(Preferential Entrance Date – Only for TOPIK Level 5 or 6 Holders)
□ Sep 1, 2012 □ Mar 1, 2013
인적사항 (Personal Data)
Please read the form carefully. All applicants must complete all sections only by typing.
성명
(Full Name)
이름(Given name) :
성(Family name) :
□ Male
□ Female
□ Single
□ Married
(Photo 3*4)
* Name should be spelled the same as in the passport and in English.
생년월일
(Date of Birth)
년(yyyy) 월(mm) 일(dd) 나이(Age: )
국가
(Country)
국적
(Citizenship)
여권
(Passport)
(Number)
(Date of Issue) (Date of expiry)
연락처
(Emergency Address)
Address:
Tel. ( ) E-mail:
최종학력
(Information concerning applicant’s most recent education)
최종졸업(예정)학교
(Name of previously attended Univ.)
해당국가/도시
(Country/City)
학위
(Academic Degree recently awarded)
□ Bachelor □ Master
전공
(Academic Major)
최종학위논문제목
(Title of graduation dissertation, if available)
어학능력
(Language Proficiency)
영어성적
(English Proficiency)
TOEFL IELTS
Score :
Korean Language
Proficiency
(only TOPIK)
Level: □1 □2 □3 □4 □5 □6
Score:
Published papers, if available(one or two)
Awards, if available
(one or two)
지원신청대학
(Applying University)
대학명
(Name of Univ.)
학부명
(Faculty)
학과명
(Department)
전공
(Academic Major)
학력
(Academic Career)
기간
(Period)
학 교 명
(Name of Univ.)
해당국가
(Country)
전공분야
(Academic Major)
취득학위
(Diploma or Degree)
~
∼
성적
(Transcripts)
*이수
학기만 기재
(only terms attended)
School Year
1st year
2nd year
3rd year
4th year
5th year
평균
평점 (GPA)
환산점수
(converted score)/100
Term
Bachel-or
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
Master
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
직업 혹은 연구경력
(Occupation or Research Career)
기 간
(Period)
기 관 명
(Institution or company)
직 책
(Position)
담당업무
(Operation or Duty)
∼
∼
장학금수혜
( Sponsorship)
지원기관명
(Sponsor)
지원금액(Amount)
(US$/year)
수혜기간
(Period)
( / )
∼
( / )
∼
년(yyyy) 월(mm) 일(dd)
Applicant's Name : (signature)
* GPA(Grade Point Average) must be converted on a maximum scale of 100 points (converted points) * See Attachment .#7
* Fill out both the records of Bachelor’s & Master’s in the case of those applying for Doctoral programs
Attachment #2
자기소개 (Self Introduction)
* Please type or print clearly within 1 page using black ink. (in Korean or in English) (*10 points)
o Your course of life, your view of life, study background, your hopes & wishes, etc o Your education and work experience, etc., in relation to the KGSP program o Your motivations for applying for this program o Reason for study in Korea
Attachment #3
학업계획 (Study Plan)
* Please type or print clearly within 1 page using black ink. (*10 points)
Goal of study &
Study Plan
o Goal of study, title or subject of research, and detailed study plan
Future Plan
after Study
o Future plan in Korea or another country after study in Korea
Attachment #4
Letter of Recommendation
To the applicant: Please fill in your name and the other required information below. In turn, deliver or email this form to the person who will write this letter. NOTE: Request your recommender to seal his or her letter of recommendation in an official envelope and sign across the back flap upon completion. Recommendation letters that are not sealed and signed will not be accepted.
Confidential
Name of Applicant: (given name) (family name)
Nationality :
Desired Degree Program : □ Master’s □ Doctoral
Desired Major :
To the recommender : The person named above has applied for the ‘Korean Government Scholarship Program’. We ask for your assistance, and would appreciate your frank and candid appraisal of the applicant.
* Please type or print clearly using black ink.
1. How long have you known the applicant and in what relationship?
Please assess the applicant's qualities in the evaluation table given below. Rate the applicant compared to other classmates who are/were in the same school year with him/her.
Classification
Truly Exceptional
Excellent
Very Good
Good
Below Average
N/A
Top 2%
Top 10%
Top 25%
Middle 50%
Lower 25%
Academic Achievement
Future Academic Potential
Integrity
Responsibility/Independence
Creativity/Originality
Communication Skills
Interpersonal skills
Leadership
2. What do you consider to be the applicant’s strengths?
3. What do you consider to be the applicant’s weaknesses?
4. How well do you think the applicant has thought out plans for graduate study?
5. Please comment on the applicant’s performancerecord, potential, or personal qualities which you believe would be helpful in considering the applicant’s application for the proposed degree program.
Recommender’s Name Date
Recommender’s Signature
Position or Title:
University (Institution):
Address:
(zip-code : - )
Tel: Fax:
Please return this form sealed in an official envelope and signed across the back to the applicant. We greatly appreciate your timeliness regarding this letter for your recommendee.
Attachment #5
“Korean Government Scholarship Program for Graduate Study”
Pledge (서약서)
As an applicant for the 2012 “Korean Government Scholarship Program (KGSP) for Graduate Study”, I pledge to abide by the following rules:
(1) To refrain from violation of university regulations and to fulfill my obligations as a student to the best of my ability.
(2) To behave in a manner appropriate to Korean culture and society, and not to participate in any form of political activity (such as organizing a political party, joining a political party, attending political meetings, publishing political articles and declarations, organizing or participating in demonstrations of a political nature, and so on).
(3) To accept responsibility for paying any debts incurred in Korea
(4) To agree with NIIED's decision concerning the graduate program and the Korean language course.
(5) To abide by all terms and regulations set by NIIED.
(6) To permit NIIED to use my personal information for the KGSP.
If I am proved to have violated any of the above or to have made a false statement in my application documents, I shall accept any resolution or penalty made by NIIED, even when it may/might result in suspension, revocation or withdrawal of my scholarship.
I was informed and fully understand that KGSP students are not permitted to transfer schools for the entire duration of scholarship after confirming their host institution.
(yyyy). (mm). (dd).
Applicant’s Name : (signature)
