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APPLICATION FOR ADMISSION
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INTERNATIONAL DIVISION SEINAN GAKUIN UNIVERSITY

2017-2018 SPRING SEMESTER

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I.Admission Information

*1. Desired Student Status
  
*2. Term Seeking Admission
*3. What influence your decision to apply to Seinan Gakuin University?
*4. Give us special areas of interest in study at Seinan Gakuin Unviersity?
*5. Give us information that would help us better understand your academic background.
6. State your plans after the study abroad program at Seinan Gakuin University.

II. Applicant's Information

1. Name
*Last (Family) Name
*First (Given) Name
Middle Name
Name in KataKata (if any)　　
*2. Gender
  
*3. Date of Birth
Month     Day     Year 
*4. Nationality
*5. Present Mailing Address
*6. Present Telephone
7. Home Address (If different from Q5)
8. Home Telephone (If different from Q6)
*9. E-mail Address (Indicate Email address which you will use in Japan)
10. Parent(s)/Guardian's Information
*Name
*Relationship to Applicant
*Telephone
*Address

III. Home Institution / Present Institution

*1. University Name
*2. Major
3. Minor
*4. Year in School
           
*5. Degree
        
6. Prospective Graduation Date
Month     Day     Year 

IV. Educational Background

Secondary Education (e.g. middle school, junior high school, high school)

Name of School Location
(City, State/Province & Country)		 Date of Attendance
(from Year/Month to Year/Month)		 Years Attended
* * *From   / 
*To       /  		*
 From   / 
 To       / 
 From   / 
 To       / 

Higher Education (e.g. college or university)

Name of School Location
(City, State/Province & Country)		 Date of Attendance
(from Year/Month to Year/Month)		 Years Attended
From   / 
To       / 
From   / 
To       / 
From   / 
To       / 

Have you taken/passed any recognized Japanese language test (e.g. JLPT, JPT, EJU)?

Name of Test Year Month Level/score

V. Financial Information

*1. Method of support
      (Who   When  )

     
2. Supporter
Relationship with the applicant (if you receive expensed by remittance from outside Japan, carrying from abroad guarantor)
3.Name of Supporter
Name
Telephone
Address
E-mail Address

VI. Health

1. Do you have any special or learning disability (e.g. amblyopia, dyslexia)?
*   

If yes, please specify.  
2. Do you have any allergies or other medical requirement?
*   

If yes, please specify.  
3. Have you ever received treatment or counseling for an emotional problem?
*   

If yes, please specify.  
4. If you have any pre-existing medical conditions, please give details.

VII. Housing

You can choose your own accommodation you prefer from the following.
　- International House (On-Campus)
　- Hekiha and Migiwa Dormitory (On-Campus)
　- Dormitory-type Housing (Off-Campus)
　- Apartment-type Housing (Off-Campus)
　- Homestay
Please give your first, second and third choice. Based on availability, we will decide accomodations on a first-come basis. You need to have intermediate Japanese language level to apply for the Dormitory for Japanese Students.

*1st Choice
*2st Choice
*3rd Choice

  

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