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Japanese-based Masters Program September 2010 Enrollment

    Graduate School of Science and Technology

    Keio University

    General Instructions to Applicant (Check List)

     The applicant for Japanese-based Masters program is required to submit the following materials in order to be considered for admission.

     ? 0. Check list

     ? 1. Application forms (prescribed form No.1-No.5)

    ? 2. Financial statement (prescribed form in English) ? 3. Statement of purpose (prescribed form in English or Japanese)

     ? 4. Two letters of recommendation (prescribed form, in English or Japanese)

    ? 5. Application fee payment form (prescribed form) Application fee 10,000 yen

     Please follow the payment instructions in the application fee payment form.

     *Documents number 6 through 8 must be provided to the Admission Office directly from the registrars office of the

    university where the applicant completed his undergraduate studies.

     Requested date of submission to the registrar‟s office of the university: Day Month Year ? *6. Transcript request form (prescribed form)

     (summary and supplementary information of academic transcripts for undergraduate courses)

     ? *7. Official academic transcript for undergraduate courses (in English or Japanese - no photocopies)

? *8. Certificate of graduation or expected graduation from a university (in English or Japanese - no photocopies)

    ? 9. Scores of EJU (Examination for Japanese University Admission for International Students) Japanese as a Foreign Language

    or JLPT (Japanese Language Proficiency Test) Level 1

    Those who take EJU should submit a copy of the admission ticket. The results of EJU are valid for two years.

    Those who take JLPT (Level 1) should request the administrative institution to send Certificate of Results and Scores to the

    Admissions Office. Applicants who are concerned that the certificate will not arrive on time should submit an original results

    report to the Admissions Office. This will be returned to the applicant after the admissions process is completed. Applicants

    who are native speakers of Japanese do not need to take these exams.

     Documents number 0 through 5 should be sent together in a single package to Keio University. If any of the boxes above are not checked, state the reason below.

? 10. GRE (Graduate Record Examination) Subject Test or General Test Scores (Not mandatory)

    Although GRE scores are not required, we recommend that these are submitted. If there is a GRE Subject Test that is relevant

    to the field of study you wish to pursue, it is recommended that you take the Subject Test and submit the results. If you take the

    GRE General Test, the score on the Quantitative Section will be the main reference. The results of the GRE are valid for 5

    years.

    **Submitting GRE Scores:

    Scores must be reported directly to Keio University from the Educational Testing Service (ETS). The Keio institution code is

    3843. According to the GRE guidebook, it takes 3-4 weeks for the results of the computer-based test and 4-6 weeks for the

    paper-based test to arrive at the designated university admission‟s office from the test date. Please take note that when you

    make requests for scores to be sent to additional universities, more time is required. Applicants who are concerned that the

    scores will not arrive on time should submit an original score report to the Admissions Office. This will be returned to the

    applicant after the admissions process is completed.

Japanese-based Masters Program September 2010 Enrollment

    Graduate School of Science and Technology

    Keio University

Note :

    A) Please check the accuracy of all materials before mailing. Incomplete application will not be processed.

    B) Only official copies of transcripts will be processed.

    C) All official documents must be submitted in English. Non-English original documents must be accompanied by English or

    Japanese translations certified by a notary public or the school issuing the original document

    D) Write your name as it appears on your passport or on your birth certificate. E) Complete the section on contact information: include e-mail address, emergency contact phone number, and fax number.

    F) Do not open the sealed letter of recommendation.

    G) Please type or clearly print.

    H) Links

    ? GRE: http://www.ets.org/

    ? EJU: http://www.jasso.go.jp/eju/index_e.html

    ? JLTP: http://www.jees.or.jp/jlpt/

     Application documents must be mailed to the address given below

     Admissions Office

    Graduate School of Science and Technology, Keio University 3-14-1 Hiyoshi, Kohoku-ku, Yokohama, Kanagawa 223-8522

    JAPAN

     Application Period: March 1 April 15, 2010

    (All documents must reach the Admissions Office by no later than April 15, 2010)

    APPLICATION FORM-1 Japanese-based Masters Program September 2010 Enrollment Graduate School of Science and Technology

    Keio University

    The application form should be typewritten if possible, or neatly handwritten in block letters. Attach your photo

    taken within the last 3

    Personal Information months.

    Write your name and nationality in block Name in block capitals: , letters on the back of Legal family name (surname) First name (given name) Middle name the photo. (H: 40mm, W: 30mm) Name in native language: , Legal family name (surname) First name (given name) Middle name

Nationality: Date of birth: Day Month Year

    Sex: ? Male ? Female Marital Status: ? Single ? Married Current Occupation:

    Address: [ ]

    Postal code

Phone: [ ] Fax: [ ]

     Country code Country code E-mail address:

    Emergency Contact

     Name: Relationship:

    Phone: [ ] Fax: [ ]

     Country code Country code

    (Only for applicants changing address next year) Send screening results to:

UNDERGRADUATE EDUCATION

    Name of Institution:

    Name of Department: Major Field:

    Entrance Date: Graduation Date:

    Month Year Month Year

    Degree awarded:

    Title of Graduation Thesis:

    Class rank:

GRADUATE EDUCATION

    Name of Institution:

    Name of Department: Major Field:

    Entrance Date: Graduation Date:

    Month Year Month Year

    Degree awarded:

    Title of Master Thesis:

    Class rank:

Japanese-based Masters Program September 2010 Enrollment

    Graduate School of Science and Technology APPLICATION FORM-2 Keio University

    Please check one of the following schools you wish to enter at Keio University: ? School of Fundamental Science and Technology

    ? School of Integrated Design Engineering

    ? School of Science for Open and Environmental Systems

List the names of faculty members at Keio whom you are considering as your research advisor. Please list in order of preference and briefly

    explain why. For information regarding the faculty members, use staff search on our website: http://www.st.keio.ac.jp/english/staff_search/ .

