undergraduate application form （pdf 455kb）

April / September 2016 Enrollment Domestic Applicants

Ritsumeikan Asia Pacific University

(Note) Please confirm your appropriate admissions category by using the chart below.

Do you possess Japanese nationality,

including dual nationality?

Are you currently residing in Japan,

excluding temporary visitor visas?

Do you have“permanent resident”status?

＊１　 ‶Admissions for Domestic Applicants" applies to those who possess Japanese nationality or Japanese permanent residency even if they are residing outside Japan.

＊２　 Individuals who will obtain a student visa before enrollment are eligible to apply for the APU Tuition Reduction Scholarship at the time of application.

＊３　 Please send your inquiries directly to the Immigration Bureau of Japan regarding whether you can change your status of residence to ‶student".

Admissions for Japanese/Domestic Applicants ＊1

Admissions for International Applicants Residing in Japan

Admissions for International Applicants Residing Outside Japan

Do you have a “student visa” or will you change your status of residence to “Student” before

enrollment? *3

Please contact the Admissions

Offi ce before application.

No

Yes

Yes

Yes

No

No

No

＊2

Yes

Admissions for Japanese/Domestic Applicants

Admissions Offi ce（Domestic）TEL: +81-977-78-1120 Hours: 9:00～17:30（Japan Time: Monday to Friday）

FAX: +81-977-78-1199

Email: [email protected]

URL: http://www.apumate.net

Admissions for International Applicants

Admissions Offi ce（International）TEL: +81-977-78-1119 Hours: 9:00～17:30（Japan Time: Monday to Friday）

FAX: +81-977-78-1121

Email: [email protected]

Web Page: http://admissions.apu.ac.jp/

Contact

■Application Form

A Undergraduate Application Form

B Application Essay

C Letter of Recommendation

D Extracurricular Activities Report Form

E Accompanying Sheet for Extracurricular Activities

F Essay Cover Sheet

H Essay Sheet

J Short Essay Sheet

K English Profi ciency Evaluation

※Forms G and I are not included in this form as they are used only in Japanese-basis applications.

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Domestic StudentsUndergraduate Application Form

For International Applicant use only

I. Applicant Information

II. Undergraduate Program of Study and Other Information

1. Family Name in English:

2. Given Name(s) in English:

3. Name in Chinese Characters (if applicable):

4. Name in Katakana (if applicable):

5. Date of Birth: Year　　　　　　Month　　　　　　Date 6. Gender: 　□ Male　　□ Female

7. Native Language: □ English　 □ Japanese　 □ Other than English/Japanese (　　　　　　　　　)

8. Email: (Please write clearly, as this will be used as the primary contact.)

9. Current Address in English:

City / State 　Country 　Postal Code

Address in Chinese Characters (if applicable):

Telephone: 　　　Mobile:

10. Mailing Address: □ Same as above　　　　□ Diff erent from above (Please fi ll in below)

City / State 　Country 　Postal Code

Address in Chinese Characters (if applicable):

Telephone: 　　　Mobile:

11: Emergency Contact

Relationship with Applicant □ Father □ Mother □ Others (Please specify)

Name :

Phone: 　Email:

1. Semester of Enrollment: □　Spring (April) □　Fall (September)2. College: □　College of Asia Pacifi c Studies (APS) □　College of International Management (APM)3. Enrollment Status: □　First Year Student □　Second Year Transfer □　Third Year Transfer4. Language Basis: □　English □　Japanese5. Application for Residence in AP House: Do you wish to live in AP House? □　Yes □　No6. Scholarship: Do you wish to apply for Domestic Students Academic Excellence Scholarship? □　Yes □　No

7. Exam Venue： □　in Japan　　　　　□　outside Japan8. Nationality : □　Do you or your parent(s) possess any form of Japanese nationality? □ Yes 　 □ No9. Scholarship: Do you wish to apply for the APU Tuition Reduction Scholarships? □ Yes 　 □ No □　Applied for scholarship off ered by the other organizations (Organization Name : )* Only applicants who do not possess Japanese nationality and will obtain a student visa before enrollment are eligible to apply for the APU Tuition Reduction Scholarship.

10. Interview Location: Please confi rm the date and place of interview in the Admissions Handbook.Please fi ll in if you reside in China.

