REGISTRATION NUMBER
지원자 제출서류 체크리스트
(Check List for Application Documents)
*Do not write in this area.
접수기관 (Institute of Application) :
확인자(Confirmer) :
인 (Signature)
1)
Name of Applicant: (given/first name)
2)
Country :
(family/last name)
□
3) Desired Degree Program :
□ Doctoral
(*Please tick (√) in the appropriate box.)
Application Documents
Check List
Yes
1. Personal Data (Attachment #1)
2. Self Introduction (Attachment #2)
3. Study Plan (Attachment #3)
4. Letter of Recommendation
Submission(Y/N)
(Attachment #4)
5. Pledge (Attachment #5)
6. PERSONAL MEDICAL ASSESSMENT (Attachment #6)
7. Copy of diploma or certificate of graduation from undergraduate institution
8. Transcripts & student records from undergraduate institution
9. Copy of diploma or certificate of graduation from graduate institution
10. Transcripts & student records from graduate institution
11. Certificate of Korean Language Proficiency (original copy of TOPIK)
12. Certificate of TOEFL or IELTS Score (original copy)
13. Published papers, if available
14. Awards, if available
15. Copy of passport
16. Certificate of Citizenship of the Applicant and His/Her Parents : birth certificate,
passport, etc. (*only for overseas Korean immigrants)
17. Adoption documents (*only for overseas Korean adoptees)
No
Attachment #1
☞ 재외공관 (입양인 포함) 추천 지원자용
(Only for Applicants (including Korean adoptees) who apply for this program via an Embassy of Korea)
Korean Government Scholarship Program(KGSP) Application Form for Graduate Study
*Please tick (√ ) a box that applies to you.
1.
2.
추천기관 (Institute of Recommendation)
□ 재외공관 (Embassy)
추천 유형 (Type of Recommendation)
□ 일반추천(General)
□ 입양인(Korean Adoptee)
3. 지원과정 (Degree Course of Application)
□ 석사과정 (Master’s)
□ 박사과정 (Doctoral)
4. 희망계열(Desired Field of Study)
□ 인문사회계열 (Humanities and Social Sciences)
□ 자연공학계열 (Natural Sciences and Technology)
□ 예체능계열 (Arts and Physical Education)
5. 한국어연수 면제자 (TOPIK 5급 취득자) 진학 희망 시기
(Preferential Entrance Date – Only for TOPIK Level 5 holders,
*TOPIK Level 6 holders must start their studying from Sep 1, 2013)
인적사항 (Personal Data)
Please read the form carefully. All applicants must complete all sections only by typing.
성명
이름(Given name) :
성(Family name) :
□ Male
□ Single
(Full Name)
□ Female
□ Married
* Name should be spelled the same as in the passport and in
English.
생년월일
년(yyyy)
월(mm)
일(dd)
나이(Age:
)
(Date of Birth)
국가
(Country)
여권
(Passport)
국적
(Citizenship)
(Number)
(Date of Issue)
연락처
(Emergency
Address)
Address:
Tel. (
최종학력
(Information
concerning
applicant’s most
recent education)
(Date of expiry)
)
최종졸업(예정)학교
(Name of previously
attended Univ.)
학위
(Academic Degree
recently awarded)
최종학위논문제목
(Title of graduation
dissertation, if
available)
E-mail:
해당국가/도시
(Country/City)
□
Bachelor
1
□ Master
전공
(Academic Major)
(Photo 3*4)
어학능력
(Language
Proficiency)
Published papers, if
available(one or two)
영어성적
(English Proficiency) Score :
Level: □1 □2 □3 □4 □5 □6
Score:
Korean Language
Proficiency
(only TOPIK)
Awards, if available
(one or two)
지원신청대학
(Applying University)
대학명
(Name of Univ.)
학부명
(Faculty)
학과명
(Department)
전공
(Academic Major)
University 1
University 2
University 3
학력
(Academic
Career)
기간
(Period)
학 교 명
(Name of Univ.)
