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APPLICATION FOR ADMISSION
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INTERNATIONAL DIVISION SEINAN GAKUIN UNIVERSITY

Spring 2024

* Please be sure to input the items marked with.

* Please type in English or Japanese.

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I.Admission Information

*1. Desired Student Status
  
*2. Term Seeking Admission
  
*3. What influenced 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
*2. Gender
  
*3. Date of Birth
Month     Day     Year 
*4. Nationality (Indicate the nationality you will be using to apply for your Certificate of Eligibility)
*5. Do you hold nationality of Japan along with other nationality(ies)?
  
*6. E-mail Address (Indicate Email address which you will use in Japan)
*7. Current Residential Address
*8. Current Phone Number
9. Permanent Address (If different from Q7)
10. Permanent Phone Number (If different from Q8)
11. Emergency Contact Information
*Name
*Relationship to Applicant
*Phone Number
*Address
*E-mail Address

III. Home Institution

*1. Name of Home Institution
*2. Major (If you have not decided your major, write down "undecided".)
3. Minor
*4. Degree
        
*5. Year in school at the time of exchange program(as of January 2024)
           
6. Expected Graduation Date
Month     Year 

IV. Educational Background

Secondary Education (e.g. 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)
List every college / university attended, excluding the university you are currently attending.

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

Name of Test Year Month Level/score

V. Financial Information

All the information in [Part V] must be consistent with the (1) Financial Statement AND (2) the information you will submit in your application for the Certificate of Eligibility (CoE).
*(1) and (2) are the supporting documents you must submit after the online application finishes.
The list of required supporting documents can be found here .

*1. Supporter
           
2. Supporter Information (Please fill out if you choose "Parents" for the supporter above.)
Name(LAST, First)
Relationship to Applicant
Address
Phone Number
Occupation

VI. Health

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

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

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

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

［ Housing Application ]

You will be asked to apply for housing after you are admitted.
Detailed information on application procedures will be sent via email at a later date.


  

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