Program D

Semester Program

APPLICATION FOR
KANAZAWA UNIVERSITY STUDENT EXCHANGE
(SEMESTER PROGRAM 2017/ PROGRA

Use this sheet as the cover sheet.

Name of Applicant

Applicant's Home Institution

This application (cover sheet plus 5 pages in total) should be sent to the International Student Secti
exch@adm.kanazawa-u.ac.jp) in Excel format, together with all of the following documents in PDF f
student exchange at the applicant's home institution.
The original documents from No. 3 to No. 6 should be kept in the applicant's home institution
University.

5
(st-exch@adm.kanazawa-u.ac.jp

No.3No.6

1. Applicant's ID Photo (3cm4cm) in JPEG or other digital format

34cm
2. Academic Record (issued by applicant's home institution) PDF format
)
*We use the record of the most recent one year period as materilal for selection. Please make sure to
indicate the semester of each course.

3. Recommendation PDF format

4. Certificate of Enrollment PDF format
5. Medical Report PDF format

Program D
Semester Program

6. Agreement for Defraying Expenses PDF format

with Statement of Bank Account Balance (equivalent to JPY 500,000) for Spring or Autumn Semester app

(A minimum amount of living cost in Kanazawa would be JPY 80,000 per month. Therefore if you participate in this p
like you to make sure that you will be able to afford necessary costs for your stay in Japan. Students applying for the
Program (Spring or Autumn) should enclose a bank balance verifying that they have funds equivalent to JPY 500,00
applicable to the students who wish to study for one quarter.)

7. Copy of applicant's passport (if unavailable at this time, send as soon as possible) PDF format

8. Proof of English proficiency (non-native English speakers only)PDF format

9. Proof of Japanese Proficiency Test of N3* or higher for Spring Semester only applicants and N5 or high
Autumn Semester or a quarter (Oct to Dec) only applicantsPDF format
(or a letter of recommendation)
N31
()

Please check the program you are applying for.

( )

DeadlineMonday, November

April 2017 -

20161121
October 2017 -

DeadlineTuesday, February 2

2017

Expected date of completion/graduation should include the period of study in Kanazawa Univer
/
International Student Section, Global Affairs Support Office
Kanazawa University
Kakuma, Kanazawa, 920-1192 Japan

FAX +81-76-234-4043
E-mail st-exch@adm.kanazawa-u.ac.jp

Program D
Semester Program

ION FOR
DENT EXCHANGE PROGRAM
M 2017/ PROGRAM D)
/ D

s the cover sheet.

ernational Student Section at Kanazawa University (stwing documents in PDF format through the office responsible for

cant's home institution during the period of study in Kanazawa

PDF

Check

. Please make sure to

Program D
Semester Program

or Autumn Semester applicants

ore if you participate in this program, we would

an. Students applying for the Semester
ds equivalent to JPY 500,000. This is not

sible) PDF format

applicants and N5 or higher for

N5

Monday, November 21, 2016

20161121

Tuesday, February 28, 2017

2017228

udy in Kanazawa University.

port Office

Program D
(Semester Program)

INSTRUCTIONS

Applications should be written in Japanese or English.

Applications should be written in block letters.
Numbers should be in Arabic figures.
Years should be written according to the Western calendar. (
Proper nouns should be written in full, no abbreviations.

1. Name in full
(1) Roman alphabet

Family name

* Must be the same as your passport

First name

Middle name

(2) Chinese characters (only if applicable)

Family name

First name

Middle name

2. Nationality
3. Sex

Marital status

Male
Female

Single

Married

5. Date of birth

Age
Year

Month

6. Current address, telephone number, fax number and e-mail address

Address

Phone

Fax

5+1/6

Day

Program D
(Semester Program)

E-mail
(Write neatly in block letters.)