해당국가
(Country)
전공분야
(Academic Major)
취득학위
(Diploma or
Degree)
~
∼
1st year
성적 School
(Trans Year
cripts) Term
1
2
3
*이수
학기만 Bachel /
/
/
기재
-or
(only Master /
/
/
terms
attend
ed)
직업 혹은 연구경력
(Occupation or
Research Career)
2nd year
3rd year
4th year
5th year
평균
평점 (GPA)
1
2
3
1
2
3
1
2
3
1
2
3
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
기 간
(Period)
기 관 명
(Institution or
company)
직 책
(Position)
환산점수
(converted
score)
/100
담당업무
(Operation or Duty)
∼
∼
장학금수혜
( Sponsorship)
지원기관명
(Sponsor)
지원금액(Amount)
(US$/year)
년(yyyy)
Applicant's
Name :
수혜기간
(Period)
(
/
)
∼
(
/
)
∼
월(mm)
일(dd)
(signature)
* GPA(Grade Point Average) must be converted on a maximum scale of 100 points (converted points) * See Attachment .#7
* Fill out both the records of Bachelor’s & Master’s in the case of those applying for Doctoral programs
2
Attachment #2
자기소개 (Self Introduction)
* Please type or print clearly within 1 page using black ink. (in Korean or in English) (*10 points)
o Your course of life, your view of life, study background, your hopes & wishes, etc
o Your education and work experience, etc., in relation to the KGSP program
o Your motivations for applying for this program
o Reason for study in Korea
3
Attachment #3
학업계획
(Study Plan)
* Please type or print clearly within 1 page using black ink. (*10 points)
Goal of study &
Study Plan
Future Plan
after Study
o Goal of study, title or subject of research, and detailed study plan
o Future plan in Korea or another country after study in Korea
4
Attachment #4
Letter of Recommendation
To the applicant: Please fill in your name and the other required information below. In turn, deliver or email this form to the person
who will write this letter. NOTE: Request your recommender to seal his or her letter of recommendation in an official envelope and
sign across the back flap upon completion. Recommendation letters that are not sealed and signed will not be accepted.
Confidential
Name of Applicant: (given name)
(family name)
Nationality:
□
□ Doctoral
Desired Major:
To the recommender: The person named above has applied for the ‘Korean Government Scholarship Program’. We ask for your
assistance, and would appreciate your frank and candid appraisal of the applicant.
* Please type or print clearly using black ink.
1.
How long have you known the applicant and in what relationship?
Please assess the applicant's qualities in the evaluation table given below. Rate the applicant compared to other classmates who
are/were in the same school year with him/her.
Truly
Excellent
Very Good
Good
Below Average
Exceptional
Classification
N/A
Top 2%
Top 10%
Top 25%
Middle 50%
Lower 25%
Academic Achievement
Future Academic Potential
Integrity
Responsibility/Independence
Creativity/Originality
Communication Skills
Interpersonal skills
Leadership
2.
What do you consider to be the applicant’s strengths?
5
3.
What do you consider to be the applicant’s weaknesses?
4.
How well do you think the applicant has thought out plans for graduate study?
5. Please comment on the applicant’s performance record, potential, or personal qualities which you believe would be helpful in
considering the applicant’s application for the proposed degree program.
Recommender’s Name
Date
Recommender’s Signature
Position or Title:
University (Institution):
Address:
(zip-code:
Tel:
-
)
Fax:
Please return this form sealed in an official envelope and signed across the back to the applicant. We greatly appreciate your
timeliness regarding this letter for your recommendee.
6
Attachment #5
“Korean Government Scholarship Program for Graduate Study”
Pledge (서약서)
As an applicant for the 2013 “Korean Government Scholarship Program (KGSP) for
Graduate Study”, I pledge to abide by the following rules:
(1) To refrain from violation of university regulations and to fulfill my obligations as a
student to the best of my ability.
(2) To behave in a manner appropriate to Korean culture and society, and not to
participate in any form of political activity (such as organizing a political party,
joining a political party, attending political meetings, publishing political articles
and declarations, organizing or participating in demonstrations of a political
nature, and so on).
(3) To accept responsibility for paying any debts incurred in Korea
(4) To agree with NIIED's decision concerning the graduate program and the Korean
language course.
(5) To abide by all terms and regulations set by NIIED.