    You should choose your research advisor among faculty members who are qualified to be a thesis advisor in the school you wish to belong to.

    1. Name

Reason

    Contact by e-mail ? more than 10 times ? more than 5 times ? 1-5 times ? none 2. Name

Reason

Contact by e-mail ? more than 10 times ? more than 5 times ? 1-5 times ? none

    3. Name

Reason

Contact by e-mail ? more than 10 times ? more than 5 times ? 1-5 times ? none

List names and addresses of persons from whom you have requested letters of recommendation.

    Name Address Telephone No. E-mail Relationship

    Japanese-based Masters Program September 2010 Enrollment Graduate School of Science and Technology

    Keio University

    APPLICATION FORM-3

    Test score information: List the scores below.

    Scores of EJU (Examination for Japanese University Admission for International Students) Japanese as a Foreign Language or JLPT (Japanese Language Proficiency Test) Level 1

    Test Date Registration number Scores

     Month Year

    Date you requested the administrative institution to submit JLPT Certificate of Results and Scores : Day Month Year

    GRE Subject Test:

    Test Date Registration number

     Day Month Year

    Discipline of the Subject Test Score of the Subject Test

    Date you requested ETS to submit Scores :

     Day Month Year

    GRE General Test:

    Test Date Registration number

     Day Month Year

    Scores of the General Test

     Verbal Quantitative Analytical

    Date you requested ETS to submit Scores :

     Day Month Year

    Undergraduate Grade Point Average (GPA)

    Please calculate your GPA and indicate the results below. To calculate your GPA, multiply the point value of your grade by the total number of units and divide the total grade points by the total units. Grade point values are A or A+ = 4.0, A- = 3.7, B + = 3.3, B = 3.0, B- = 2.7, C+ = 2.3, C = 2.0, C- = 1.7, D+ = 1.3, D = 1.0, D- = 0.7, F = 0.0 Cumulative (overall) First two years Last two years

Have you ever studied outside your country? ? Yes ? No

    If yes, list the names and locations of the institutions, and any degrees attained.

Have you learned Japanese? ? Yes ? No

    If yes, how long have you been studying the Japanese language? Years

    Briefly explain the type of courses you have taken in Japanese, and any relevant experiences.

    Course name/ experience Explanation

Japanese-based Masters Program September 2010 Enrollment

Graduate School of Science and Technology

Keio University

    Japanese-based Masters Program September 2010 Enrollment APPLICATION FORM-4 Graduate School of Science and Technology

    Keio University

Language Level

    Please indicate your language level.

English

    Reading ?Good ?Fair ?Poor Writing ?Good ?Fair ?Poor Listening ?Good ?Fair ?Poor Speaking ?Good ?Fair ?Poor

Japanese

    Reading ?Good ?Fair ?Poor Writing ?Good ?Fair ?Poor Listening ?Good ?Fair ?Poor Speaking ?Good ?Fair ?Poor

What is your native language?

Please indicate any other language you have acquired.

Japanese-based Masters Program September 2010 Enrollment APPLICATION FORM-5

    Graduate School of Science and Technology

    Keio University

List positions you have held (not as a student), such as professional experiences, laboratory work, or occupations.

    Include military service and any teaching experience, if any. Provide the names of your employers, the dates of the

    employment or work period, and whether the positions were paid or voluntary. Period Employer/organization Job title Paid/voluntary

    List articles, books, or other material published, and any inventions patented.

List academic honors, prizes, fellowships, scholarships, traineeships, or honorary scholarships you have received, or honor societies to

    which you have been elected.

    Do you plan to continue for a doctoral degree at Keio University?

     ?Yes ?No ?Undecided

    When did or will your stay in Japan begin?

    Month Year

    Declaration:

    I certify that the information contained in this application, in the statement of purpose, and in the supporting documents is complete and

    accurate, and I understand that submission of inaccurate information may be sufficient cause for denial of admission or termination of

    enrollment.

Signature Date

    Japanese-based Masters Program September 2010 Enrollment FINANCIAL STATEMENT Graduate School of Science and Technology

    Keio University

Financial Statement

    Applicants Name ,

     Legal family name (surname) First name (given name) Middle name

    Present occupation

Monthly income Japanese Yen

    Spouses full name and occupation

Monthly income Japanese Yen

Number of dependent children Number of dependent adults

    Please check the applicable items and fill in the blanks explaining how you plan to cover tuition fees and living expenses in Japan.

     ? Support from parents (or guardian) Japanese Yen / year

     ? Support from relatives Japanese Yen / year

     ? Support from sponsor Japanese Yen / year

     ? Students personal resources Japanese Yen / year ? Scholarships:

     Name of Scholarship ?Awarded ?Applying

     Japanese Yen / year

     Name of Scholarship ?Awarded ?Applying

     Japanese Yen / year

    ? 1. I will apply for scholarship and will not enroll without scholarship.

    ? 2. I wish to enroll even when the scholarship is not awarded..

    ? 3. I have financial support from other sources.

     ? Other resources, please list all Japanese Yen / year

     Total financial resources Japanese Yen / year

Japanese-based Masters Program September 2010 Enrollment STATEMENT OF PURPOSE

    Graduate School of Science and Technology

    Keio University

    Statement of Purpose for Masters Program

Name ,

     Legal family name (surname) First name (given name) Middle name

    State your purpose for applying to graduate study, your particular area of specialization within a major field, your professional plans, and any additional information that may assist the Admissions Committee in evaluating your application and aptitude for graduate study at Keio University. This may include information regarding characteristics that will enable you to complete the graduate degree program. Please use the space below for your response or attach additional pages, if needed.

Signature Date

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