1. number of students to be admitted - 筑波大学 · number of students to be admitted ......

21
Special Admission for Working Students (in October) 1. Number of students to be admitted Program Number of students Note Biological Sciences 1 Including student from cooperative graduate school system Environmental Sciences 10 Including students from cooperative graduate school system and international students About cooperative program: http://www.tsukuba.ac.jp/organization/cooperatives.html (Note) 1. Enrollment period is in April. 2. If an applicant needs information about general admission, see the guideline. 3. Foreign applicants and collaborative applicants can also apply for the special admission for working students. 2. Qualification Applicants must satisfy ONE of the following requirements: (1) Persons who graduated from university (2) Persons who have been granted a bachelor’s degree (3) Persons who have completed 16-year program of school education in a country other than Japan (4) Persons designated by the Japanese Minister of Education, Culture, Sports, Science and Technology (5) Persons who have been recognized by the graduate school of the University of Tsukuba in the individual qualification screening process as having an ability equivalent or superior to a university graduates and who are older than 22 years old in March 2013. (6) Others (See page 19 for details)

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Page 1: 1. Number of students to be admitted - 筑波大学 · Number of students to be admitted ... Persons who have been granted a bachelor ... Department of Educational Promotion directly

Special Admission for Working Students (in October)

1. Number of students to be admitted

Program Number of students Note

Biological Sciences 1 Including student from cooperative graduate school

system

Environmental Sciences 10 Including students from cooperative graduate school

system and international students

About cooperative program: http://www.tsukuba.ac.jp/organization/cooperatives.html

(Note) 1. Enrollment period is in April.

2. If an applicant needs information about general admission, see the guideline.

3. Foreign applicants and collaborative applicants can also apply for the special

admission for working students.

2. Qualification

Applicants must satisfy ONE of the following requirements:

(1) Persons who graduated from university

(2) Persons who have been granted a bachelor’s degree

(3) Persons who have completed 16-year program of school education in a country other than Japan

(4) Persons designated by the Japanese Minister of Education, Culture, Sports, Science and

Technology

(5) Persons who have been recognized by the graduate school of the University of Tsukuba in the

individual qualification screening process as having an ability equivalent or superior to a university

graduates and who are older than 22 years old in March 2013.

(6) Others (See page 19 for details)

Page 2: 1. Number of students to be admitted - 筑波大学 · Number of students to be admitted ... Persons who have been granted a bachelor ... Department of Educational Promotion directly

3. Required documents

The following documents are required:

Prescribed form:

Document/ Form Applicable person Digest

1. Application form All applicants Prescribed form

2.

Curriculum vitae

All applicants (Except

foreign applicants)

Prescribed form

3.

Application form for

foreign applicants

Foreign applicants

Prescribed form

4. Professional career Those who has job

experience

Prescribed form

5.

Admission and

photograph tickets for

the examination

All applicants

Use the prescribed forms and attach photographs

in the prescribed blanks (Size 4.0×3.0 cm, facing

front, upper half of the body, and hat off;

taken within three months before applying)

6. Desk admission card All applicants Prescribed form

7. Research plan

Applicants of the

Master’s Program in

Environmental Sciences

Prescribed form

8. Questionnaire for

foreign applicants

All foreign applicants

Prescribed form

9. Certificates of

academic research

experiences

Foreign applicants who

meet the requirement

The applicant: (i) who graduated from universities

in the country where the total years of school

education is less than 16 years; (ii) who is studying

at a university or equivalent institute like

inter-university research institute in or outside

Japan at least for one year; and (iii) who is now 22

years old or older than that, or will be 22 years old

or older than that in March 2013 must submit the

official certificate attesting his/her academic

research experience with prescribed form.

10. List of research

achievements

Applicants of the

Master’s Program in

Environmental Sciences

Describe contents of research achievements. If

applicant has papers or reports which show the

achievements, please submit it (a photocopy is

permitted).

11. Sheet of returning All applicants Prescribed form

Page 3: 1. Number of students to be admitted - 筑波大学 · Number of students to be admitted ... Persons who have been granted a bachelor ... Department of Educational Promotion directly

address 1 Letter of success will be sent with this sheet.