　 □　Shanghai　　 □　Wuhan　　 □　Shijiazhuang　　 □　ChongqingPlease fi ll in only if you reside in India.

　 □　Chennai　　 □　New DelhiPlease fi ll in if you reside in Viet Nam.

　 □　Hanoi　　　□　Ho Chi MinhPlease fi ll in if you reside in Japan.

　 □　Tokyo　　　□　Osaka　 □　Fukuoka　　□　Beppu

Please affi x a photograph (4cm X 3cm)

taken within the last 3 months. Plain background,

no cap or hats.

* Please write your name on the reverse side of the photograph.

AFOR UNIVERSITY USE 大学使用欄

受験番号

FOR UNIVERSITY USE 大学使用欄

□ 新入生　□ 編入生　□ 転入生 □ 推薦　□ 一般

検定料納入方法 □ 海外送金　□ CD（ID：　　　　　　　　　　　　）□ 国内送金　□ 小切手（番号　　　　　　　　　　　）

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A氏　名Name

※受験番号（記入不要／Do not write in this column）Registration №

III. Education History

In chronological order, please list all schools that you have attended from elementary school level to the last or current school you are attending. (Nursery, kindergarten and language schools are not to be included.) Please write the school name in English. (If the school is located in Japan, in Japanese.) Please note that 12 years of offi cial education (or scheduled completion) is generally required for fi rst-year student applications.

（Sample）

Name and Location of SchoolYear and Monthof Entrance andCompletion

Amount of time spent at the

school attended

Diploma or Degree awarded (if applicable).If you have taken a leave of absence, include the period

and reason.(Elementary Education) (Name)　　　　　　(Location) (From) (To) 6 years

and 0 months

GraduatedElementary School AAAA Elementary School / Yokohama, Japan 2004/04 2010/03

(Secondary Education) (Name)　　　　　　(Location) (From) (To) 3 years and 0 months

GraduatedLower Secondary School BBB Middle School / Boston, USACCC Junior High School / Montreal, Canada

2010/042012/09

2012/082013/02

Upper Secondary School (Name)　　　　　　(Location) (From) (To) 3 years

and 1 months

Expected to

GraduatedDDD High School / Montreal, Canada 2013/03 2016/03

(Higher Education) (Name)　　　　　　(Location) (From) (To) years and monthsUndergraduate Level

Name and Location of SchoolYear and Monthof Entrance andCompletion

Amount of time spent at the

school attended

Diploma or Degree awarded (if applicable).

If you have taken a leave of absence, include the period and reason.

(Elementary Education) (Name)　　　　　　 (Location) (From) (To) years

and

monthsElementary School

(Secondary Education) (Name)　　　　　　 (Location) (From) (To) years

and

monthsLower Secondary School

Upper Secondary School

(Name)　　　　　　 (Location) (From) (To) years

and

months

(Higher Education) (Name)　　　　　　 (Location) (From) (To) years

and

monthsUndergraduate Level

　　* If the blank spaces above are not suffi cient for the information required, please attach a separate sheet．

If you are currently enrolled in a tutoring or preparatory school, Japanese language school, or Japanese language supplementary school, please provide details.

Tutoring School,Japanese Language School

塾・予備校・日本語学校・補習校

(Name) (Location)

The institution name where you completed (or are scheduled to complete) 12 years of offi cial education:

　Date of (scheduled) Completion：　　　　　　(Year)　　　 (Month)　　Name of Institution　　　　　　　　　　　　　　　　　　　　　　　　　

　If your length of study is less than 12 years by the time of enrollment at APU (due to skipping a grade or for another reason), please write a brief explanation:

　　

If you have attended other schools e.g. language schools other than Japanese schools or specialized institutions, please include details below.Institution Name 　　City/ Country 　　Started (yy/mm) 　　Completed (yy/mm) 　　Course / Award

　　　　　　　　

　　　　　　　　

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V. Language Profi ciency

VII. Documents to be returned

VI. Documents required for specifi c countries and regions

Please note that the University will only return original documents that cannot be reissued upon request.

I request for the following document(s) to be returnedName(s) of document:

Applicants who have graduated or are expected to graduate from their respected country's/region's standard education systems and have taken said country's/regions national standard examinations are requested to check their examination from the list below, and submit an offi cial score sheet. Applicants who choose to have their scores sent directly from the testing organization are asked to include a brief memo detailing said request.