(6) To permit NIIED to use my personal information for the KGSP.
If I am proved to have violated any of the above or to have made a false statement in
my application documents, I shall accept any resolution or penalty made by NIIED,
even when it may/might result in suspension, revocation or withdrawal of my
scholarship.
I was informed and fully understand that KGSP students are not permitted to transfer
schools for the entire duration of scholarship after confirming their host institution.
(yyyy).
(mm).
Applicant’s Name :
(dd).
(signature)
7
Attachment #6
PERSONAL MEDICAL ASSESSMENT
Applicants are not required to undergo an authorized medical exam before passing the 2nd Selection with NIIED; however, all
successful candidates must take a comprehensive medical exam when its’ orientation (including an HIV and TBPE drug test**, etc)
in accordance with the requirements of the Korea Immigration Service and the KGSP. If the results show that the applicant is unfit to
study and live overseas more than 3 years, he/she may be disqualified.
**The TBPE (tetrabromophenolphthalein ethyl ester) drug tests are for evaluating past usage of stimulant drugs.
Gender:
HEIGHT
cm
WEIGHT
kg
When and for what reason did you last consult a
physician? (Please explain in the adjacent space.)
QUESTION
YES
NO
② Have you ever had an infectious disease that posed a
risk to public health (such as, but not limited to,
tuberculosis, HIV and other STDs)?
③
1.
2.
3.
4.
allergies?
high blood pressure?
diabetes?
any type of Hepatitis?
④ Have you ever suffered from or been treated for
depression, anxiety, or any other mental or mood
disorder? (If you have received treatment, please explain
and attach an official medical report.)
⑤ Have you ever been addicted to alcohol?
⑥ Have you ever abused any narcotic, stimulant,
hallucinogen or other substance (whether legal or
prohibited)?
⑦ If necessary, are you prepared to undergo physical tests
to verify the answers given in response to questions ⑥
and ⑦ above?
⑧ Have you been hospitalized in the last two (2) years?
⑨ Have you had any serious injury, ailment or sickness in
the last five (5) years?
⑩ Do you have any visual or hearing impairments?
⑪ Do you have any physical disabilities?
⑫ Do you have any cognitive/mental disabilities?
⑬ Are you taking any prescribed medication?
⑭ Are you on a special diet?
⑮ On average, how many standard servings of alcohol do you consume each
week?
8
IF YES, PLEASE EXPLAIN
Attachment #7
GPA Conversion Table
4.0 Scale
4.3 Scale
4.5 Scale
100 Points Scale
