MSLTPrac - supplementary application form

MSLTPrac - supplementary application form

MSLTPrac - supplementary application form

Applications open on 1 July and close on 1 October each year.

You must also complete the University of Auckland admission process.

Before you apply, please read the information for prospective speech science students (PDF below):

Information for prospective speech science students. Size: 805.7 kB. Type: PDF.

Download this PDF file. Size: 805.7 kB.

Section 1 - Personal details

First name:

Last name:

University of Auckland ID number:

Phone number:

Email address:

If you will be overseas when interviews are held (end of October to end of November) provide your Skype address:

Upload your photo here:

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Section 2 - Entrance requirements

Admission to the MSLTPrac degree programme requires the approval of the Faculty of Science to verify that students meet the entry criteria. Students who have not been enrolled previously at the University of Auckland need to have their previous university qualifications approved by the University of Auckland.

Please read the information on our Postgraduate applications page.

a) English language requirements

Please refer to the degree specific requirements on pages 9-10 of the English language proficiency requirements and international English language equivalencies PDF below:

English language proficiency requirements and international English language equivalencies. Size: 285.3 kB. Type: PDF.

Download this PDF file. Size: 285.3 kB.

If English is not your first language, please indicate in the boxes below your completed scores for IELTS, TOFEL or other:

English language test type:

Listening skills:

Reading skills:

Writing skills:

Speaking skills:

Overall band score

b) University qualification

Please give details of your completed university qualification(s):

Qualification 1:

Year completed:

Name of university:

Name of country:

Name of degree:

Qualification 2:

Year completed:

Name of university:

Name of country:

Name of degree:

Qualification 3:

Year completed:

Name of university:

Name of country:

Name of degree:

Qualification 4:

Year completed:

Name of university:

Name of country:

Name of degree:

c) University study

If you are currently a student, please give details of the degree you are enrolled in, the university where you are studying and your subjects(s).

Current studying - qualification 1:

Year enrolled:

Name of university:

Name of country:

Degree name and subjects:

Current studying - qualification 2:

Year enrolled:

Name of university:

Name of country:

Degree name and subjects:

d) Current enrolment

List all courses you are currently enrolled in, and provide a brief description of the course if the content is not obvious from the course title:

e) If you have already completed a research project or dissertation, please provide details.

Title of your research project or dissertation:

Abstract (or topic/area of study):

Supervisor name(s):

3. Work experience

a) List any paid work experience which you think is relevant to speech language therapy:

Year(s) employed (role 1):

Describe the type of work experience (role 1):

Duration in months/years:

Full or part time?:

If part-time, what were your hours per week?:

Year(s) employed (role 2):

Describe the type of work experience (role 2):

Duration in months/years:

Full or part time?:

If part-time, what were your hours per week?:

Year(s) employed (role 3):

Describe the type of work experience (role 3):

Duration in months/years:

Full or part time?:

If part-time, what were your hours per week?:

b) List any unpaid work experience which you think is relevant to speech language therapy:

Year(s) employed (role 1):

Describe the type of work experience (role 1):

Duration in months/years:

Full or part time?:

If part-time, what were your hours per week?:

Year(s) employed (role 2):

Describe the type of work experience (role 2):

Duration in months/years:

Full or part time?:

If part-time, what were your hours per week?:

Year(s) employed (role 3):

Describe the type of work experience (role 3):

Duration in months/years:

Full or part time?:

If part-time, what were your hours per week?:

4. Your understanding of Speech Language Therapy practice

Please provide no more than 250 words per question.

a) What is your understanding of the work a speech-language therapist does?

b) As you understand speech language therapy, what are your major strengths?

(c) As you understand speech-language therapy, what are your major areas for improvement and future development?

d) What aspects of clinical practice in speech-language therapy interest you the most?

5. Referees

The University of Auckland requests your permission for members of the Selection Committee to contact your referees and any lecturing staff from programmes you have completed in your last year of study. This would be to ask further information about you, relevant to selection into the programme.

Please indicate that you agree that members of the Selection Committee may speak to your referees and other academic staff for the purposes described above:

List the name, relationship, phone and email contact information for each of your referees:

First referee name:

Relationship:

eg. lecturer, employer etc

Referee phone number:

Referee email:

Second referee name:

Relationship:

eg. lecturer, employer etc

Referee phone number:

Referee email:

Note: Between the two of them, your referees should be able to comment on all the areas in the Confidential Letter of Reference form. If one referee cannot comment on your skills and experience in a particular area, you should ensure your other referee can comment on this.

References will not be accepted from family members or friends.
Your referees must sign their reference for it to be accepted.

References should be received by Speech Science on or before the 1st of October. It is your responsibility to follow up with your referees to make sure your application and references meet this deadline.

Checklist

I have forwarded the 'Confidential Letter of Reference' to the referees named on this form.

I have read the PDF document 'information for prospective speech science students'.

Information for prospective speech science students. Size: 801.1 kB. Type: PDF.

Download this PDF file. Size: 801.1 kB.

Declarations

If you are accepted into the MSLTPrac degree programme, you agree to:

Have audio/visual recordings taken of me during classroom and clinical activities for teaching and assessment purposes.

Undertake a clinical placement outside of Auckland if required.

Have any immunisations necessary for me to undertake required courses and to provide a copy of the results of the infectious disease screening procedure to the Director of Clinical Education before I commence the MSLTPrac degree programme.

Provide a criminal conviction history report and vetting service request and consent form to the Director of Clinical Education before I commence the MSLTPrac degree programme.

Adhere to the NZSTA Principles and Rules of Ethics at:

http://www.speechtherapy.org.nz/about-nzsta/ethics

By submitting this supplementary application form I declare that the information I have given is true and accurate. If statements I have made are found to be false or inaccurate, I acknowledge that my application is unlikely to proceed.

Please do not enter any credit card information into this form.