12. Check list of

application form

All applicants Prescribed form

13. Sheet of returning

address 2

All applicants Put all required documents in the A4 size envelope

glued the seal 2 and send or bring to the university.

Certificates and documents prepared by applicant:

1. Certificate of

graduation

All applicants

A certificate must satisfy required conditions to

apply (normally issued by the university from

which applicant has graduated). If the applicant

already has master or doctor degree, it is necessary

to submit a certificate of graduation of university.

Foreign university graduates must submit a

certificate of degree.

2.

Certificate of

academic degree

1) Graduates from

university in a country

other than Japan

2) Those who are

qualified by the National

Institution for Academic

Degrees and University

Evaluation

1) Foreign university graduates must submit a

certificate of bachelor’s degree. If the applicant

already has master or doctor degree, it is necessary

to submit a certificate of graduation of university.

Foreign university graduates must submit a

certificate of degree.

2) The applicant who received degrees from the

National Institution for Academic Degrees and

University Evaluation must submit a certificate of

award degree, a transcript of academic record and

all other certificates concerning acquisition of the

degree.

Page 4: 1. Number of students to be admitted - 筑波大学 · Number of students to be admitted ... Persons who have been granted a bachelor ... Department of Educational Promotion directly

3. Transcript of

academic record

All applicants

1) The transcript must fulfill required conditions to

apply. (Normally issued by the university from

which applicant has graduated). If the applicant

already has master or doctor degree, it is necessary

to submit a transcript of academic record of

university. If the applicant has credits transferred

from other universities, please attach previous

academic transcripts.

2) Graduate school graduates (and expected

graduates) must also submit transcript of academic

record of graduate school.

4. Research plan

Applicants of the

Master’s Program in

Biological Sciences

5. Qualification Applicants of the

Master’s Program in

Environmental Sciences

If applicants have qualifications or certificate of

linguistic ability, please submit a certificate (a

photocopy is permitted)

6. Acceptance letter of

application

Applicants who meet the

requirement

1) An applicant who is a student of university or of

a graduate school (except expected to graduates in

March 2013) must submit the acceptance letter

from the president.

2) An applicant who is in office must submit the

acceptance letter from the employer. The applicant

who will enroll after resigning his/her positions

must submit a letter of resignation which is signed

by the applicant. In this case, the document

proving their resignation must be submitted.

7. Certificate of

Monbukagakusho

Scholarship

Foreign applicants who

meet the requirement

Foreign students from other universities who have

Monbukagakusho Scholarship must submit a

certificate issued by that university.

8. Return envelope All applicants

Fill in the applicant’s name, address and zip code

on the Cho-3 envelope, and attach post stamps

(350 JPY).

(Note) Persons who have changed their name by marriage, and name in certificate is different from

identification papers are required to submit a certificate of family register (Koseki shohon or a copy).

Page 5: 1. Number of students to be admitted - 筑波大学 · Number of students to be admitted ... Persons who have been granted a bachelor ... Department of Educational Promotion directly

*All personal information obtained from application forms and the entrance examination will be

used only for the selection procedures. The personal information of students who have completed

enrollment and would like to apply for the Tuition Exemption or Scholarship from the Japan Student

Services Organization, will be used for the selection.

4. Entrance examination fee

30,000 JPY (Except Monbukagakusho Scholarship Students) must be transferred from designated

banks.

1) Period of payment: From September 3, 2012 by the end of the application period.

2) Place to pay:

a. Convenience Store (Lawson, Seven-Eleven, FamilyMart, CircleK, Sunkus)

b. Post offices, Banks, Credit Unions, JA (Payment from ATM is not permitted)

3) How to pay

When applicants use convenience store, previous online registration is needed. Realize payment

using the Multimedia Station of convenience stores. To use Post office, Banks, Credit Union, JA, use

a slip for transfer to realize payment to the designated bank account. To obtain a slip, applicants

have to go to the University or send a Cho-3 envelope with applicant’s zip code, address and name

with 80 yen post stamp as return envelope to following address.

1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577

Division of Educational Promotion, Department of Educational Promotion,

University of Tsukuba

【Convenience Store】

a. Prescribed form is not necessary. Realize payment using the special website or a Multimedia

Station of convenience stores.

b. Payment procedure is explained in the attached manual.

c. Applicant will pay also the charge for transaction.