□ Abitur (Germany)□ Baccalauréat (France)□ GCE Advanced Level / Ordinary Level□ NCEA Level 1, 2, 3 (New Zealand)□ State Wide Examination Score Card (Canada, Australia, etc.)

□ SAT (College Code 2791)□ ACT (College Code 5475)□ GED□ International Baccalaureate□ Other

IV. Application Fee

A non-refundable application fee is compulsory for the application. Cash payments will not be accepted.*

Please select your payment method from the following:

□　Application Card (Bank Transfer Form)

□　Bank Transfer (Overseas) Payment Date: Payer’s Name:

□　Bank Transfer (in Japan) Payment Date: Payer’s Name:

□　Bank Check** Bank Name: Check Number:

* Applications will not be evaluated without the application fee.** Payment by bank check is not applicable for applicants residing in Japan.

If you have taken an offi cial profi ciency test in English or Japanese (such as TOEFL®, IELTS, JLPT, or EJU), please enter your result. You must also enclose your original score report when sending your application form to us, or request the testing organization to forward it directly to us. Alternatively, for some tests, APU can access scores directly from the testing organization's database. Please select the applicable submission method: Enclosed, Forwarded, or Access by database.* For detailed instructions on application documents relating to language profi ciency, please consult the“Undergraduate Admissions Handbook”.* If there is no check box beside a submission method, that method cannot be selected.

Name of examination: Year/month taken: 　Score: Submission Method Items specifi c to each test: Enclosed / Forwarded / Access

□　TOEFL iBT® 　　 □ □ 　 Registration Number:

□　IELTS 　　 □ □ 　 Test Report Form Number:

□　TOEIC® 　　 □ 　　

□　EIKEN 　　 □ 　　

□　TEAP 　　 □ 　 □ 受験番号

□　GTEC 　　 □ 　 □ Test ID：

□　TOEFL Junior® 　　 □ 　　

□　Cambridge English 　　 □ 　 □ ID Number: 　　　　　　 Secret Number:

□　JLPT 　　 □ 　　

□　EJU 　　 □ 　　

□　Other 　　 □ □ □

* English language profi ciency test scores are valid if the test date shown on the score certifi cate is April 1, 2013 or later.

* APU’s Destination Code for TOEFL® / Test Report Form (TRF) number for IELTS: 2791

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次の２つの質問に対し、各 200～300字程度で回答してください。Please answer the following 2 short essay questions. The length of each essay should be 100～150 words.

志望理由書/Application Essay

1. 志望する学部で学びたいことを将来の目標と関連づけて具体的に述べてください。Explain in detail what you aim to learn within your college of choice（APM/APS）and how it relates to your future goals.

（字 /words）

2. 志望する学部に関連するトピック（例えば、世界経済、企業戦略、国際関係、異文化理解、あなたの国の社会問題など）をひとつ選び、あなたの意見を述べてください。Discuss a topic that is relevant to your preferred area of study（e.g. world economy, business strategy, international relations, cross-cultural understanding, social issues in your country, etc.). Please state your opinion on this topic.

（字 /words）

B氏　名Name

※受験番号（記入不要／Do not write in this column）Application №

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推薦書/Letter of Recommendation

最終出身学校の教員もしくは勤務先の上司・雇用主などで、志願者を最低１年以上知っている人物に記入を依頼してください。

Please ask an instructor from the last school/institute you attended, or employer/supervisor from a company you have worked at to

write this recommendation letter. You should ask a teacher/professor/employer/supervisor who has known you at least a year or more.

志願者氏名 Applicant's Name

姓　Family Name 　　　名　Given Names

1.　他の一般的な学生との比較において、本志願者をどのように評価されますか。あてはまると思われるレベルにを記入してください。

　　How does the applicant compare in the following areas with other students in general? Please check （） the appropriate box.

