PhD Student Application Form 
All applications will be individually assessed. Eligibility will vary depending on your university's criteria and additional approvals may be required. If granted eligible for the program by your university, your PhD enrolment status will determine whether you are able to participate in either a 3 month or 7 week industry placement.

iPREP Biodesign will handle your personal information in accordance with university policies and the Australian Privacy Principles. iPREP Biodesign collects your personal information, including your name, contact details, employment details and company details for the purposes of the program and these may be used to guide future iterations of the program.
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First name *
Last name *
Email address *
Home address *
Phone number *
University *
Student number *
School/discipline area *
Principal supervisor *
Desired participation mode *
Preferred industry partner (if known)
Preferred round. Please refer to website for dates. *
Intended industry placement duration. Please note your PhD candidature and enrolment status will determine whether you are able to participate in a 3 month (full time equivalent) or 7 week (full time equivalent) industry placement. Refer to Eligibility Guide on website.
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PhD status, at the time of the intended placement round start. *
When did you commence your PhD studies? *
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When is your expected PhD submission date? *
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Enrolment status *
Enrolment load *

Are you a PhD scholarship recipient?

*
Can you attend all mandatory events, including both induction events, the pitch event and the final presentation event? Refer to timeline on website for key program dates. *
Can you attend the placement on a full-time basis? Refer to timeline on website for industry placement dates. *
If not able to participate full-time, please provide level of capacity and reasoning.
Thesis title *
Thesis summary in plain English (max 100 words) *
List research abilities, technical skill sets, previous experience and personal characteristics relevant to an industry setting (max 500 words)   *
Email CV to the program coordinator (iprepbiodesign@uwa.edu.au). Please ensure that CV contains qualifications, employment history, publications and relevant memberships, certificates or awards *
Email principal supervisor's letter of support to participate in the industry placement to the program coordinator (iprepbiodesign@uwa.edu.au) *
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