【Post office】

a. Use prescribed form (consists of 5 parts). Write applicant’s name, address and telephone number

using black or blue ball-point pen in the appointed blank with ※mark.

Also write the name of the Graduate School for which the applicant is applying.

b. Pay 30,000 JPY over the counter.

c. Check the receipt stamp with the date is on the receipt.

d. Applicant will pay also the charge for transaction.

【Banks, Credit Union, JA】

Page 6: 1. Number of students to be admitted - 筑波大学 · Number of students to be admitted ... Persons who have been granted a bachelor ... Department of Educational Promotion directly

a. Use prescribed form (consists of 5 parts) to realize payment to the designated bank account (of

MUFJ or Joyo Bank). Write applicant’s name, address and telephone number using black or blue

ball-point pen in the appointed blank with ※mark.

Also write the name of the Graduate School for which the applicant is applying.

b. Put the name of bank (MUFJ or Joyo Bank), branch and account number in the blank of “Bank for

transfer” on each sheet.

c. Pay 30,000 JPY over the counter.

d. Check the receipt stamp with the date is on the receipt.

e. Applicant will pay also the charge for transaction.

4) Attach the receipt of the fee issued by the post office, designated bank or convenience store to the

application form. Application form without the corresponding receipt will not to be accepted.

5. How to apply

(1) Set the application documents in order, conform the check list of application form, put all

documents in the prescribed envelop, and submit it to the Division of Educational Planning and

Administration, Department of Educational Promotion directly or by registered mail or express

delivery service of post office.

(2) Application period:

September 19 (Wednesday) – September 21 (Friday)

9:00 am – 12:00 pm, 01:00 pm – 03:00 pm

(Application documents must arrive within the period above mentioned. After this period,

any application documents will not be accepted)

(3) Place of submission:

Institute of Biological and Agricultural Sciences, Building A, Room 106, University of Tsukuba

1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8577 Japan

(4) After the application documents having been accepted, admission ticket will be sent to applicants

on September 28(Friday) by mail. When the ticket will not arrive by October 5 (Friday), please make

contact with the Division of Educational Promotion, Department of Educational Promotion.

(5)Note

1) Incomplete application documents would not to be accepted nor considered.

2) It will not be admitted to change your course nor major/field after submitting application

documents.

3) Application fee is non-refundable.

Page 7: 1. Number of students to be admitted - 筑波大学 · Number of students to be admitted ... Persons who have been granted a bachelor ... Department of Educational Promotion directly

6. Selection process

- Applicants will be carefully selected by the application documents and the result of examination.

-Date of examination

【Master’s Program】

Graduate School of Life and Environmental Sciences

Master’s Program in Biological Sciences

Date October 18 (Thursday)

Subject Oral Examination(100 points)

Time 13:00 – 17:00

Biological Sciences

A presentation about current research and research plan (15 min.), and

question and answers (15 min.). (English permitted)

*Applicants are required to make advance contact with prospective supervisor of this program

(http://www.mbs.life.tsukuba.ac.jp/).

Master’s Program in Environmental Sciences

Date October 19 (Thursday)

Subject Oral Examination (100 points)

Time 9:15 – 12:00

Environmental

Sciences

Individual Interview

10 minutes: Applicants are required to make a presentation on his/her

opinion about environmental issues based on job experiences, civil

activities. Also s/he must explain his/her motivations for applying and plan

of study after entering to this program using “Research plan” and “List of

Academic Achievements” as reference. Applicants are permitted to use a

laptop computer or OHP. (Applicants must prepare a laptop or materials

for OHP and operate it by themselves. Further inquiries; please contact the

Program office (029-853-4246)).

15 minutes: Questions and answers

(Note) Before sending application documents, every applicant must contact with prospective

supervisor and mention his/her name in the research proposal. (http://www.envr.tsukuba.ac.jp)

Examination site

University of Tsukuba

1-1-1 Tennodai, Tsukuba, Ibaraki 305-8572, Japan

(Detailed information will be provided in 10. the guidelines for admissions)

Page 8: 1. Number of students to be admitted - 筑波大学 · Number of students to be admitted ... Persons who have been granted a bachelor ... Department of Educational Promotion directly

7. Notification of the results of examination

Notification of the results of examination

November 5, 2012, 10:00 am

The result of admission will be announced on the notification board at the parking area in front of

the administrative building. The university will send each successful applicant a letter of acceptance

by registered post mail.