3.97 ~ 4.0
4.26 ~ 4.3
4.46 ~ 4.5
100
3.92 ~ 3.96
4.22 ~ 4.25
4.41 ~ 4.45
99
3.88 ~ 3.91
4.17 ~ 4.21
4.36 ~ 4.40
98
3.84 ~ 3.87
4.12 ~ 4.16
4.31 ~ 4.35
97
3.80 ~ 3.83
4.08 ~ 4.11
4.26 ~ 4.30
96
3.75 ~ 3.79
4.03 ~ 4.07
4.21 ~ 4.25
95
3.71 ~ 3.74
3.98 ~ 4.02
4.16 ~ 4.20
94
3.67 ~ 3.70
3.93 ~ 3.97
4.11 ~ 4.15
93
3.62 ~ 3.66
3.89 ~ 3.92
4.06 ~ 4.10
92
3.58 ~ 3.61
3.84 ~ 3.88
4.01 ~ 4.05
91
3.49 ~ 3.57
3.75 ~ 3.83
3.91 ~ 4.00
90
3.41 ~ 3.48
3.65 ~ 3.74
3.81 ~ 3.90
89
3.32 ~ 3.40
3.56 ~ 3.64
3.71 ~ 3.80
88
3.24 ~ 3.31
3.46 ~ 3.55
3.61 ~ 3.70
87
3.15 ~ 3.23
3.37 ~ 3.45
3.51 ~ 3.60
86
3.07 ~ 3.14
3.27 ~ 3.36
3.41 ~ 3.50
85
2.98 ~ 3.06
3.18 ~ 3.26
3.31 ~ 3.40
84
2.90 ~ 2.97
3.09 ~ 3.17
3.21 ~ 3.30
83
2.81 ~ 2.89
2.99 ~ 3.08
3.11 ~ 3.20
82
2.72 ~ 2.80
2.90 ~ 2.98
3.01 ~ 3.10
81
2.64 ~ 2.71
2.80 ~ 2.89
2.91 ~ 3.00
80
9
Korean Universities
No
University
1
아주대학교
Ajou University
2
청주대학교
Cheongju University
3
전북대학교
TEL
FAX
Email
31-219-2302
31-214-1500
klove@ajou.ac.kr
43-229-8811
43-229-8944
jongyun@cju.ac.kr
63-270-4382
63-270-2099
juwana42@jbnu.ac.kr
62-530-1273
62-530-1269
gradia@jnu.ac.kr
(Country code: 82-)
Chonbuk National University
4
전남대학교
Chonnam National University
5
조선대학교
Chosun University
62-230-6134
62-232-7355
sweetyoon@chosun.ac.kr
6
중앙대학교
Chung-Ang University
2-820-5623
2-827-0155
didar12@cau.ac.kr
43-261-3662
43-268-2068
juju607@chungbuk.ac.kr
42-821-5028
42-823-5875
sandigi@cnu.ac.kr
7
충북대학교
Chungbuk National University
8
충남대학교
Chungnam National University
9
대구대학교
Daegu University
53-850-5035
53-850-5039
muk@daegu.ac.kr
10
대전대학교
Daejeon University
42-280-2124
42-272-8533
bee414@dju.kr
11
동아대학교
Dong-A University
51-200-5502
51-200-5505
jsna@dau.ac.kr
12
동국대학교
Dongguk University
2-2260-3439
2-2260-3879
scf@dongguk.edu
13
동서대학교
Dongseo University
51-320-2746
51-320-2094
shjung@gdsu.dongseo.ac.kr
14
이화여자대학교
Ewha Womans University
2-3277-6986
2-364-8019
hera115@ewha.ac.kr
15
강릉원주대학교
Gangneung-Wonju National
University
33-640-2767
33-640-2768
ciec@gwnu.ac.kr
16
경상대학교
Gyeongsang National
University
55-772-0272
55-772-0269
sujin20540@gnu.ac.kr
17
한림대학교
Hallym University
33-248-1343
33-248-1349
iao11@hallym.ac.kr
10
18
19
한동대학교
Handong Global University
한국외국어대학교
Hankuk University of Foreign
Studies
54-260-1767
54-260-1780
sea@handong.edu
2-2173-2449
2-2173-3369
mrkang@hufs.ac.kr
42-629-7779
hnuwh@hotmail.com
20
한남대학교
Hannam University
21
한양대학교
Hanyang University
2-2220-0047
2-2281-1784
woridsta@hanyang.ac.kr
22
홍익대학교
Hongik University
2-320-1297
2-320-1251
idtc@hongik.ac.kr
일반대학원
Grad. Sch.
