Short-Term Exchange Programs at the University of Tsukuba, 2016-04-06¢  Short-Term Exchange Programs

  • View
    0

  • Download
    0

Embed Size (px)

Text of Short-Term Exchange Programs at the University of Tsukuba, 2016-04-06¢  Short-Term...

  • Short-Term Exchange Programs at the University of Tsukuba, 2016-2017

    Application Package Cover Sheet and Checklist

    Date (Month/Day/Year) 日付

    Applicant’s Name (The name written in your passport) 出願者氏名(パスポートの名前)

    Chinese Characters(漢字):

    Home University, Country

    出身大学、国名

    IMPORTANT: Your application should be sent as a package containing the items below. After including all required documents, your application package should be submitted to the International Office or the Exchange Advisor at your home university. 以下の出願書類をすべて確認し、自分の大学の国際交流オフィスあるいは学生交 流アドバイザーに提出して下さい。

    TO EXCHANGE ADVISOR: Please carefully check whether all items are included before sending them to us by post. ※Documents to be submitted must be accompanied with Japanese or English translations if they are written in other languages.

    Documents to be submitted Check

     Application Form for Enrollment as Exchange (Research) Student at the University of

    Tsukuba (Form 2) 筑波大学短期留学生入学願書(別紙様式2) ☐

     Formal letter of request for admission by President or Dean from the applicant’s home

    university addressed to the President of the University of Tsukuba (Please use Sample A

    or B) 本学学長宛の受入れ依頼書(Sample A もしくは Bを使うこと) ☐

     Official transcript of academic records (Transcript must be accompanied with Japanese or

    English translations if it is written in other languages.) 成績証明書 (和訳か英訳をつける) ☐

     Application for Certificate of Eligibility (hard copy) and its Excel file (soft copy to be sent

    from the applicant’s personal e-mail account to BOTH isc-short-term@un.tsukuba.ac.jp and the sender of this e-mail.)在留資格認定証明書交付申請書とその Excelファイルを

    出願者のメールアドレスからこのメールの送信者および isc-short-term@un.tsukuba.ac.jp

    に送ること)

     A copy of your passport, if you already have it.

    (Copies should include ID page and pages with Japanese immigration stamps, if any.)

    パスポートの身分証明のページのコピー (既に持っている場合)

    (日本への入国歴がある場合にはそのスタンプがある頁のコピーも送ること)

     Three ID photos of different sizes. (Two photos sized 40 mm x 30 mm, and one of 30

    mm x 24 mm) The photographs must be formal, hatless, without background, and taken

    within the past three months. We will ask you to send them again if they are

    inappropriate. Snapshots are not accepted.

    写真3枚(4 cm x 3 cm 2枚、3 cm x 2.4 cm 1枚)証明写真として不適切な写真の場合

    は、もう一度送って頂きます。スナップ写真は不可。

  • Form 2(別紙様式2)

    筑 波 大 学 短 期 留 学 生 入 学 願 書 Application Form for Enrollment as Exchange Student/Exchange Research Student at the

    University of Tsukuba

    I herewith submit my application for admission to the University of Tsukuba as an Exchange (Research) Student.

    私は,短期留学生(特別聴講学生又は特別研究学生)として貴学に入学を希望しますので,出願書類等を提出い

    たします。

    Handwriting is not accepted.

    Applicant’s Name written

    in your passport(in English alphabet)

    出願者氏名(英語表記)

    姓 Family Name 名 Given Name Middle Name

    Photo

    (写真)

    3cm × 4cm Country of Citizenship

    国 籍

    Sex □ Male (男) (性別) □ Female(女)

    Date of Birth

    生年月日 19 , ,

    Yr. 年 Mon. 月 Day 日

    Marital Status □ Single

    未既婚の別 □ Married

    Applicant’s Current

    Address

    出願者の現住所

    Phone: E-mail:

    Address to which

    admission documents are

    to be sent

    選考結果の送付先

    Name:

    Address:

    Postal code: Country:

    Posta Phone: E-mail:

    Name and Address of

    Exchange Advisor in your

    home university

    交換留学アドヴァイザ

    ーの氏名及び連絡先

    Mr., Ms., Dr. Name:

    Address:

    Phone: E-mail:

    Name of Home

    University (in English)

    在籍大学名 (英語表記)

    Name:

    Address:

    Name of Faculty / School

    在籍学部 / 学科

    Department / Major

    学科/専攻

    Date of Admission

    to Home University

    在籍大学入学年月

    20 /

    Yr. / Mon.

