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Waseda Business School（Graduate School of Commerce, Waseda University）
Check List for Documents to SubmitFor 2013 April / September Admissions
Please refer to the Application Guide for detail of the necessary documents.Documents Required for: Remarks
Application Form All applicantsStaple 【Form1-1】to 【Form1-5】
Paste your photo on the 【Form1-1】
Essay All applicantsStaple 【Form2-1】to 【Form2-6】Sign
to 【Form2-1】 by applicants
Certification of Payment of
Screening FeesAll applicants
Official Certificate of (expected)
Graduation/DegreeAll applicants Original copy required
Academic Transcript All applicants Original copy required
Applicant Evaluation Form All applicantsTwo forms required
Sealed by Evaluator
WBS Survey All applicants Use【Form4】
GMAT Score Report All applicantsIf you already sent it separately, please
indicate expected arrival date
Score Report of TOEFL, TOEIC, IELTS If applicable Details on Page 10 of Application Guide
Score Report of JLPT Level 1/ N1 If applicable Details on Page 11 of Application Guide
Other Qualifications / Standardized
Test ScoresIf applicable
Any other than Japanese or English
Language test score
Letter of Consent from Employer If applicable Use【Form5】
Application form for Scholarships prior to
MatriculationIf applicable Use【Form6】
Request Form for
Submitted Documents ReturnIf applicable Use【Form7】
Statement of Found SourceInternational
ApplicantsUse【Form8】
Photocopy of Passport
(a page with photo)
International
Applicants
Certificate of Alien Registration
(Resident in Japan)If applicable
Application for Certificate of Eligibility and
related documentsIf applicable Details on Page 16 of Application Guide
Application Form for Screening Fee Waiver If applicable Details on Page 17 of Application Guide
【Form 1-1】
Application No.
※Please do not fill-in "Application No."
Waseda Business School(Graduate School of Commerce, Waseda University)
Application Form for 2013 SeptemberAdmissionto International MBAProgram
Ⅰ Applicant Information
Name in
Alphabet*
Color Photograph
(Family) (Given) (Middle) 4cm × 3cm
Name in Kanji
(if any)Print your name
on the reverse side
of the photographName in Katakana
(if any)
Date of Birth Age (as of Sep.21, 2013):
Gender □ Male ・ □ Female
Nationality
Mother Language
Telephone (Home) - - (Mobile) - -
(Country Code for Calling from Japan)
Visa Status**
Current Resident
Mailing Address
(ZIP code) －
Mailing Addressto Receive
correspondingFrom WBS
(ZIP code) －
* Spell out exactly the same as your passport
** Applicable to international applicants who are residents in Japan and completed Alien Registration
【Form 1-2】
Ⅱ Educational Background
・List, in chronological order, all schools attended starting from primary school.
・As for higher education, state details such as 'undergraduate' / 'graduate' and 'department' / 'major'.
Type School/Department/Major
Location of
School
(City/Country)
Begin to End
(Year & Month)
Language of
InstructionDegree Awarded
Primary
Educationto
Certificates are
not required
Lower
Secondary
Education
toCertificates are
not required
Upper
Secondary
Education
toCertificates are
not required
Higher
Education
Undergraduate
Level
to
Higher
Education
Undergraduate
Level(2)
to
Graduate
Level
Education
to
Graduate
Level
Education(2)
to
Total Period of Education： years months
Ⅲ Professional BackgroundＡ．Please list all full-time positions including internship in chronological order to the time of application. Please fill
the letter "F" for employment, and "I" for internship in the type column.
Type Company/Organization Name in full Job TitleBegin to End
(year & month)City/Country of
Work
to
to
to
to
Total Period of Professional Experience： years months
【Form 1-3】
Ｂ．Most Recent Full-time Position
Company or Organization：
Address：
Industry： Number of Employees：
Department：
Current Job Title：
Employment Period (year & month)： to
Current Status: □Employed □Self-Employed □Unemployed □Student □Others（ ）
Ⅳ GMAT (WBS institution code: 0162
Original certificate must accompany or be sent directly by the institution. Submission of GMAT score ismandatory for this application.
