application form for knu exchange students

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APPLICATION FORM
FOR KNU EXCHANGE STUDENTS
Passport Size Photo
International Affairs, 1 Kangwondeahak-gil, Chuncheon, Kangwon-do,
Republic of Korea (200-701)
Email: [email protected]
Chuncheon Campus
Tel : +82-33-250-6989
Fax : +82-33-259-5522
Homepage: www.kangwon.ac.kr/English, www.kangwon.ac.kr/chinese
◐ Personal Information
*Spelling MUST be exactly the same as in your passport.
Name
Male / Female
Gender
Date of Birth
Nationality
(Country)
Place of Birth
(yy/mm/dd)
Passport Number
(yy/mm/dd)
Passport Expiration
Single / Married
E-mail Address
Marital Status
Mobile Number
Telephone Number
◐ Academic Information
- KNU
Academic Period
(
) 2015 Spring
(
) 2015 Spring & Fall
Possible Language in Classes
(
) Korean
(
) English
Desired field of study in KNU
1.
(First and second preference)
2.
(Be sure to check the list of degree programs from KNU website and select the desired field of study.)
- Home University
University Name
Course
(
) Undergraduate
(
) Graduate
Field of Study / Major
Year / Semester
Language
Proficiency
GPA(4.5 scale)
Put an “O” mark
Korean
English
/ 4.5
1
2
3
4
5
Poor ←──────── Average ────────→ Fluent
◐ FAMILY INFORMATION (EMERGENCY CONTACT)
Name
Relationship
Current Address
Phone Number
Home
Mobile
(If you don’t have your biological parents, you may write the names of your legal guardian in the parental section.)
◐ ADDITIONAL OPTIONS
Dormitory
(
) Yes
(
) No
Insurance
(
) Designated insurance by KNU
(Mandatory)
(
) Personal purchase in your country
Pick up Service
(
) Yes
(
) No
Plan to stay over
(
) Yes
(
) No
vacation
*If you are supposed to leave as soon as finishing the semester, please check ‘No’.
*Payment after arriving in Korea
*Submission of certificate after arriving in Korea
*Designated time for two days
I SWEAR THAT ALL THE INFORMATION I HAVE GIVEN ABOVE ARE TRUE AND CORRECT TO THE
BEST OF MY KNOWLEDGE. AND IF IT IS PROVEN THAT THE INFOMARTION I PROVIDED HEREWITH
CONTAINS ANY KIND OF FALSEHOOD, I UNDERSTAND THAT I COULD BE SUBJECTED TO ANY
LEGAL ACTION AND I WILL TAKE LEGAL REPONSIBILITY.
Date
(yyyy.mm.dd)
Name of the Applicant
KNU President
Signature
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