Entrance procedures

(1) The successful applicants will be individually informed the detailed procedure and a guideline

for enrollment will be sent to each applicant in the middle of February 2013.

Applicants who will maintain his/her job position, are required to submit a letter of appointer

(Training order, Certificate of administrative leave, Acceptance of enter university)

(2) Expenses that must be paid at the enrollment

■ Enrollment Fee 282,000 JPY (not refund admission fee)

■ Tuition Fee for the first period (from April to September) 267,900 JPY

■ Tuition Fee for the second period (from October to March) 267,900 JPY

(Annual Tuition Fee: 535,800 JPY)

(Note 1) Tuition will vary if the tuition rate is modified.

(Note 2) Monbukagakusho scholar is exonerated from Enrollment Fee

(3) It is necessary for international students to obtain the status of residence for the study purpose

before s/he enters to the program. It is admitted to have acquired the status of residence for the

working purpose WHEN THEY APPLY for the program. However, once they are admitted to enroll

in the program, they MUST receive permission for change of status of residence for the study

purpose.

8. Contacts and examination of past few years

There are no examples. (Oral examination)

9. If an applicant needs special support for handicapped person, please make contact with

the Department of Education Promotion by September 3, 2012.

10. Notes

For further information, read the guideline of admission. The guideline will be available on the

website of the University from October 1, 2012.

Page 9: 1. Number of students to be admitted - 筑波大学 · Number of students to be admitted ... Persons who have been granted a bachelor ... Department of Educational Promotion directly

11. Inquiries

For further inquiries regarding admission, please contact the Division of Educational Planning and

Administration, Department of Educational Promotion, University of Tsukuba

1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8577

Tel: 029-853-2230/2231

Monday to Friday, 9am – 17pm (Except holidays)

Page 10: 1. Number of students to be admitted - 筑波大学 · Number of students to be admitted ... Persons who have been granted a bachelor ... Department of Educational Promotion directly

1 2Person with

a job

Scholarship(International

Student)

Program code

Pronunciation inKana

CurrentStatus

↑Those who graduated from graduate school (or are still enrolled), use curriculum form.

3 4 5

Date of Graduation

Month

Application Form for Master's Program (B)Graduate School of Life and Environmental Sciences, University of Tsukuba

Enroll in 2nd semester(August Enrollment) 41

M

Sex

Government-sponsored

Month

1Cooperative

             〔TEL ○○○( ○○○ )○○○○ 〕   〔Cellular phone ○○○( ○○○○ ) ○○○○ 〕

Code(Country)

Nationality

Researcher/others

WorkingStudent

Others 5Department

Foreign 4

Private 3

1 University

Examinatio

NationalPublic 2

Faculty

                      < Receipt of Entrance Examination Fee >

                  PUT CERTIFICATE OF PAYMENT HERE.

                  Note: A reciept issued by post office or bank without the receipt stamp with the date of payment is not valid.                       A reciept issued by convenience store does not have receipt stamp.

Public

MejorOthersForeign

Scheduled to graduate

Number ofapplication

Graduate School1

Faculty4

Graduate

Date of GraduationOthers M

onth

Qualification for A

pply Private

Scheduled to graduate

Others

Graduate

National

(October)

DayF Age

AdmissionCategory②

※ExamineeNumber

2Private1

Master

AdmissionCategory① General

Student

Program in Environmental Sciences

Special admission forworking students

Fill in the form writing necessary information or marking ○.Do not write anything in the blank with ※mark.