Score Percentile (%) Test Date
GMAT
Ⅴ Learning Period and Proficiency in English Language
[Period of Study in English Language] * Not necessary if English is your mother language.
Period of Study (year & month) School Attended Location of School(City/Country)
to
to
to
[Standardized tests which prove your English proficiency] * Not necessary if English is your mother language.
Certificates must accompany or be sent directly by the institution.
Name of Test Score Test Date
【Form 1-4】
Ⅵ Learning Period and Proficiency in Japanese Language (optional)
[Period of Study in Japanese Language]
Period of Study (year & month) School Attended Location of School(City/Country)
to
to
to
[Standardized tests which prove your Japanese proficiency]
Certificates must accompany.
Level of the 'Japanese Language Proficiency Test' Score Test Date
Ⅶ Other Qualifications/Standardized Test Scores (optional)
List in detail qualification, license, specialized skills test, foreign language proficiency test, etc. related toresearch fields. A copy of certificate/proof document must be attached.
Name of qualification, license, etc. Date of Acquisition
Ⅷ Social and/or Volunteer Activities (optional)
Company/Organization/Employer ActivitiesLocation
(City/Country)Period of Activity
to
to
【Form 1-5】
Ⅸ EvaluatorA person who completes the applicant evaluation form
Evaluator 1 Evaluator 2
Name ofEvaluator
Institution(School/Company)
Title
Relationship toApplicant
Ⅹ Emergency Contact Person in Japan
□ None □ The following person
Name
Relationship to
Applicant
Current Address
Telephone
Ⅺ Application Material Examination Fee (Screening Fee) Receipt
After completing payment for screening fees at the convenience store, paste the receipt for screening fees onthe specified area below. For payment by credit card or international money transfers, attach a copy of theprinted "Result" page or the international money transfer application.
Receipt of Payment(Paste Here)
【Form 2-1】
Essay
Complete and submit Essays 1-5 stated below. Written language must be English for thoseplanning to enroll in September (taking mainly coursed in English). Documents must becreated using a computer and printed on A4 (or letter size) paper. Cleary indicate essay numberand the applicant's name on each page. The essay must be the sole original work of theapplicant. An offer of admission will be withdrawn if it is discovered that you received anyassistance, or you engaged in plagiarism or academic misconduct.
*For April admission, please refer to the Japanese version of application format.
Essay 1
Describe in detail some accomplishments through your business experience and state detailsabout your current employment (job description, responsibilities, performance, etc). If you arecurrently unemployed, describe your most recent business experience. (Maximum 800 words)
Essay 2
Describe some reasons why you are applying to Waseda Business School at this point in yourcareer. (Maximum 200 words)
Essay 3
Describe in detail your career goals. What will you do to achieve these goals? How willacademic study at Waseda Business School be useful for achieving your goal? (Maximum 200words)
Essay 4How will you use your MBA degree to change the world? (Maximum 400 words)
Essay 5Write a short essay summarizing your thoughts on the below theme (Maximum 800 words):
“Describe a sales plan to promote a specialty product of your country in Japan.By taking an example of the product, state your plan.”
I certify that all the information provided on this application form and in the accompanying
documents is complete and accurate, and that the essays are written by myself, and, if admitted,
I agree to comply with the rules and regulations of Waseda University.
Date： Signature/Seal：
Year Month Day
【Form 2-2】
Essay 1Name：
【Form 2-3】
Essay 2Name：
【Form 2-4】
Essay 3Name：
【Form 2-5】
Essay 4Name：
Theme：
【Form 2-6】
Essay 5Name：
【Form 3】
志 願 者 評 価 書Applicant Evaluation Form 早稲田大学ビジネススクール
Waseda Business School
志願者氏名：
Name of Applicant 姓 (Family) 名 (Given) (Middle)
評価者の方へこの度上記志願者より、評価者として貴方のお名前を頂きました。つきましては当該志願者の学力、人
柄および特記すべき事項に関してご意見を承りたくよろしくお願い申し上げます。なお、志願者評価書に
は本用紙をご使用いただき、封筒に入れ割印またはご署名のうえ、志願者本人に速やかにご返却いただき
ますようお願いいたします。志願者は未開封の封筒を願書と共に当大学院へ提出します。志願者が出願期
間内に書類を提出できますよう、ご協力の程よろしくお願い申し上げます。
早稲田大学ビジネススクール
アドミッションズ・オフィス
To the EvaluatorThe person named above has applied to our graduate school and has given your name as an evaluator.