32-860-8389
32-865-8623
jiffy@inha.ac.kr
물류전문대학원
GSL
32-860-8224
32-860-8226
sujinkim@inha.ac.kr
23
인하대학교
Inha
University
42-629-7739
24
인제대학교
Inje University
55-320-3642
55-336-0225
heeeq@inje.ac.kr
25
제주대학교
Jeju National University
64-754-2198
64-702-0563
song4256@jejunu.ac.kr
26
전주대학교
Jeonju University
63-220-2122
63-220-2075
jspark@jj.ac.kr
42-350-2163
42-350-2270
imkoobae@kaist.ac.kr
33-250-7194
33-253-1964
supportu@kangwon.ac.kr
2-3299-1105
2-968-1232
ljs@kdischool.ac.kr
53-580-6254
53-580-6255
ywoo@gw.kmu.ac.kr
41-850-8054
41-850-8058
lily@kongju.ac.kr
한국과학기술원
27
28
Korea Advanced Institute of
Science and Technology
(KAIST)
강원대학교
Kangwon National University
29
30
31
KDI 국제정책대학원
KDI School of Public Policy and
Management
계명대학교
Keimyung University
공주대학교
Kongju National University
32
고려대학교
Korea University
2-3290-1155
2-922-5820
jhenim@korea.ac.kr
33
한국기술교육대학교
Korea University of
Technology and Education
(KOREATECH)
41-560-2503
41-560-2509
leesj@koreateach.ac.kr
11
34
35
36
금오공과대학교
Kumoh National Institute of
Technology
경희대학교
Kyung Hee University
경북대학교
54-478-7215
54-478-7222
jhyang@kumoh.ac.kr
2-961-0121
2-967-6937
khsb2000@khu.ac.kr
53-950-6092
53-950-6093
bootae@knu.ac.kr
Kyungpook National University
37
경성대학교
kyungsung university
51-663-4064
51-663-4069
bongjoo@ks.ac.kr
38
명지대학교
Myongji university
2-300-1511
31-330-6734
2-300-1516
31-338-9356
sykang@mju.ac.kr
gsadmin@mju.ac.kr
54-279-3782
54-279-3788
gradtechadmission@postech.ac.kr
51-629-6907
51-629-6910
amcle@pknu.ac.kr
51-510-3854
51-510-3851
dahyehan@pusan.ac.kr
2-970-6928
2-948-7714
tusentak@seoultech.ac.kr
포항공과대학교
39
40
Pohang University of Science
and Technology (POSTECH)
부경대학교
Pukyong National University
41
부산대학교
Pusan National University
서울과학기술대학교
42
Seoul National University of
Science and Technology
43
서울대학교
Seoul National University
2-880-6971
2-873-5021
tayler@snu.ac.kr
44
신라대학교
Silla University
51-999-5481
51-999-5079
isyun@silla.ac.kr
일반대학원
Grad. Sch.
2-705-8168
2-705-8166
gradsch@sogang.ac.kr
국제대학원
Grad. Sch. of
International
2-705-8753
2-705-8755
gsis3@sogang.ac.kr
45
서강대학교
Sogang
University
46
숙명여자대학교
Sookmyung Women's
University
2-710-9928
2-710-9285
ssong@sm.ac.kr
47
순천향대학교
Soonchunhyang University
41-530-1092
41-530-1490
paesk@sch.ac.kr
48
숭실대학교
Soongsil University
2-820-0255
2-824-4381
spc001@ssu.ac.kr
49
선문대학교
Sun Moon University
41-530-2602
41-530-2968
yspak73@sunmoon.ac.kr
12
50
순천대학교
Sunchon National University
61-750-3141
61-750-3149
language@scnu.ac.kr
51
성균관대학교
Sungkyunkwan University
2-760-0157
2-760-0159
innistory@skku.edu
52
한국학중앙연구원
The Academy of Korean
Studies
31-708-5310
31-709-9946
nylee@aks.ac.kr
53
울산과학기술대학교
Ulsan National Institute of
Science and
Technology(UNIST)
52-217-4124
52-217-4139
khbang@unist.ac.kr
54
과학기술연합대학원대학교
University of Science &
Technology
42-865-2330
42-864-5554
parkcj@ust.ac.kr
55
서울시립대학교
University Of Seoul
2-6490-6659
2-7490-6664
jhpark0726@uos.ac.kr
56
울산대학교
University of Ulsan
52-220-5957
52-224-2061
seanpark@live.com
57
원광대학교
Wonkwang univ
63-850-5771
63-850-5753
ham1204@wku.ac.kr
58
우송대학교
Woosong University
42-630-9335
42-629-6609
yumi@solbridge.ac.kr
59
영남대학교
Yeungnam University
53-810-3754
53-810-4640
yhj1110@ynu.ac.kr
일반대학원
Graduate Sch.
2-2123-3228
2-2123-8652
mjkim39@yonsei.ac.kr
국제학대학원
Grad Sch. of
International
Studies
2-2123-3291
2-2123-8653
bhkim@yonsei.ac.kr
경영전문대학원
Grad. sch. of
Business
2-2123-3254
2-2123-8690
amber@yonsei.ac.kr
60
연세대학교
Yonsei
University
13