非常に優秀Truly

Exceptional

優秀Excellent

とても良いVery Good

良いGood

平均以下Below Average

評価不可能Unable toAssess

学力Academic Ability

分析力Analytical Ability

独創性・創造性Originality / Creativity

柔軟性Flexibility

口頭表現能力Ability in Oral Expression

文章表現能力Ability in Written Expression

協調性Ability to Work with Others

指導力Leadership

C

志願者へ To the Applicant

＊できるだけ詳しく書いてください。

＊英語（ブロック体）または日本語で記入してください。

＊記入後は全ての書類を厳封し志願者に渡すか、アドミッション

ズ・オフィスに直送してください。

書類送付先：立命館アジア太平洋大学　アドミッションズ・オフィス

　　　　　　〒 874-8577 日本国大分県別府市十文字原 1-1

＊記載事項に不明な点がある場合は、推薦者に直接問い合わせを

することがあります。必ず連絡先をご記入ください。

＊ Please make your recommendation as detailed as possible.

＊ Please write your recommendation in English （BLOCK

LETTERS） or Japanese.

＊ Please return all documents in a sealed envelope to applicant

or mail it to us directly at:

Ritsumeikan Asia Pacifi c University, Admissions Offi ce,

1-1 Jumonjibaru, Beppu, Oita, 874-8577 Japan

＊ Please write your contact information so we may contact

you directly if necessary.

推薦者へ　To the individual writing this Letter of Recommendation

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C２．志願者の学業におけるおおよその順位を記載してください。

Please indicate the approximate academic rank of the applicant.

（Top 5％・Top 10%・Top 25%・Middle 50%・Lower 25％）

３．志願者の成績証明書にあらわれない面、例えば特技や素質などをできるだけ詳しく記入してください。また長所だけでなく、志願者の短

所もあわせて記入してください。

Please include any other comments about the applicant's character/personality that may not be refl ected on his/her academic

transcripts.

①志願者の得意分野や特技、他の者より優れている素質・特徴は何ですか（学内および学外における活動などを含む）。

　 What talents or unique character traits does the applicant possess (including school-related or independent activities )?

③ 立命館アジア太平洋大学での経験を、志願者は将来どのように役立てていくと思いますか。

　In what way do you feel that the applicant’s experiences at Ritsumeikan Asia Pacifi c University will benefi t him/her in the future?

②志願者が、今後努力しなければいけないと思う分野は何ですか。

　What area or fi eld do you feel the applicant needs to concentrate more on?

４．不明な点がある場合は、記入者に直接問い合わせることがありますので、以下にご記入ください。

　　Please fi ll in the following information as we may contact you directly if necessary.

①推薦者の氏名 ②職業

Name of recommender Occupation

③所属機関 ④職名

Name of institution Job title

⑤ Email 　　 ⑥ Tel 　　　　　　　　

⑦署名㊞　⑧日付

Signature （手書き /Handwritten） Date

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活動実績報告書 / Extracurricular Activities Report Form

団体名　Organization’s Name 所属期間　From, to 役職　Your Post

年Y　　月M～　　　年Y　　月M



（A）高校時代もしくはそれ以降に所属した部・クラブなど　Clubs, Groups, Organizations, etc. you attended in senior high school or later

Attacheddocument’snumber資料番号

Year/month/day開催年月日

Name ofsponsor/organizer主催団体名

Name of tournament/contest/

competition大会等の名称

Name of event種目名

Type of event大会等の規模

Number ofparticipants/

groups参加者・団体数

Rank,etc.

順位等

B‒1

□ International/海外□ National/国内□ Regional/地域□ School/学内

B‒2


B‒3


B‒4


B‒5


（B）大会・競技会・コンテスト等の実績　記入欄　Fill in your results of tournaments/contests, etc.

　あなたの活動実績について、その詳細を下欄に記入してください。記入欄が不足する場合には、別紙に記入して提出しても構いません。なお、評価の対象となるのは高校時代もしくはそれ以降の活動に限ります。　下欄（B）～（Ｅ）に記入した実績については、それを証明する資料・合格証書・成績証明書等のコピーを次頁の書式 E 「活動実績に関する資料添付用紙」に貼付して提出してください。また、その際には下欄左端の資料番号欄を記入し、貼付する資料番号と一致させてください。Fill in details of your activities, qualifi cations, licenses/achievements, etc.・If you need more space, please attach a separate sheet.・Only activities completed during senior high school or later are assessed.・Attach awards or certifi cates which prove the result/grade/score, etc. written in part （B） to （E） below to Form E .・ Check the “Attached document's number”(found in the far left-hand column of this sheet) for each activity you include, and write the same number on the top left-hand corner of the corresponding “Accompanying Sheet for Extracurricular Activities E ”. You may use multiple “Accompanying Sheets for Extracurricular Activities E ”.

