APPLICATION

APPLICATION FOR ADMISSION

NUMBER

Will be given by KAIST

for Spring & Fall Semester 2016 International Undergraduate Enrollment

1. Applicant Information Name in English

(last/first/middle)

Nationality

Gender

Acquisition Date of

Photo

(yyyy/mm/dd)

Marital Status

Date of Birth

(yyyy/mm/dd)

Place of Birth

Foreign Registration No.

(Optional)

Citizenship

(3cm * 4cm) Only for jpg,bmp,png

Contact Information Postal Address E-mail Address Telephone Mobile Phone

Fields of Interests (Click the box of departments or areas of study that you wish to pursue at KAIST) □ Physics

□ Mathematical Sciences

□ Chemistry

□ Biological Sciences

□ Mechanical Engineering

□ Aerospace Engineering

□ Electrical Engineering

□ Computer Science

□ Bio & Brain Engineering

□ Industrial Design

□ Materials Science &

□ Nuclear & Quantum

□ Civil & Environmental Engineering □ Chemical & Biomolecular Engineering

Engineering

Engineering

□ Industrial & Systems Engineering □ Business & Technology Management

2. High School Information The application requires one letter of recommendation: one from your homeroom teacher/school counselor/academic

advisor or your math/science teacher. Please provide information

of your

recommender below. (Homeroom Teacher / Academic Counselor / Math or Science Teacher) High School Name High School Postal Address

Zip code

City

Official Internet Website (Expected) Graduation Date

Recommender Information

(yyyy/mm)

Name

School Name

Position

Postal Address

City

Country

E-mail

Telephone

Address

Number 1

Country

3. Academics List the names and other necessary information of the schools you have attended or are attending in chronological order (Up to 8 schools). Date of Entrance ~

Education Name

Middle School/

Graduation (yyyy/mm)

Location

(Elementary School/ High School/

Enrolled Period Country

College/University)

Has your schooling been interrupted during the last six years? If yes, when was it?

From

(yyyy/mm)

to

 Yes

City

 No

(yyyy/mm)

And, why? __________________________________________________________________________________________

4. English Proficiency Test PBT TOEFL

CBT TOEFL

IBT TOEFL

TEPS

IELTS

Score/Level Test Date (yyyy/mm/dd)

2

TOEIC

Check here if your native language is English

5. Extracurricular Activity Please list your principal extracurricular, volunteer, or community activities in the order of significance to you. (Up to 5 items) Period (yyyy/mm) from

To

/

/

/

/

/

/

/

/

/

/

Detailed Information on the activity, such as hours you spent and your role

Activity

6. Work Experience Please list your principal work experience and paid jobs in the order of significance to you. (Up to 3 items) Period (yyyy/mm) from

To

/

/

/

/

/

/

Name & Location of Workplace

Position

Type of Work

7. Family Information Please list your family information. (Up to 4 persons) Name

Relationship

Occupation

3

Working Location Country

City

8. Scholastic Aptitude Tests ※ Please enter O/X on online reporting checkboxes. If you have taken any college scholastic aptitude test, please fill out the following accordingly. The official score report of each test should also be sent to KAIST by the application submission deadline.

SAT

Test Date

Critical

Reasoning

(yyyy/mm)

Reading

Test

/

Math

Writing

Composite

(online reporting □)

Test Date

Subject

Score

Test Date

SAT Subject

(yyyy/mm)

(yyyy/mm)

Test

/

/

/

/

Subject

Score

Subject

Score

(online reporting □)

Test Date (yyyy/mm)

AP/IB DP/ GCE A-Level Test (AP online reporting □)

Score

Test Date (yyyy/mm)

/

/

/

/

/

/

/

/

/

/

/

/

Test Date

ACT Test

Subject

(yyyy/mm)

English

Math

Reading

Science

Composite

Writing

/ Score

Test Date

Name of the Test

(yyyy/mm)

Other

(earned/ full mark)

/ / /

4

9. Honors and Awards (Up to 5) Please list the honors or awards you have obtained during your secondary and tertiary education. Each item below will be considered valid only when respective testimonial/evidence is submitted. Those of

school or local level will not be given credit. Please list them in order of importance. No

Title

Rank

Date

Level of Recognition

(yyyy/mm)

(National/International)

/ Issuing Institution 1

Name:

Website:

Email:

Explanation of the Award/Honor (up to 30 words):

/ Issuing Institution 2

Name:

Website:

Email:

Explanation of the Award/Honor (up to 30 words):

/ Issuing Institution 3

Name:

Website:

Email:

Explanation of the Award/Honor (up to 30 words):

/ Issuing Institution 4

Name:

Website:

Email:

Explanation of the Award/Honor (up to 30 words):

/ Issuing Institution 5

Name:

Website:

Explanation of the Award/Honor (up to 30 words):

5

Email:

10. Writing Q1. Why do you want to study at KAIST and what are your future plans (academics & career)

(1500 Bytes, up to 1,500 character spaces)

Q2. Tell us about your academic achievements during your secondary (and tertiary) education. (1500

Bytes, up to 1,500 character spaces)

Q3. What was the most important extracurricular activity that influenced you and the people around you? (1500 Bytes, up to 1,500 character spaces)

Q4. What are your strengths and weaknesses? (1500 Bytes, up to 1,500 character spaces)

Q5. If there is any other information you would like to tell us regarding your family/social background or difficulties you had to overcome in the past, please use the space below. (1000 Bytes, up to 1,000

character spaces)

I certify that all information provided in my application is accurate, complete, and honestly presented. I understand that any omission, inaccurate information or misrepresentation herein may result in cancellation of my admission to KAIST. I hereby agree that the ‘Recommendation Letter’ remains strictly undisclosed. _______________________________________ Applicant’s Signature

_______________________________________ Date (yyyy/mm/dd)

6

REGISTRATION NUMBER

Business & Technology. Management. 2. High School Information. The application requires one letter of recommendation: one from your homeroom teacher/school ... Date of. Entrance ~. Graduation. (yyyy/mm). Education. (Elementary School/.

259KB Sizes 5 Downloads 395 Views

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