Application Form (A)

Transcription

1 University of Tsukuba Admissions 2016 Form (A) (August 2016 Master's s) Master's s August (Master s s in Geosciences, Biological Sciences, and Agro-Bioresources Science and Technology) Fill in or circle the following items. (See the Guidelines for Completing the Form.) Please do not write in the fields marked with. Examinee Number Method1 Status at the Time of General Admission 1 Student 1 Working Individuals Worker (except parttime) Cooperative 1 Research Institute 2 Method2 Code Research Foreign Student Government 1 Privately 2 2 Student/ 3 Status at the Time Legal of Funded Residence Others Sponsored Entrance in Fall 4 Sex Date of Birth (Gregorian calendar)/ Age M F 1 2 Y M D Age Current Address Phone ( ) Cell Phone ( ) address Reference (Inside Japan) Relation -ship Address [Phone ( ) ] / Code / Code Research Field or Advisor of Life and Environmental Sciences 8 ア Applicants who have contacted the prospective advisor are requested to mark " 〇 " in the column below. Foreign Language Specialized Subject Related Subject Basic Subject Exam Subjects Foreign Language options for Master s in Geosciences (Choose an option and circle the number.) Foreign Language options for Master s in Biological Sciences (Choose an option and circle the number.) Foreign Language options for Master's in Agro- Bioresources Science and Technology (Choose an option and circle the number.) 1. Submit the IELTS Academic Module Test Report Form 2. Submit the TOEFL Examinee Score Record (photo attached) 3. Submit the TOEIC Official Score Certificate (photo attached) 1. Submit the TOEFL Examinee Score Record (photo attached) 2. Submit the TOEIC Official Score Certificate (photo attached) 1. Submit the TOEFL Examinee Score Record (photo attached) 2. Submit the TOEIC Official Score Certificate (photo attached) 3. Submit the IELTS Academic Module Test Report Form Eligibility National 1 Public 2 Private 3 Foreign 4 Other 5 National 1 Public 2 Private 3 Foreign 4 Other 5 University / Faculty College/ Department University ( ) If you have completed (or are attending) a graduate school, write the name in the "Curriculum Vitae." Note: Foreign students must acquire the residence status of "Student" before the enrollment procedure. Expect to 1 Expect to Complete Applicable Eligibility d 2 5 Completed Other Other Year and Month of (Expected) Graduation Year (Gregorian calendar) Month Year and Month of (Expected) Completion Year (Gregorian calendar) Month <Attachment> Attach the "Receipt of examination fee" or "Certificate of postal transfer payment" here. Secure with glue.

2 University of Tsukuba Admissions 2016 Form (B) (Master s in ) (August 2016 Master's s) Master's s August Fill in or circle the following items. (See the Guidelines for Completing the Form.) Please do not write in the fields marked with. Examinee Number Method1 Status at the Time of General Admission 1 Student 1 Working Individuals Worker (except parttime) 2 2 Research Student/ Others 3 Method2 Foreign Student Status at the Time of Cooperative Government Sponsored 1 Research Institute Code 1 Privately Funded 2 Legal Residence Entrance in Fall 4 Sex Date of Birth (Gregorian calendar)/ Age M F 1 2 Y M D Age Current Address Phone ( ) Cell Phone ( ) address Reference (Inside Japan) Relation -ship Address [Phone ( ) ] / Code of Life and 8 ア Exam Subjects General Student Foreign Student Cooperative System / Code Master's in D Research Field or Advisor Foreign Language Foreign Language options (Choose an option and circle the number.) 1. Submit the TOEFL Examinee Score Record (photo attached) 2. Submit the TOEIC Official Score Certificate (photo attached) 3. Submit the IELTS Academic Module Test Report Form 4. Take the TOEFL ITP test carried out by the program on the examination day Applicants who have contacted the prospective advisor are requested to mark " 〇 " in the column below. Eligibility National 1 Public 2 Private 3 Foreign 4 Other 5 University / Faculty College/ Department National 1 University Public 2 ( ) Private 3 Foreign 4 Other If you have completed (or are attending) a graduate school, write the name in the "Curriculum Vitae." Note: Foreign students must acquire the residence status of "Student" before the enrollment procedure. Applicable Eligibility Expect to Expect to Complete d Completed Other Other Year and Month of (Expected) Graduation Year (Gregorian calendar) Month Year and Month of (Expected) Completion Year (Gregorian calendar) Month <Attachment> Attach the "Receipt of examination fee" or "Certificate of postal transfer payment" here. Secure with glue.

