt University€¦ · “Application for Membership” in...

Page 1: APPLICATION FOR MEMBERSHIP - Charles Sturt University€¦ · “Application for Membership” in the subject line of your email). 6. You will receive an email acknowledging receipt

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APPLICATION FOR MEMBERSHIP

Important:

1. Please read the Membership Policy before completing your application.

2. Sections A and E must be completed by all applicants.

3. In addition to Sections A and E, please only complete the section which is relevant to the type of membership for which you are applying.

4. If you require approval from your line manager to support your application for membership, please attach appropriate documentation (e.g. an email from your manager).

5. Please email your completed form (together with any attachments) to [email protected] (and include “Application for Membership” in the subject line of your email).

6. You will receive an email acknowledging receipt of your application within 24 hours OR by the next working day following submission of your application.

7. If your application is successful, membership will be valid for a period of up to two years.

8. If you experience any difficulties with the form please email [email protected] or phone (02) 6933 4400.

* Denotes a required field.

Courtesy Title * First Name * Last Name * Telephone No. * Email * Section/Location * I am applying for * Application Date (dd/mm/yyyy) * Please select the Research Pathway which is most relevant to your activities *

PLEASE PROCEED TO THE RELEVANT SECTION BY CLICKING THE APPROPRIATE LINK:

(B) Full or Associate Membership (C) Student Membership (D) Affiliate

(A) Applicant Details

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Full members must have attained BOTH of the measures described in 1 and 2, below, AND at least ONE of the measures described in 3 through 5 during the preceding THREE year period.

Associate members must have attained at least TWO of the measures described in 1 through 5, below, during the preceding THREE year period.

The “preceding THREE year period” refers to the three year period immediately prior to the date on which you submit your application form.

PLEASE NOTE: A copy of your CV MUST be supplied with your application.

Please list ALL applicable grants on which you are named.

Table 1.

Project ID Funding Body Title Amount Your role

Example:

101123 GRDC Weed control in crops $150,000 Chief Investigator

If there is insufficient room, please attach a separate sheet.

Please list three applicable publications.

Table 2.

Year Type Title Other relevant info

Example:

2015 Journal article Bacterial biocontrol of sclerotinia diseases Journal of Plant Pathology

1. Named on one or more external research grants with income of $5,000 or more administered by the Graham Centre (Full members MUST complete this section)

2. Published and recorded in the CSU Research Outputs Collection, THREE or more, single or co-authored research publications which are broadly aligned with Graham Centre Research Pathways (or achieved a minimum of 1.5 HERDC points for eligible publications) Full members MUST complete this section

(B) Application for Full or Associate Membership

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Please list ALL applicable grants on which you are named as CI (unless they have already been included in Table 1).

Table 3.

Project ID Administered by

Funding Body Title Amount

Example:

101124 CSU MLA Monitoring of heifers during calving $800,000

If there is insufficient room, please attach a separate sheet.

Please list three applicable publications (additional to those provided in Table 2).

Table 4.

Year Type Title Other relevant info

Example:

2014 Book Principles of increasing wheat yield Oxford University Press, 2014

3. Named as Chief Investigator on one or more external research grants administered by CSU or NSW DPI for research broadly aligned with Graham Centre Research Pathways (Full members MUST complete sections 3, 4 or 5)

(Full members MUST complete sections 3, 4 or 5)

4. Published and recorded in the CSU Research Outputs Collection, THREE or more, single or co-authored research publications which are broadly aligned with Graham Centre Research Pathways (or achieved a minimum of 1.5 HERDC points for eligible

publications) (Full members MUST complete sections 3, 4 or 5)

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Please list the details for ALL applicable students.

Table 5.

Name of Student Year Graduated

Course Institution Thesis Title

Example:

JONES, John 2015 Masters CSU The role of gonadotrophin inhibitory hormones in sheep

If there is insufficient room, please attach a separate sheet.

PLEASE PROCEED TO SECTION E

Students must meet ALL of the following criteria:

Enrolled at CSU as an HDR student undertaking a Masters or Doctorate degree on a part-time or full-time basis either internally or online.

Studying a research topic broadly aligned with Graham Centre Research Pathways.

Supervised by at least ONE full or associate member of the Graham Centre. Student ID Course Load Mode Thesis Title Supervisor/s (name and institution)

PLEASE PROCEED TO SECTION E

5. Supervised one or more HDR students to completion in an area broadly aligned with Graham Centre Research Pathways. (Full members MUST complete sections 3, 4 or 5)

(C) Application for Student Membership

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PLEASE NOTE: Personnel visiting the Graham Centre under CSU’s Visiting Appointments Policy are automatically granted affiliate status for the duration of their visiting appointment and therefore do not need to apply for membership. All other individuals seeking Affiliate status are required to hold a track record (publications, industry impact or similar) that demonstrates a substantial contribution to the agricultural sector over a sustained period and a willingness to contribute to the Centre’s vision. If you wish to apply for Affiliate status, please attach a copy of your CV AND a one page summary of any relevant information which supports your application.

PLEASE PROCEED TO SECTION E

This section MUST be completed by all applicants for any membership category:

PLEASE TICK (IF APPLICABLE):

I agree to abide by the conditions of Graham Centre membership *

I confirm that the information provided in this email is true and correct *

I have provided a copy of my CV with this application (where applicable)

I have attached additional supporting documentation (where applicable)

PLEASE EMAIL YOUR APPLICATION TO [email protected]

AND

INCLUDE THE WORDS “APPLICATION FOR MEMBERSHIP” IN THE SUBJECT LINE OF YOUR EMAIL

(E) Agreement

(D) Application for Affiliate status