Short-term Exchange Programs at the
University of Tsukuba, 2010-2011
Application Package Cover Sheet and Checklist
Date
Applicant Name
Current University
This application should be sent in a complete package containing the following documentation:
For all applicants
Check
1. Application for Exchange (Research) Student at the University of Tsukuba (Form 2)
2. Formal letter of request for admission written by President or an appropriate representative
of the applicant’s current university to President of the University of Tsukuba (see
attached Sample A or B)
3. Official certificate (transcript) of academic records or officially authorized documents
4. Resume (see attached Sample C)
5. One copy of your passport (if available)
6. Two (2) photographs (3 cm x 4 cm)
7. Certificate of Enrollment of the Applicant for the JASSO Short-term Student Exchange
Promotion Program (Inbound) Scholarship (Form 3-3) (For JASSO applicants only)
8. Junior Year at Tsukuba Program (JTP) application form (For JTP applicants only)
9. A certificate confirming the bank account balance that the applicant intends to use to
support his/her study (Please include the name, address, occupation, and relationship to the
student.)
10. A document that certifies that the applicant is a recipient of a scholarship from his/her
own country (if applicable)
NOTE: After checking all the above items, your application package should be submitted to the
International Program Office or the Exchange Coordinator at your current university.
Form 2（別紙様式２）
筑 波 大 学 短 期 留 学 生 入 学 願 書
Application Form for Exchange (Research) Student at the University of Tsukuba
I herewith submit my application for admission to the University of Tsukuba as an Exchange
(Research) Student.
私は，短期留学生（特別聴講学生または特別研究学生）として貴学に入学を希望しますので，出願書
類等を提出いたします。
* Please type or print clearly.
Applicant Name
(in English alphabetic
letters)
（出願者氏名）
Nationality
（国 籍 等）
Date of Birth
（生年月日）
姓(FAMILY)
名(Given)
Photo
（写真）
(Middle)
Sex
□ Male （男）
（性別） □ Female（女）
19
Y,
M,
D Marital Status
（年） （月） （日） （未既婚の別）
3cm × 4cm
□ Single
□ Married
(Please type or print clearly.)
Applicant’s Present
Address
（申請者現住所）
Tel:
Fax:
E-mail:
(Please type or print clearly.)
Address to which the
result is to be sent
（選考結果送付先）
Tel:
Fax:
E-mail:
(Please type or print clearly.)
Exchange Coordinator’s
Name and Address
（交換留学コーディネ
ータ氏名・住所）
Tel:
Current University
(in English)
（在籍大学）
Fax:
Address:
Department/Course
and Major
Faculty/School
（在籍学部/ 学科）
Date of Admission
to Home University
（在籍大学入学年月）
E-mail:
（学科／専攻）
Current status □Undergraduate (□Sophomore □Junior □Senior)
（在籍年次）□Master Course (□1st □2nd □Other
20
Year
Month
year)
□Doctoral Course (□1st □2nd □3rd □Other
Expected Date of Graduation/Completion
（在籍大学卒業／修了予定年月）
Y（年）
-1-
M（月）
year)
Language Proficiency（語学能力）
Japanese Language
Background
（日本語の学習歴）
Name of Institution
attended
（学習機関の名称）
Period of Study
（学習期間）
Japanese Language
Proficiency
（日本語能力）
(Evaluate your level
and fill in an X
where appropriate.)
Y(年)
(Total
M(月)
hours)
Y(年)
(Total
M(月)
hours)
Excellent
Good
Fair
Poor
Excellent
Good
Fair
Poor
Reading
Writing
Speaking
English Language
Proficiency
（英語能力）
(Evaluate your level
and fill in an X
where appropriate.)
Reading
Writing
Speaking
Study Plan at the University of Tsukuba （筑波大学での学習計画）
(1) Proposed period of study at Tsukuba（希望学習期間）
From
,
Y（年）
,
M（月）
To
D（日）
,
Y（年）
,
M（月）
D（日）
(2) Describe your major academic interest at your home university (主専攻分野の概要)
(3) Proposed field of study at Tsukuba （希望学習分野）
(4) Courses you plan to take at Tsukuba（希望聴講科目）/ Research theme（研究テーマ）
-2-
(5) Study plan at Tsukuba （学習計画）
Explain in detail your study plan at Tsukuba. You can add extra pages, if necessary.
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Financial Information（在学中の経費について）
(1) Are you applying for the JASSO Scholarship? （JASSO奨学金に申請しますか？）
□ Yes はい
□ No いいえ
If your answer to Question 1 is “yes,” please answer questions (2) to (5).
(2) Do/Will you meet the following requirements for JASSO applicants? (please check)
（あなたは下記のJASSO候補者の資格要件を満たしていますか？）
□
□
□
□
□
□
□
□
You do not have Japanese nationality.