D氏　名Name


8

資料番号Attached

document's number

取得年月日Date of

obtainment（Year/Month）

資格・検定等の名称Name of qualifi cation/standardized test, etc.

認定機関の名称Name of

authorization / organization

取得段位・スコア・成績等Obtainment of grade/

results, etc.

D‒1

D‒2

D‒3

D‒4

D‒5

（D）資格・検定・段位・スコア等の記入欄　Fill in your results for qualifi cations / standardized tests, etc.


document's number

滞在期間・滞在年数Period of residence

abroad

滞在国・地域名Country / City

滞在目的・理由、在籍学校名、滞在期間中の活動などReasons for residing abroad, school name,

extracurricular activities, etc.

E‒1

　　年　　　　月　　Y　　　　M

　　～　　年　　　　月　　Y　　　　M

E‒2

　　年　　　　月　　Y　　　　M

　　～　　年　　　　月　　Y　　　　M

E‒3

　　年　　　　月　　Y　　　　M

　　～　　年　　　　月　　Y　　　　M

（E）日本国外滞在経験（滞在期間が１ヵ月以上にわたる場合のみ記入）　　 Fill in any experience you have living outside Japan （only for periods over one month）.

D氏　名Name


（C）その他の活動実績があれば記入してください。　　 Fill in the results of any other activities you would like to mention in addition to those from the previous section.


document’snumber

活動の概要Outline of your activities

活動期間 /PeriodFrom to

年 Y　月M～　　　年Y　月M

C‒1

C‒2

C‒3

C‒4

C‒5

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《　貼　付　欄　》　Attach the documents

　◆　活動実績・成果に関する添付資料（新聞、雑誌記事、表彰状、合格通知書、スコアレポート等の写し（B５サイズ

以下に縮小のこと）を貼付してください。なお、言語能力に関する試験結果証明書については、本紙に添付する

コピーの他に、証明書の原本を提出してください。

　◆　 Please attach documents (photocopies, smaller than B5) which prove the results, scores of your activities, etc. to

this sheet / copies you make of this sheet. Also, please be sure to submit offi cial score sheets for any language

profi ciency tests, in addition to making a copy of each offi cial score sheet and attaching it to this paper.

〈貼付の手順について〉

1．資料添付用紙（本紙）が複数枚必要な場合（添付資料

が多くて 1枚の資料添付用紙に貼付できない場合）は、

貼付に必要な枚数をコピー

　　　　　　　↓

2．添付資料をB5サイズ以下に縮小コピー

　　　　　　　↓

3．貼付け欄にのりづけ

資料添付用紙 1枚につき添付資料 1枚を貼付

※ 複数の資料を重ねて貼らないこと

　　　　　　　↓

4．「活動実績報告書 D 」の資料番号に対応させて、資料

番号欄に「Ｂ－ 1」「Ｂ－ 2」「Ｃ－ 1」などのように

記入

〈How to attach your documents〉

1． Make copies of this sheet if you need to attach multiple

documents.

　　　　　　　↓

2． Reduce the size of each document to smaller than B5.

　　　　　　　↓

3． Attach one document to each Accompanying Sheet.

DO NOT attach multiple documents to one sheet.

　　　　　　　↓

4． Label each sheet such as 「Ｂ－１」「Ｂ－２」「Ｃ－

１」etc. The number on this sheet （Form E ）should

correspond to that on Form D .

資料番号Attached document’s number －

活動実績に関する資料添付用紙 / Accompanying Sheet for Extracurricular Activities

E氏　名Name


10

必要事項を記入し、エッセイの表紙として必ず添付してください。/Please fi ll in the items below (this paper will be used as a cover sheet for your essay).