3 ( 外国人出願者用 ) (for foreign applicants) 履歴書 Curriculum Vitae 氏名フリガナローマ字学校教育 Education 初等教育 Elementary Education 小学校 Elementary 中等教育 Secondary Education 中学及び高校 Secondary 高等教育 Higher Education 大学 Undergraduate Level 高等教育 Higher Education 大学院 Level Family name First Middle 学校名 Location 中学 Lower 高校 Upper 学校名 and Address of 学校名 Location 学校名 Location 学校名 Location 学校名 Location 以上を通算した全学校教育就学数 Total Number of Years of ing as given Above 男 (M) 女 (F) Sex 生月日 Date of Birth 正規の修学数 Officially Required Number of Years of ing 19 月日入学及び卒業月 Year and Month of Entrance and Completion 入学 from 卒業 to 入学 from 卒業 to 入学 from 卒業 to 入学 from 卒業 to 入学 from 卒業 to TOTAL 齢 Age 修業数 Period of ing 国籍 Nationality 専攻科目 Major Subject if any 在留資格 Resident Status 学位資格 Diploma or Degree Awarded 休学等在籍中に修学を中断した期間 ( 理由 ) Periods of interruption of studies, if any from yr., 月 mon.~to yr., 月 mon.( ) 研究歴 Research Activities ( 研究生の経歴を含む ) 研究機関名 of Research Institution 所在地 Address 身分 Status 研究機関 Duration of Research ~ ~ ~ 数受験番号~~~~~記入は日本語又はローマ字体を用いてください Please type or print in Japanese or English

4 Examinee Number Employment Record Date of Birth Y M D Course/ Field (University of Tsukuba ) of Life and : Course/ Field: If you have an employment history, describe all of your previous and current jobs including job titles, responsibilities, and research content. If you need more space, make a photocopy of this form. Employment Period Company/ Organization Year Month Year Month Full-time Part-time Job Title/ Responsibilities/ Research Content Employment Period Company/ Organization Year Month Year Month Full-time Part-time Job Title/ Responsibilities/ Research Content Employment Period Company/ Organization Year Month Year Month Full-time Part-time Job Title/ Responsibilities/ Research Content

5 (August 2016 Master's ) (August 2016 Master's ) (August 2016 Master's ) University of Tsukuba Reference Card Photo Card Desktop Reference Card Examinee Number Master's of Life and Course Cut here Examinee Number Master's of Life and Course Cut here Examinee Number Master's of Life and Course Cut here Exam Subjects Foreign Language Specialized Subject Exam Subjects Exam Subjects Foreign Language Specialized Subject Related Subject Basic Subject Foreign Language Specialized Subject Related Subject Basic Subject Cut here Sex Date of Birth (Gregorian calendar) M Y M F D <Guidelines for the Completion> Photo (4 x 3cm) Photo (4 x 3cm) Attach your photographs and enter your name and exam subjects. In the Exam Subjects fields, enter the same information as on the Form. Cut out along the lines. Headshot with no hats, taken within the last three months (Attach identical photographs.) Headshot with no hats, taken within the last three months (Attach identical photographs.) Acceptance Card Examinee Number

6 Research Proposal (Master s in ) Examinee Number Date of Birth Y M D Education Research Theme 1) of University Faculty Cluster Department Y M D d / Expect to graduate Prospective advisors you have contacted Describe your motivation for applying to this graduate school, details of your research, future career plans and how your research relates to them. 2) (within 400 words) Keywords:. (Note) Please do not write in the fields marked with. 1) In the Research Theme field, describe your chosen research theme in reference to the description of the advisor s research. 2) Foreign applicants may complete this form in English.

7 受験番号 Examination No. 外国人出願者調書 Questionnaire for Foreign Applicants 1. 筑波大学の志望研究科生命環境科学研究科 of the University of Tsukuba you wish to apply for: of Life and 志望専攻名コース分野名専攻コース分野 of Main Field and Course / Field : Main Field : Course / Field : 2. 氏名 () 国籍 (Nationa1ity) 生月日 (Birth Date) 19 (yr.) 月 (mon.) 日 (day) 3. 現に日本の大学に在籍している場合は大学学群学類 ( 学部学科 ) 研究科専攻及び身分を記入してください If you are currently enrolled in a Japanese university, please fill in the name of the University, Faculty, Department,, Main Field and your current status. ( ) 内の該当するものに印 (Please circle the item that applies to you) 学群学類 (Cluster / Co11ege) 大学 (University) 学部学科 (Faculty / Department) 研究科 ( ) 次 (Year of study) 専攻 (Main Field) 研究生 (Research Student) その他 (Other) 4. 次の質問にお答えください ( ) 内の該当するものに印 Please answer the following questions. (Circle the item that applies to you) 現に奨学金を受けて ( いるいない ) Presently (I am /I am not ) the recipient of a scholarship. 現に奨学金を受けている場合その種類は In case you are receiving a scholarship, this is [ 日本国政府文部科学省奨学金その他の日本国政府奨学金 (JICA など ) 民間奨学金( 奨学金名 ) 母国政府奨学金その他 ( )] である [ A Monbukagakusho scho1arship, other type of Japanese Government scholarship (ex. JICA, etc.), a private scholarship (name: ), a scholarship offered by the government of your home country, other( ) ]. ( 注 ) 本調書は外国人出願者全員が提出してください Note: All foreign applicants are requested to submit this questionnaire.

