PLEASE TYPE IN ENGLISH OR KOREAN.

Application form Degree

□Master’s

□PhD

Program □Regular

□Interdisciplinary

Term of Enrollment

□Spring

□Master’s/PhD Combined

□Fall

□Intensive

Year

MAIL TO: OFFICE OF INTERNATIONAL SERVICES, CHUNGBUK NATIONAL UNIVERSITY, CHUNGDAE-RO 1, SEOWON-GU, CHEONGJU, CHUNGBUK, KOREA. ZIP 28644

PERSONAL INFORMATION Full Legal Name:

(In Your Passport)

Last

First

Date of Birth: Sex

□Male

Affix your

(mm/dd/yy) □Female

Language Proficiency Status

(Middle)

current photo (3cm×4cm)

Citizenship: □Korean: TOPIK ( ) □English: TOEFL PBT ( ) / CBT ( TEPS ( ) ∙ TOEIC (

) / iBT ( ) ∙ IELTS (

) )

□Alien □Foreign national of Korean origin who received entire education abroad(Grades K-12)

Passport No.:

Alien Registration No.:

(※ If you have one)

CONTACT INFORMATION Mailing Address: Zip Mobile Phone:

(home country)

(Korea) Email:

Reference in Korea (if any) Name:

Relationship:

Workplace/Title or Position:

Mobile Phone:

ACADEMIC HISTORY A. College/University □I will be graduating or □I have graduated

Graduation date:

Name of your college/university: Department:

(mm/dd/yy) City/State:

Major:

B. College/University □I will be graduating or □I have graduated

Graduation date:

Name of your college/university: Department:

(mm/dd/yy) City/State:

Major:

ACADEMIC MAJOR APPLICATION Division:

Code No.:

Department:

Code No.:

Major:

Code No.:

Area of Specialization (if applicable):

PROFESSIONAL WORKING EXPERIENCE Company:

Job Title:

Dates:

(mm/dd/yy) ~

(mm/dd/yy)

DORMITORY APPLICATION Do you want to live in the dorm? □Yes □No If Yes: □I want to have 3 meals a day for the whole week (7 days). □I want to have 3 meals a day only for the weekdays (5 days). Which university you want to study in: 1. *Example) 1. Chosun university 2. Chungbuk university

2. 3. Catholic university

Required documents

Certificate of graduation

Transcript

self-introduction

Study plan

letter of recommendation

2

3.

자 기 소 개 서 (Self Introduction)

○ 과 정(Degree): ○ 지원학과(Department applying for): ○ 성 명(Name in full):

2017년(Year) 7월(Month) 일(Day) 위 본인(Applicant): 서명(Signature):

* 반드시 한글 또는 영어로 작성하여야 함(성장과정, 가정상황, 지원하게 된 경로 및 목적, 입학 후 학습계획 등을 2장 내외로 상세히 작성하여야 함, 지면이 부족하면 별지를 사용하여 작성) (Please write about your family, background, reason for applying and study plan in detail no more than 2 pages. You may use separate paper. Please complete the above in Korean or English.)

3

연 구 계 획 서 (Study Plan) ○ 과정(Degree): ○ 지원학과(Department applying for): ○ 성명(Name in full):

4

2017년(Year) 7월(Month) 일(Day)

서명(Signature of Applicant):_____________________________(인)

5

추천장 Recommendation 학 위 (Degree)

지원연도 (Year)

학 기 (Semester)

6

학과 (Department)

전 공 (Major)

성 명 (Name)

application form.pdf

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