Please evaluate this applicant’s academic ability, personal traits, and other relevant information. Pleaseuse this form for your reference and return it directly to the applicant, sealed in an envelope, and signedacross the seal. The applicant will forward the application form together with the envelope with thereference sealed therein to the graduate school. In order to allow the applicant to submit a completeapplication within the application period, your assistance is sincerely appreciated. Your evaluation will beheld in the strictest confidentiality by our office.
Admissions Office,Waseda Business School
非常に優秀
Truly
Exceptional
Top 5%
優秀
Excellent
Top 10%
とても良い
Very Good
Top 25%
良い
Good
Middle 50%
平均以下
Below
Average
Lower 25%
評価不可能
Unable to
Judge
学力
Academic Ability
分析力
Analytical Ability
独創性・創造性
Originality/Creativity
柔軟性
Flexibility
口頭表現能力
Ability in oral expression
文章表現能力
Ability in written expression
協調性
Ability to work with others
指導力
Leadership
裏面へ続く Please continue on the reverse side.
【Form 3】
志 願 者 評 価 書Applicant Evaluation Form
◆ 志願者の資質・才能などについて特記すべき事項があれば、具体的に記述してください。
Please describe the applicant’s special personal qualities and/or abilities.
----------------------------------------------------------------------------
評 価 者 氏 名：
Evaluator’s Name in full 姓 (Family) 名 (Given) (Middle)
志願者との関係:Relationship to Applicant役 職：Title所属機関（学校・会社等）：Institution (School/Company)住 所：Present Address電 話： E メール：Telephone E-mail
日 付： 年 月 日 署名／捺印： 印
Date Year Month Day Signature/Seal
【Form 4】
WBS Survey
We would appreciate your kind cooperation in filling up this survey.
Answers to this survey will not affect your application in any manner.
(1) How did you first hear about Waseda Business School?
(2) Which source(s) of information most influenced your decision to apply for the WBS?
(multiple answers allowed.)
1. □WBS Website
2. □ Brochure
3. □WBS Fair (held in Japan)
4. □ QS World MBA Tour
5. □ Current Students
6. □ Graduates
7. □ Faculty Members
8. □WBS Office Staff
9. □Waseda Overseas Office
10. □ Family Member / Friends
11. □ Government Embassy
12. □ Newspaper/ Magazine Article
13. □ Other :
(3) Please list any other graduate schools which you are currently applying for, or thinking of
applying for.
(4) Have you applied for WBS previously ?
□ Yes □ No
Thank you for answering the survey.
【Form 5】
Date: _____ ________ ______Year Month Day
Letter of Consent from Employer
To Dean of the Graduate School of Commerce, Waseda University
Company Name
Employer Name
Division Name
Address
Contact PersonSignature/
Seal
ContactInformation
Tel：
E-mail：
We agree to dispatch the following person to the International MBA program of WBS provided
that he/ she was accepted.
1. Name of Applicant：
2. Study Period： (year/month) ～ (year/month)
3. Tuition payer： (1) Employer (Full support)
(2) Employer (Partial support)
(3) Applicant
【Form 6】
※Please do not fill-in “Application No.”
Application No.
Applicant’s Name
Application form forScholarships prior to Matriculation
Date: _____ ________ ______Year Month Day
If you wish to have Scholarship prior to Matriculation, Please turn this form with other applicationdocuments. If you do not turn this form with other application forms, you will not be eligible to theScholarship prior to Matriculation. Result of this Scholarship will be announced at the “Admission
Announcement”
※For detail, please see Page 15 of the Application Guide
Will be eligible to this scholarship by turn this form.
