Prior to filling in this form ensure that you have done the following:

  • Read the award guidelines for the Data61 Scholarship.
  • Have support from a Data61 researcher to apply on an agreed project.
  • Applied for admission to a University research degree.
  • Applied for any appropriate Australian Government or university scholarships for which you are eligible.
  • Provided the Academic Referee Report Form [docx · 1mb] to two people who will act as your referees, with a request that they forward the completed form directly to the Data61 Scholarship Administrator by the due date.

Please note:

  • Applicants who have not applied for admission to a research degree at the University and for other government research awards will not be considered for a Data61 scholarship.
  • Applications which are not supported by two independently submitted referee reports will not be considered.
  • Applications which are not supported by a Data61 research staff member as supervisor will not be considered.
Application Details
Postal address
Residential Status
Eligibility
If NO, you MUST put in your application for admission to the University prior to completing this form. If NO, you are not eligible for a Data61 scholarship until you apply. To see full details of the information that needs to be attached to this form please see the below checklist.
If NO, you must apply for any appropriate Australian Government or university scholarships at the earliest opportunity.
Proposed Program of Study
Anticipated start date can be an estimate.
This should be an academic from the university to which you have applied.
This should be a member of Data61 research staff who supports your scholarship application.
Scholarship

Your application will be considered for all Data61 scholarships for which you are eligible.

If YES, please fill in the details below.
Academic Qualifications
e.g. Bachelor's Degree
e.g. The University of Sydney
e.g. 2008-2012
e.g. 2012
e.g. 87
e.g. Bachelor's Degree
e.g. The University of Sydney
e.g. 2008-2012
e.g 2012
e.g. 87
Relevant Research Experience and Referee Details
e.g. 2 years 3 months
If YES, give names and dates of the publications/journals/books, and the names of co-authors (include all publications to which you have contributed and in which you are named). You must attach a copy of the publication. If you do not provide a copy of the publication it may not be considered.
Include Title, Journal/Book Name, Co-Author's Name(s), and Publication Date.
Include Title, Journal/Book Name, Co-Author's Name(s), and Publication Date.
Include Title, Journal/Book Name, Co-Author's Name(s), and Publication Date.
Documents

Please name your document using the following naming convention: FAMILY NAME, First name_document name e.g. MILO, Beryl_CV; MILO, Beryl_Academic Transcript 1

Please note there is a 500MB combined total upload limit for attachment section.

pdf, doc and docx files only.
pdf, doc and docx files only.
pdf, doc and docx files only.
pdf, doc and docx files only.
pdf, doc and docx files only.
Checklist, Privacy notification and Declaration

Note: where the course is not complete, the current transcript must be provided and the final transcript submitted as soon as it becomes available.

Referees must return the completed form directly to the Data61 Scholarship Administrator at data61-scholarships@csiro.au by the referee report due date for the scholarship round. The form can be obtained here.

I confirm that the information (including details of my qualifications) and documents which I have provided to the CSIRO as part of my application for scholarship and during the recruitment process including but not limited to the information provided by me in writing as well as representations made by me in any interview are and shall be true and correct to the best of my knowledge.

I acknowledge that if I supply any false, misleading, and deceptive or otherwise incorrect or inaccurate information and/or any document, my application for scholarship with the CSIRO may be cancelled.

I acknowledge the information I provide is collected and held by CSIRO and the university in order to assess my application and for administration and statistical purposes, or to send me information about CSIRO activities that may be of interest to me. I acknowledge CSIRO may provide such information for the same purpose to third parties that may fund or co-fund the scholarship and university(ies) at which I have applied or am enrolled.

CSIRO will ensure that any disclosures of your personal information will comply with the Privacy Act. CSIRO may also use the information collected for administering your scholarship with CSIRO and for auditing, reporting and evaluating the scholarship programs.

I consent to authorise the university(ies) at which I have applied or enrolled as stated above to disclose relevant personal information pertaining to my application/enrolment at the university(ies) to CSIRO for use by them to process my scholarship application as well as to administer the scholarship where I am successful.

Providing CSIRO with the requested information in this application is not required by law. However, if I choose not to provide CSIRO with the requested information, I understand that CSIRO may not accept my scholarship application.

Contact us

 
Your contact details

First name must be filled in

We'll need to know what you want to contact us about so we can give you an answer.