1. Qualification Search & Information Verification
1.1 I authorise James Cook University to obtain further
information with respect to my application
and, if necessary, seek academic information or transcripts from Australian or overseas educational
institutions. Where necessary QualSearch will be engaged to access this academic information. I understand
that James Cook University is not responsible if any educational body /institution does not supply these
records. I understand that the results of the search will be made available to me on request and that an
audit of this authority may also be undertaken.
1.2 I authorise James Cook University to contact the referees named in my application to seek
additional information or clarification.
I acknowledge that James Cook University may seek to verify any publications listed in which I am named as
an author by contacting the publisher, editor or co-authors and may seek to contact staff from the Edu-
cational Institution where any research projects, theses or dissertations referred to in this application were
2. Informed Consent
2.1 I understand that:
a) James Cook University is collecting the information which I have provided in this form for
the purpose of assessing my entitlement to Commonwealth assis-tance under the Higher Education
Support Act 2003 or the Research Training Scheme and allocation of a Commonwealth Higher Education
Student Support Number (CHESSN) to me
b) James Cook University will disclose the information I have provided in this form to the
Department of Education and
Training for those purposes
c) Department of Education and Training will store the information securely in the Higher
Educa-tion Information Management System
d) Department of Education and Training may disclose the informa-tion to the Australian
Taxation Office (ATO), and e) James Cook University and Department of Education and Training will not
otherwise disclose the information without my consent unless required or authorised by law.
3.1 James Cook University complies with the Information Privacy Act 2009. The information
contained in this form is collected for admission and administrative purposes. The information will be held
by James Cook University and may be accessed and used by people employed the by the University.
Person-al information will not be passed on to any other external bodies, other than as outlined above,
without my authorisation unless required or authorised by law, or otherwise in accordance with the
Information Privacy Principles. The provision of this information is voluntary, but if this information is not
provided, the Universi-ty may be unable to process my application or provide services to me. I have a right
of access to, and correc-tion of my personal information, subject to any exceptions in relevant legislation. I
can direct any enquiries I may have in relation to privacy to the University’s Privacy Officer (Deputy Director,
Governance Support and Corporate Information, Governance and Corporate Services Office, James Cook
University, Townsville, Queensland, 4811)
Applicant Signature: _____________________________________ Date: __________________________
Email completed forms and attachments to: firstname.lastname@example.org i We strongly recommend that you
contact Centrelink to check your eligibility for entitlements when splitting study load across two courses or
when studying part time.
ii As per above, please discuss your Centrelink eligibility requirements with them directly for part time study
iii All domestic undergraduate degrees are Commonwealth Supported. Please refer to the Fees and
Financial Support page of the JCU website for more information on student fees.
click to sign
click to edit