Contactperson in

Japan

(                    )

〔Tel ○○○( ○○○ )○○○○ 〕

Relation

InstituteCode 1

Date of Birth

Year

Graduate School code

CurrentAddress

Address

Name

Graduate School of Life andEnvironmental Sciences 8 ア Environmental Sciences D

[e-mail                        ]

Name

Year

Oral examination

Interview

Year

Page 11: 1. Number of students to be admitted - 筑波大学 · Number of students to be admitted ... Persons who have been granted a bachelor ... Department of Educational Promotion directly

履 歴 書 Curriculum Vitae

氏 名

フリガナ

ローマ字

男(M)

女(F)

Sex

生 年 月 日

Date of Birth 19 年 月 日

年齢

Age

国 籍

Nationality

在留資格

Resident

Status

Family name First Name Middle Name

学 校 教 育

Education

学 校 名 ・ 所 在 地

Name and Address of School

正規の修学年数

Officially Required

Number of Years of

Schooling

入学及び卒業年月

Year and Month

of Entrance and

Completion

修業年数

Period of

Schooling

専 攻 科 目

Major Subject if any

学 位 ・ 資 格

Diploma or Degree

Awarded

初 等 教 育 Elementary Education

小 学 校 Elementary School

学校名 Name 所在地 Location

年 yrs

入学 from 卒業 to

年 yrs

中 等 教 育

Secondary Education

中学及び高校

Secondary School

中学

Lower

学校名 Name 所在地 Location

年 yrs

入学 from 卒業 to

年 yrs

高校

Upper

学校名 Name 所在地 Location

年 yrs

入学 from 卒業 to

年 yrs

高 等 教 育 Higher Education 大 学

Undergraduate Level

学校名 Name 所在地 Location

年 yrs

入学 from 卒業 to

年 yrs

高 等 教 育 Higher Education 大 学 院

Graduate Level

学校名 Name 所在地 Location

年 yrs

入学 from 卒業 to

年 yrs

以上を通算した全学校教育就学年数

Total Number of Years of Schooling as given Above

yrs TOTAL

yrs

休学等、在籍中に修学を中断した期間(理由) Periods of interruption of studies, if any

from 年 yr., 月 mon.~to 年 yr., 月 mon.( )

研 究 歴

Research

Activities

(研究生の

経歴を含

む。)

研 究 機 関 名

Name of Research Institution

所 在 地

Address

身 分

Status

研 究 機 関

Duration of Research

年数

yrs

記入は、日本語又はローマ字体を用いてください。 Please type or print in Japanese or English

(外 国 人 出 願 者 用 )

(for foreign applicants)

受験

番号

~ ~

Page 12: 1. Number of students to be admitted - 筑波大学 · Number of students to be admitted ... Persons who have been granted a bachelor ... Department of Educational Promotion directly

受 験 番 号

氏 名

(生年月日)

( 年 月 日生)

志望研究科

専 攻

コース・分野

専攻

生命環境科学研究科

コース・分野

職歴のある者は、過去・現在の職歴及びその職名・職務内容・研究内容についてすべて記載してください。

なお、記載欄が不足する場合は、本用紙をコピーして使用してください。

職 歴 年 月 ~ 年 月

会 社 等 名 常 勤 非常勤

職名・職務内容・研究内容

職 歴 年 月 ~ 年 月

会 社 等 名 常 勤 非常勤

職名・職務内容・研究内容

職 歴 年 月 ~ 年 月

会 社 等 名 常 勤 非常勤

職名・職務内容・研究内容

職 歴 調 書

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Professional career
Owner
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Page 13: 1. Number of students to be admitted - 筑波大学 · Number of students to be admitted ... Persons who have been granted a bachelor ... Department of Educational Promotion directly

  

受 

付 

社 会 人特 別 選 抜

社 会 人特 別 選 抜

(受験票と同一の写真を貼付)

写 真 貼 付

(4cm×3cm)

無帽上半身正面3か月以内のもの

口述試験

写 真 貼 付

無帽上半身正面3か月以内のもの

氏名

受  験  科  目

受験番号

(4cm×3cm)

(受験票と同一の写真を貼付)

・月

研究科

受験科目

外国語等

専門科目

性別

生年月日

(西暦)

切り取り線

博士前期 課程

生命環境科学

切り取り線

切り取り線

博士前期

研究科志 望 志 望

受  験  科  目

専攻

博士前期

受 験 票

氏  名

課程

筑 波 大 学 大 学 院

環境科学

※受験番号

切り取り線 研究科

受験番号

専攻

氏  名

○ ○

受験番号※

氏  名

机 上 受 験 票写 真 票

《記入要領》

・ 写真を貼付し、氏名を記入してくだ さい。・ 「切り取り線」に沿って切り取って  ください。

志 望

専攻環境科学

面接

口述試験

面接

(H25・10月期社会人)(H25・10月期社会人)(H25・10月期社会人)

