Study Abroad

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> Application for Admission

APPLICATION FOR ADMISSION
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INTERNATIONAL DIVISION SEINAN GAKUIN UNIVERSITY

Spring 2022

* 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
*5. E-mail Address (Indicate Email address which you will use in Japan)
*6. Current Residential Address
*7. Current Phone Number
8. Permanent Address (If different from Q6)
9. Permanent Phone Number (If different from Q7)
10. Emergency Contact Information
*Name
*Relationship to Applicant
*Phone Number
*Address
*E-mail Address

III. Home Institution / Present Institution

*1. Name of School
2. Major
3. Minor
*4. Degree
        
*5. Year in School at the time of exchange
           
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)

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

*1. Supporter
        
2. Supporter Information (Please fill out if you choose "Parents" for the supporter above.)
Name
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 forwarded via email at a later date.


  

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