8 様式 ( 外国人出願者用 ) Form (for foreign applicants) 受験番号研究歴証明書 Certificate of Research Activities 国籍 ( Nationality ): 氏名 ( ): 生月日 ( Date of Birth ): 上記の者は下記のとおり研究歴を有することを証明する This is to certify that the above person engaged in the research activities as follows. 記在籍した機関部局名及び身分 (Status and Institution Attended) 研究期間 (Duration of Research) 月日から月日まで ( か月間 ) From : to : = ( Day ) ( Month ) ( Year ) ( Day ) ( Month ) ( Year ) (Years) (Months) 研究題目及び研究内容 (Title and Outline of Research) 指導教員職氏名 ( and Position of Academic Advisor) 月日 (Date) : 署名 (Signature) : 氏名 () : 職名 ( 注 ) (Title*) : 機関名 (Institution): (Address of Institution): 印 ( 注 ) 証明者は機関の長等 ( 例えば学長又は学部長等 ) とします (*The title of the certifier should be equivalent to representative of organization such as President, Dean, Director, etc)

9 Address Sheet #1 1. Please do not write in the fields marked with. 2. The address sheets will be used to send out acceptance letters and enrollment documents to the successful applicants. Enter the mailing address and name clearly in block letters. 3. If you enter the name and address of a person other than the applicant, enter the applicant s name in the box しかく. Master s s of Life and Examinee Number 300.

10 国費私費有職者連携大学院郵外 (August 2016 Master s s) 受験番号 University of Tsukuba Admissions 2016 List of Documents to be Submitted of Life and Note: Make sure to mark in the Check columns for documents to be submitted. Your application may not be accepted unless all the required documents are submitted. Documents Check Required for Remarks [University of Tsukuba designated forms] Form Curriculum Vitae for Foreign Applicants Employment Record Reference Card/ Photo Card/ Desktop Reference Card/ Acceptance Card Questionnaire for Foreign Applicants Research Proposal Certificate of Research Activities Address Sheet #1 List of Documents to be Submitted All foreign applicants who have employment history All foreign applicants Master s in Foreign applicants who meet the conditions To be used to send out acceptance letters and other documents from the University of Tsukuba Address Sheet #2 Examination Fee ( Certificate of postal transfer payment or Receipt of examination fee of 30,000 yen) [Certificates and other documents to be prepared by applicants] (Expected) Graduation Certificate Degree Certificate Academic Transcript Research Proposal (Format of your choice) IELTS Academic Module Test Report Form, TOEIC Official Score Certificate (photo attached) or TOEFL Examinee Score Record (photo attached) Letter of Approval for Taking the Entrance Examination (Format of your choice) Certificate of Government-Sponsored Foreign Student Reply Envelope (with a 362 yen postage stamp attached) Applicants who meet the conditions Biosystem Course, Master s in Agro-Bioresources Science and Technology Master s in Geosciences General students for Master s in Biological Sciences Master s in Agro-Bioresources Science and Technology Master s in Applicants who currently attend a university or graduate school Applicants who currently work for a government agency, school, or company Foreign applicants who meet the conditions Prepare an envelope (for A4 size) and attach this sheet to it to submit the application documents. Attach to the specified column of the Form. Not required for government-sponsored foreign students A4 size paper, horizontally on portrait-oriented, within 800 words (up to 2 pages) Submit the TOEIC Official Score Certificate (photo attached) or TOEFL Examinee Score Record (photo attached) at the time of application. Scores on tests taken within two years before the application deadline are valid. Photocopies are not accepted Submit the TOEIC Official Score Certificate (photo attached) or TOEFL Examinee Score Record (photo attached) at the time of application. Scores on tests taken within two years before the application deadline are valid. Photocopies are not accepted Submit the IELTS Academic Module Test Report Form, TOEIC Official Score Certificate (photo attached) or TOEFL Examinee Score Record (photo attached) at the time of application. Scores on tests taken within two years before the application deadline are valid. Photocopies are not accepted Submit the TOEIC Official Score Certificate (photo attached), TOEFL Examinee Score Record (photo attached) or IELTS Academic Module Test Report Form at the time of the examination on the specialized subject. Scores on tests taken within two years before the application deadline are valid. Photocopies are not accepted Not required for students who will graduate or complete in March 2016 Not required for part-time workers A4 size Prepare a N3 size envelope with the applicant s zip code, address, and name written and a 362 yen postage stamp attached. [This will be used to send you your reference card.] Applicants living overseas are requested to contact us. Contact information can be found in 11. Contact Us. 受付月日月日受付者点検者欄は記入しないでください

11 (Address Sheet #2) 速達 Express Mail Service Japan: Registered Express Mail Overseas: Express Mail Service 書留速達(出願書類在 Express Mail Service ( Documents Enclosed) 教育推進課御中中) of Life and 筑波大学教育推進部茨城県つくば市天王台一一一 Japan Method : Course/ Field: General Admission Working Individuals Transfer Foreign Student Status Government Sponsored Privately Funded Address Phone ( ) Note 1: Fill in the same information as on the Form. Note 2: Attach this Address Sheet to an envelope for A4 (letter) size paper and submit by mail or by hand.