生命環境科学

環境科学

生命環境科学

課程

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Admission Card
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Name
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Name
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Attach two 4cm x 3cm size same photograph of yourself here. The photographs must be less than 3 monthes old.
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(10月期)

専攻

年 月

受 験 番 号

(環境科学専攻)

氏 名 生年月日 年 月 日

志望領域

学歴 大学等名 学部 学科・学類

学群 課 程 昭和 卒業 平成 卒見

志望研究課題 1)

事前に連絡を取った教員名

本研究科を受験する動機や、この課題の内容、希望進路など、またそれらの関係を記入 2) (1,000字以内)

キーワード:

(注)※欄は記入しないでください。

1)「志望研究課題」は、教員の研究内容を参考に、具体的に記入してください。

2)外国人留学生は、英語で記入してもよい。

研 究 計 画 書

昭和

平成

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Research Plan
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Program
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Name
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Date of birth
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Y M D
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Study field
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Academic Background
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University
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Department
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When you graduate
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MM
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YYYY
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Prospective research title
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Name of faculty staffs
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Professors with whom you have made contact
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Key words
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Main field
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Describe your motive to apply, contents of research theme, course to take after graduation and relations among those. (Within 1000 letters) *International students are permitted to write in English.
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受 験 番 号

Examination No.

外 国 人 出 願 者 調 書 Questionnaire for Foreign Applicants

1.筑波大学の志望研究科 生命環境科学 研究科

Graduate Program of the University of Tsukuba you wish to apply for:

志望専攻名、コース・分野名 専 攻 コース・分野

Name of Main Field and Course / Field :

Main Field : Course / Field :

2.氏名 (Name) 国籍 (Nationa1ity)

生年月日 (Birth Date) 19 年 (yr.) 月(mon.) 日(day)

3.現に日本の大学に在籍している場合は、大学、学群・学類(学部・学科)、研究科、専攻及び身分を記入してくだ

さい。

If you are currently enrolled in a Japanese university, please fill in the name of the University, Faculty,

Department, Program, Main Field and your current status.

〔( )内の該当するものに○印〕(Please circle the item that applies to you)

学群・学類 (Cluster / Co11ege)

大 学 学部・学科 (Faculty / Department)

(University) 研究科 (Graduate School)

年次 (Year of study)

専 攻 研究生 (Research Student)

(Main Field) その他 (Other)

4.次の質問にお答えください。〔( ) 内の該当するものに○印〕

Please answer the following questions. (Circle the item that applies to you)

○現に奨学金を受けて(いる。 いない。)

Presently (I am /I am not ) the recipient of a scholarship.

○現に奨学金を受けている場合、その種類は

In case you are receiving a scholarship, this is

[ 日本国政府文部科学省奨学金、その他の日本国政府奨学金(JICA など)、民間奨学金(奨学金名 )、

母国政府奨学金、その他( )]である。

[ A Monbukagakusho scho1arship, other type of Japanese Government scholarship (ex. JICA, etc.),

a private scholarship (name: ), a scholarship offered by the government of your home country,

other( ) ].

(注)本調書は、外国人出願者全員が提出してください。

Note: All foreign applicants are requested to submit this questionnaire.

Page 16: 1. Number of students to be admitted - 筑波大学 · Number of students to be admitted ... Persons who have been granted a bachelor ... Department of Educational Promotion directly

受 験 番 号

研 究 歴 証 明 書 Certificate of Research Activities

国 籍 ( Nationality ):

氏 名 ( Name ):

生年月日 ( Date of Birth ):

上記の者は、下記のとおり研究歴を有することを証明する。

This is to certify that the above person engaged in the research activities as follows.