Scholarship Eligibility
Waseda Business School ScholarshipApplicant of International MBA ProgramJapanese Residents*
Waseda University Partial Tuition-WaiverScholarship
Privately-financed International Students(Must have “Student Visa” after Matriculation)
*Applicants who hold or expected to hold “Foreign Residents visa”, ”Permanent Residents visa”,or ”Spouse of Japanese (Permanent) Residents or Child” is also eligible.
Please fill in the form below
Applied Program International MBA Program
Country
Visa Status※Select the current status
□Student Visa □Other Visa ( )□None (Living outside of Japan)
Tuition Payer □Applicant □Parents □Spouse □Others（ ）
Reason you needthis Scholarship
1
【Form 7】
受験番号
Application No.
※受験番号は記入不要です
※Please do not fill-in "Application No."
早稲田大学ビジネススクールWaseda Business School
提出書類返却依頼書Request Form for Submitted Documents Return
提出書類の返却を希望する場合は、以下の文章をよく読み署名してください。If you would like us to return any submitted documents, carefully read the statement below and provide your legalsignature.
「提出書類の返却を希望します。また返却時の紛失・破損については早稲田大学に一切の責任はないこ
とを承知します。」“I request the return of the document(s) listed below. I understand and agree that Waseda University has noresponsibility for lost or damaged document(s) in the post.”
志 願 者 署 名 日 付 年 月 日
Applicant’s signature Date Year Month Day
※返却を希望する書類の□にチェックを入れ、原本とともにコピー（一部）も併せて送付してください。Please check the appropriate box(es), and submit the photocopies along with the original documents.
□ 大学（院）証明書類（学校名・書類名称を記入してください）
Original College/University Certificate（Please list name(s) of the College/University and name of the materials.）
□ その他（書類の名称・内容を詳細に記入してください）
Others（Please list name(s) and contents of the materials.）
計 枚Total page(s)
返却を希望する理由：
Reason for requesting return：
1
【Form 8】
受験番号
Application No.
※受験番号は記入不要です
※Please do not fill-in "Application No."
早稲田大学ビジネススクールWaseda Business School
留学にかかる経費負担計画書Statement of Fund Source
あなたが早稲田大学に留学する間の総費用の支出元と金額を明記してください。
Please indicate below the sources and the amount of funding for your enrollment period in Waseda University.
支出元Sources of Support
金額 (単位：円)Amount (in Japanese yen)
個人貯蓄 Personal savings ¥
経費支弁者（個人） Sponsor(Individual)
関係：Please specify the relationship
¥
経費支弁者（政府または企業／財団）Sponsor (Government/ sponsoring agency/ company)
名称：The name of your sponsor:
*奨学金受給証明書のｺﾋﾟｰを提出してください。*Please submit a photocopy of scholarship award letter.
¥
その他 Others
詳細：Please specify in detail: ¥
TOTAL: ¥
上記に示しました内容に相違ないことを誓約いたします。I hereby certify that all information on this statement is true and accurate and that the stated funds are available formy educational expenses at Waseda University.
志 願 者 署 名 日 付 年 月 日
Applicant’s signature Date Year Month Day
-
簡易書留R e g i s t e r e d M a i l
東京都新宿区西早稲田１－６－１早稲田大学 早稲田キャンパス１１号館３階早稲田ビジネススクール アドミッションズ・オフィス 行
Waseda Business School Admissions Office3rd floor, Bldg.11, Waseda University, Waseda Campus1-6-1 Nishi-Waseda, Shinjuku-ku, Tokyo 169-8050, Japan
差出人 Sender氏名
Full Name:
郵便番号
Postal Code:
国名
Country/ Region:
現住所
Present Mailing Address:
電話番号
Telephone Number:
志願者氏名Applicant's Full Name:
1 6 9 8 0 5 0
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