7. Person to be notified in your home country in case of emergency

(1) Full name

(2) Relationship to you

(3) Address, telephone number and fax number

Address

Phone

Fax

6+1/6

Program D
(Semester Program)

8. Home Institution

Institution

Department

Faculty/Graduate school/

Enrollment

Please

School year, as of April 1, 2017

Year

Month

201741

Contact address of the office responsible for student exchange of your home institution

Name
E-mail

Phone

9Major field(s) of study

10Language proficiency
Please choose your level from the drop-down list.
Language

Level

English

Your native langua

Japanese
Others

(1) Proficiency in English

* Please fill in if you are not a native speaker of English.
Have you previously studied English?
No

Yes Total of

year(s)

year(s) at university level

Please provide the score of the English proficiency test that you have taken most recently,
such as TOEFL, TOEIC, IELTS, or similar tests.
TOEFLTOEICIELTS

Name of test
Score(s)
Please attach a copy of the score report.
.
If you have not taken a proficiency test, you should submit a document which certifies your ability
to understand lectures in English (signed by a English teacher, the person in charge of student exchange
(

(2) Proficiency in Japanese

7+1/6

Program D
(Semester Program)

Have you previously studied Japanese ?

No

Yes Total of

year(s)

year(s) at university level

If yes, please fill in below.

Name of school(s) where you studied Japanese

Period of study

Textbo

If you have passed the Japanese Language Proficiency Test, please circle the level that you hold.
Level

8+1/6

Program D
(Semester Program)

11. Period of study

Please select one.
From April 2017 to August2017 (two quarters)
From October 2017 to February 2018 (two quarters)
From October 2017 to Early-December 2017 (one quarter)

9+1/6

Program D
(Semester Program)

12. Resume
Educational background (

Name and Address of School

Elementary Education

Year and Month of Period of

schooling
Entrance and
you have
Completion
attended

Name

From

Address

To

Name
Lower Secondary Education

Address

From

To

Name
Upper Secondary Education

Address

From

To

Higher Education

Undergraduate Level

Name

From

Address

To

Higher Education

Graduate Level

Name

From

Address

To

Yrs

Yrs

Yrs

Yrs

Yrs

Expected date of completiongraduation

after the period of study at Kanazawa University
(/)

Expected date of completion/graduation should include the period of study in Kana

/
If necessary, please give information on a separate sheet of paper.

Employment record
10+1/6

Program D
(Semester Program)
Name of Organization

Address of Organization

Period of
Employment

From
To
From
To

If necessary, please give information on a separate sheet of paper.

11+1/6

Program D
(Semester Program)

13An essay which supports your candidacy ()

Please state why you wish to participate in this program, how you would benefit from it, and w
expect of it. If possible, write in Japanese.
If you choose to study for a quarter, not two quarter, please indicate the reason to do so.

Example; I have no other choice to fit for my academic calendar.

12+1/6

Program D
(Semester Program)

Date of application

13+1/6

Program D
(Semester Program)

tions.

e same as your passport

PHOTO

(34cm)

Single
Married

Age
<As of April 1, 2017>
201741

14+1/6

Program D
(Semester Program)

15+1/6

Program D
(Semester Program)

Department
Please select one.

year of
program

ge of your home institution

Your native language

sh.

Score(s)

d submit a document which certifies your ability

h teacher, the person in charge of student exchange, etc.).

16+1/6

Program D
(Semester Program)

Textbook(s)

ciency Test, please circle the level that you hold.

17+1/6

Program D
(Semester Program)

18+1/6

Program D
(Semester Program)

Period of
schooling
you have
attended

Diploma or Degree awarded

Major Subject

Yrs

Yrs

Yrs

Yrs

Yrs

year()
on/graduation should include the period of study in Kanazawa University.

month

19+1/6

Program D
(Semester Program)
Type of Work

20+1/6

Program D
(Semester Program)

s program, how you would benefit from it, and what you

please indicate the reason to do so.

ademic calendar.

21+1/6

Program D
(Semester Program)

22+1/6