Your nationality is that of a country that has established diplomatic relations with Japan.
You are certain to obtain a “College Student” visa allowing you to study in Japan.
You will not receive any other scholarships whose monthly stipend(s) exceed(s) 80,000 yen while
studying in Japan.
You have never received the ‘JASSO Short-term Student Exchange Promotion Program (Inbound)
Scholarship,’ or, if you have been a recipient of the scholarship in the past, three years have passed since
completion of that scholarship period.
You will not apply for Monbukagakusho Scholarship for 2010 along with the JASSO Scholarship.
You will be accepted by the University of Tsukuba under a student exchange agreement with your home
university.
You will resume your studies at your home university after completing your study period in Japan.
(3) What is your GPA? You must have a minimum GPA 2.30 or higher to be eligible for a JASSO applicant.
Your GPA must be calculated using the JASSO system. For calculating your GPA, please see page 6.
（あなたのGPAはいくつですか？JASSO候補者に必要なGPAは2.30以上です。GPAは、JASSOが
定めた計算方法で算出されなければなりません。計算方法は、6ページを参照してください。）
Your GPA is: _______________
□ It is impossible to calculate your GPA using the JASSO calculation system.
In this case, your home university is required to produce an officially authorized document that shows
your excellence in academic performance and reasons why your academic performance is equivalent to a
GPA of 2.3 or higher to the University of Tsukuba.
(4) If you are not selected as a grantee of the JASSO scholarship, will you still attend the University of
Tsukuba at your own expense?
（JASSO奨学金に採用されなかった場合、自費により筑波大学に入学しますか? ）
□ Yes はい
□ No いいえ
-4-
(5) If your answer to Question 4 is “yes,” explain how you intend to support your study in Japan. Please
circle one of the following:
（(4)の質問に“はい”と答えた方にお伺いします。日本留学にあたってどのように経費を支出す
るのか、お答えください。）
(a) Your own funds, including student loans
(b) Family (see below, Items 1 and 2)
(c) Other (please specify here __________)
1. Who is your sponsor? Please circle one of the following: Father, Mother, Foster Father,
Foster Mother, Brother(s)/Sister(s), Other (please specify here __________)
2. Information regarding your sponsor:
Name:
Address:
Occupation:
Annual income (in yen):
Home phone number:
Work phone number:
(6) If you receive any scholarships other than the JASSO scholarship, what organization will provide you
with the scholarship? Please circle one of the following:
（もしJASSO奨学金以外の奨学金を受給するなら、それはどのような組織からの奨学金ですか？）
Your own government
Public service corporation
Private foundation in your country
Other (please specify here ___________________________)
Information regarding the scholarship organization
Name:
Address:
Phone Number:
Monthly Stipend:
NOTE: The above information is required by the Japanese Immigration Bureau to process your visa
application.
Signature of Applicant:
（出願者署名）
Date（日付）:
-5-
Calculating the JASSO GPA
Your GPA must be calculated using the JASSO system.
The JASSO calculation system uses your university’s grading system as its base, and your most recent grades must
be included in this calculation. As different universities may use different grading systems, JASSO has prepared
the following table of examples to demonstrate its calculation system for converting applicants’ GPAs to the
JASSO GPA standard. Your JASSO-calculated GPA is rounded to the nearest hundredth decimal point.
Examples of grading scales used by universities
Grades
Example 1: 4-point scale
-
Excellent
Good
Fair
Poor
Example 2: 4-point scale
-
A
B
C
F
Example 3: 4-point scale
-
100-80
79-70
69-60
59 or below
Example 4: 5-point scale
100-90
89-80
79-70
69-60
59 or below
Example 5: 5-point scale
S
A
B
C
F
Example 6: 5-point scale
A
B
C
D
F
JASSO Grade Points Awarded
3
3
2
1
0
Formula:
(No. of credits (units)
(No. of credits (units)
(No. of credits (units)
(No. of credits (units)
The total
in which the student
in which the student
in which the student
in which the student
number of
JASSO
obtained a JASSO
+
obtained a JASSO
+
obtained a JASSO
+
obtained a JASSO
÷
credits
=
GPA
grade point of 3)
grade point of 2 )
grade point of 1)
grade point of 0)
multiplied by 3
multiplied by 2
multiplied by 1
multiplied by 0
(units)
NOTE: If you do not have a GPA from the previous academic year at your home university, the GPA will be
calculated based on your grades in the previous semester.
If your home university does not use any credit system, please do the following to calculate your GPA:
・Using the above scheme, add your grade points for every course you have completed.
・Then divide it by the total number of courses you have completed.
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