在籍した機関、部局名及び身分

(Status and Institution Attended)

研 究 期 間

(Duration of Research)

年 月 日から 年 月 日まで ( 年 か月間)

From : to : =

( Day ) ( Month ) ( Year ) ( Day ) ( Month ) ( Year ) (Years) (Months)

研 究 題 目 及 び 研 究 内 容

(Title and Outline of Research)

指 導 教 員 職 ・ 氏 名

(Name and Position of

Academic Advisor)

年月日 (Date) :

署 名

(Signature) :

氏 名

(Name) :

職 名(注)

(Title*) : 印

機 関 名

(Institution):

所 在 地

(Address of Institution):

(注) 証明者は、機関の長等(例えば、学長又は学部長等)とします。

(*The title of the certifier should be equivalent to representative of organization such as President, Dean,

Director, etc)

様式 (外国人出願者用 )

Form (for foreign applicants)

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活 動 ・ 研 究 業 績 目 録

1/2

(生命環境科学研究科 環境科学専攻 社会人特別選抜)

志望研究科 生命環境科学研究科 氏 名

活動課題名、論文名又は報告書名等 そ の 内 容(各 200字以内)

受 験 番 号

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List of research achievement
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Name
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Title of activity, title of paper or report
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Contents (200 letters each)
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受 験 番 号

2/2

活動課題名、論文名又は報告書名等 そ の 内 容(各 200字以内)

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Title of activity, title of paper or report
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Contents (200 letters each)
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Note: Check the list below and put ○ to the documents you are submitting. Incomplete application documents would not be accepted nor considered.

Note: DO NOT fill in blanks with ※mark.

※ MonbukagakushoScholarship

Expert ※

By PostOctober Examinee Number

Private Cooperative Working ※

List of Application Documents for the Graduate Shools of University of TsukubaGraduateSchool

Life and EnvironmentalSciences Program Name

Documents (Prescribed form) Check○

Applicants Note

Application form All applicants A: Biological Sciences,B: Environmental Sciences

Curriculum Vitae All applicants Except foreign applicants

Curriculum Vitae of foreign applicants Foreign applicants

Professional career Those who have job experience

Admission and photograph tickets for theexamination, Desk admission card All applicants

Questionnaire for foreign applicants All foreign applicants

Certificates of academic research experiences Required foreign applicants

Research plan Applicants for EnvironmentalSciences

List of research acheivement Applicants for EnvironmentalSciences

Sheet of returning address 1 All applicants To send a letter of success

Sheet of returning address 2 All applicants Prepare A4-size envelope and attacha seal 2 to the envelope

List of application documents for the GraduateSchools of University of Tsukuba All applicants

Receipt of entrance examination fee (30,000 yen) All applicantsPlease affix on the correspondingspace on the application form.Exept Monbukagakusho scholars.

Certificates (Prepared by applicants) Check○

Applicants Note

Certificate of graduation All applicants

Certificate of academic degree Required applicants

Transcript of academic record All applicants

Research plan Biological Sciences

Qualification Environmental Sciences

Acceptance letter of application Required applicants Except expected graduates and part timeemployee. A4

Certificate of Monbukagakusho scholarship Required foreign applicants

A stamped return envelope (Postage stamps of 350yen)

All applicants

Date of receipt ※ Recipient ※ Checker

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殿

殿

1. ※欄は記入しないでください。

2. このシートは「合格通知書」及び「入学手続書類」を送付する場合のあて名として使用

しますので、郵便を受け取ることができる住所・氏名を楷書でていねいに記入してくだ

さい。(日本国内に限ります。)

3. 志願者以外の住所・氏名を記入する場合は、しかく に志願者の氏名を記入してください。

志 望

博 士 前 期 課 程

生 命 環 境 科 学 研 究 科

専攻

氏 名

受 験 番 号 ※

宛名シート①

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Sheet of returning address 1
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環境科学
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Address Name
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(宛名シート②)

速 達

3 0 5 8 5 7 7

注1: 入学願書に記載した事項を記入してください。注2: この「宛名シート」を角形2号の封筒に貼り,郵送または持参して下さい。

書留速達(

出願書類在中)

御中

教育推進課

志望研究科

出願方法

茨城県つくば市天王台一 一 一

留学生区 分

国 費 私 費一般 社会人

住   所

(〒   -    )

                   電話    (   )

 筑波大学教育推進部

氏   名

生命環境科学研究科   専攻       コース・分野

編入

郵便局で 書留速達 便にする こと

記入例

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環境科学
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Address
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Telephone number