    Current status 在籍年次

     Undergraduate (□1st □2nd □3rd □4th year)

    □ Master Course (□1st □2nd □Other year)

    □ Doctoral Course (□1st □2nd □3rd □Other year)

    ※ When you fill out this Application Form, please kindly refer to Application Guide.

  • Language Proficiency 語学能力

    Japanese Language

    Learning Background

    日本語の学習歴

    Name of Institution

    Attended

    学習機関の名称

    (1) (2)

    Duration of Study

    学習期間

    Total:

    Yr. 年 Mon.

    Total:

    Yr. 年 Mon.

    月 Japanese Language

    Proficiency 日本語能力 (Evaluate your level and fill

    in an X where appropriate.)

    Excellent Good Fair Poor

    Reading

    Writing

    Speaking

    English Language

    Proficiency 英語能力 (Evaluate your level and fill

    in an X where appropriate.)

    Excellent Good Fair Poor

    Reading

    Writing

    Speaking

    Ⅰ.Your Study or Research Plan at the University of Tsukuba 筑波大学での学修計画 (1) Proposed study or research period at Tsukuba. Please indicate below the starting and ending

    date of your stay and the expected date of your graduation or completion at your home

    university. 希望する学修期間と在籍大学の卒業又は修了予定年月日を記入してください。また総月 数を下に記入してください。

    Starting date of your study at Tsukuba *Ending date

    留学開始日 留学終了日

    2016 , 10 , 1 2017, 8, 31 , , Yr. 年 Mon. 月 Day 日 □2017, 9, 30 Yr. 年 Mon. 月 Day 日

    , ,

    Yr. 年 Mon. 月 Day 日 Total number of months at the University of Tsukuba: Total 11 months 総月数

    *Please note that Summer recess starts 11 August, 2016.

    IMPORTANT: The above dates must be identical to those indicated in the formal letter requesting admission, which was addressed to the President of the University of Tsukuba (see Sample A or B). The following table shows the academic calendar for your reference.

    注:上の期日は、筑波大学学長宛の受入れ依頼書(様式Sample A or B)に記載される期間と同じもの でなければなりません。

    Spring Semester 春学期 April 1 to September 30 4月1日~9月30日

    Fall Semester 秋学期 October 1 to March 31 10月1日~3月31日

    (2) Describe your field of study at your home university 出身大学での専攻分野

    (3) College or program you would like to join at Tsukuba 筑波大学で希望する学類もしくは専攻

    (*Please note that your preferred college or program may not be available. 希望するところに入れるとは限 りません。)

    Expected date of your graduation or

    completion at your home university 卒業(修了)予定日

  • (4) Courses you plan to enroll in at Tsukuba or your research topc 希望聴講科目あるいは研究テーマ

    (5) Explain in detail your study plan or research plan at Tsukuba. (You can use an extra sheet of

    paper, if necessary. 筑波大学での詳細な学習・研究計画 (スペースが足りない場合には、別紙に記入して下さい。)

  • Ⅱ. Financial Information (在学中の経費について)

    (1) Are you applying for the JASSO Scholarship? (JASSO 奨学金に申請しますか?)  Yes はい □ No いいえ

    (2) If your answered “yes” to Question 1, please also answer questions (2) and (3). Check the qualifications below. (あなたは下記の JASSO候補者の資格要件を満たしていますか?)

    □ You are accepted by a Japanese university under a student exchange agreement with your home

    university, and your length of stay exceeds a semester, but ends within one (1) year.

    □ You do not have Japanese nationality.

    □ Your country has established diplomatic relations with Japan. However, if you have Taiwanese or