Date of submission:
AY2016 Application Form for +R Incentive
Scholarship for Individual Students
College
Department
Major
Year
Name
Student
Mobile phone No.
ID No.
Extracurricular activity
(student club, etc.)
Amount
(Check applicable box.)
□ 200,000 yen
or
□ 100,000 yen
*Selection method and criteria are the same for both. Select the amount that is
applicable to the content in your application form.
*Personal information given in this application form will not be used for any purpose other than selection of
scholarship recipients
Application category (Check the category most relevant to the main purpose of your activity.)
□ Category 1 Activities to achieve the educational goal of Ritsumeikan University
□ Category 2 Activities to facilitate community development on or off campus
Activities to meet the demands of society in line with the educational philosophy of
□ Category 3
Ritsumeikan University
Provide the reason why you think the category above most accurately describes the main purpose of
your activity.
①．Theme (Describe briefly the activity you are going to undertake.)
②．Describe in detail the above theme including the following:
The goal, the reason why you set that goal, and the impact of your activity on others
③．Describe specific plans to achieve the goal. How are you going to use this scholarship?
④Tell the prospect of the cost of your plan.
Total ( \
Travel expenses (including accommodation fee) \
Book Expenses
)
（Destination:
）
\
ＩＴＥＭＳ
Equipment Expenses \
Gratuity (Honorarium) \
Others \
(Specific :
)
⑤ How will your activity influence your student life or career path in the future?
⑥ Past activities/achievements
Describe the activities you have undertaken in line with the above theme, including the
achievements you have made.
*If you have any documents or materials that provide evidence of your achievements or supplementary materials,
affix copies, etc., to the accompanying sheet.
＜Recipients of AY 2015 scholarship＞
Describe how your research project and activities for this academic year are different from last year.
<Space for the applicant to fill in> Specify your GPA. If you have also applied for any of the
following scholarship/financial aid programs, check the applicable box.
Academic
criteria
Application for
other
scholarship
GPA you earned during AY 2015(
)
□ Athlete and Creator Development Scholarship
□ Financial Aid for Development of a Learning Community (support for developing
various learning groups)
Accompanying sheet to describe past activities/achievements
*Fill in this form and staple the document(s) using this form as a cover sheet. Attached documents
should be A4 sized.
*Attach documents or materials that provide supplementary information on your achievements,
such as a certificate of commendation, newspaper article, magazine article or other publication as
well as documents or materials that provide evidence of your achievements. If the achievements
have resulted from your activities as a member of an external organization, also attach a profile of
the organization.
Document
No.
Document name
Description (e.g. title of the work, name of the competition, date of acquisition,
period of activities, your role)
1
2
3
4
5