エッセイ提出票/Essay Cover Sheet

日本語基準：裏面「記入上の注意」をよく読んだ上で、所定の原稿用紙（書式 G ）を使用して、エッセイを作成してください。English Basis: Please read the explanation on the back of this sheet carefully and write your essay on the Essay Sheet（Form H ）

エッセイのタイトルEssay's Title

提出枚数（表紙を含む）Total number of sheets to be submitted（include this sheet）枚/sheets

F氏　名Name


11

記入上の注意　英語基準AO方式／秋期AO入学試験Essay Instructions for Standard Method (AO Method) / Standard Method for Fall Enrollment (Fall AO Method)

【日本語基準】

　次の指示にしたがって作成してください。▲

高校時代を通じて得た知的興奮のなかで、あなたにとって最も刺激的だったものについて、具体的に記述してください。対象は正課・正課外に関わらず、どのような分野でも構いません。▲

日本語で 1,000 字以上 1,500 字以内で作成してください。原稿用紙（書式 G ）は縦置き・横書きです。用紙の上段に氏名を、下段右にはページ番号を記入してください。▲

エッセイの作成は、消すことのできない黒色のペンまたはボールペンを使用してください（修正液等の使用可）。▲

本書式（書式 F ）を表紙として添付してください。

【English-basis】

Please write your essay in English observing the following instructions.▶ Describe, in concrete terms, your most intellectually‒stimulating experience from senior high school.You may write about a curricular or extracurricular experience in any fi eld of your choice.

▶ Please write between 600 and 800 words in English. Write your name at the top of each essay sheet （Form H ） and the number of words at the bottom-right.

▶ Please use a permanent black ink pen or ballpoint pen.（You may use correction fl uid, etc. as necessary.）▶ Please attach this sheet（Form F ） to the front of your essay.

記入上の注意　２回生・３回生　編入学・転入学試験Essay Instructions for ２nd and３rd Year Transfer Enrollment

【日本語基準】

▲

次の３点を含めて、できるだけ具体的に記述してください。・在籍している（していた）高等教育機関において、中心的に学習した内容や学習方法、努力した点について。・在籍している（していた）高等教育機関での学修・課外活動等を通して、どのような知識・能力を身に付けたか。・編入学・転入学後の学修（研究）計画について、具体的にどのような分野をどういった視点で学修・研究したいか。▶ 日本語で 2,000 字以上 2,500 字以内で作成してください。原稿用紙（書式 G ）は縦置き・横書きです。用紙の上段に氏名を、下段右にはページ番号を記入してください。▶エッセイの作成は、消すことのできない黒色のペンまたはボールペンを使用してください（修正液等の使用可）。▶本書式（書式 F ）を表紙として添付してください。

【English-basis】

▶ In your essay, please address the following three points as concretely as possible.・The main contents, learning methods, and points you focused on during your study at the higher education institution at which you are（or were）enrolled.

・The kinds of knowledge and abilities you acquired through study and extracurricular activities at the higher education institution at which you are（or were）enrolled.

・The specifi c fi elds and approaches you hope to study and research after transfer to APU▶Please write between 1,000 and 1,500 words in English. Write your name at the top of each essay sheet （Form H ） and the number of words at the bottom-right.

▶ Please use a permanent black ink or ballpoint pen.（You may use correction fl uid, etc. as necessary）▶Please attach this sheet（Form F ） to the front of your essay.

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Essay Sheet

Number of words（　　／　　）

氏　名Name

※受験番号（記入不要／Do not write in this column）Application № H

13

氏　名Name



H

14

Essay Sheet

氏　名Name



H

15

氏　名Name



H

16

J

Short Essay Sheet

氏　名Name


（１） Describe any groups, social organizations or communities that you belong to, and how you have contributed to them. Give examples of any activities that you regularly participate in. What have you learned from these activities? How have you changed?（100 words）

Number of words（　　　　words）

（２） Describe any knowledge or skills you have acquired through personal interests (hobbies, volunteer work, part time jobs, independent studies, etc.). How did you acquire such knowledge or skills? If you have any leadership experience, please describe in detail.（100 words）


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（３） Describe an unexpected personal challenge, or a situation in which you were treated unfairly. How did you react and deal with the problem? What did you learn from the experience?（100 words）


（４） Describe a goal you have decided for yourself, as well as the steps you have taken to accomplish said goal. Have you ever asked for the support of others? How was the response? What kind of support did you receive?（100 words）


氏　名Name


J

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英語能力認定書/English Profi ciency EvaluationTo the Applicant

Please write your comments about the applicant’s English abilities.

ExcellentTOEFL iBT®≧100

Good100＞TOEFL iBT®≧80

Average80＞TOEFL iBT®≧61

Below Average61>TOEFL iBT®

Speaking □ □ □ □

Listening □ □ □ □

Writing □ □ □ □

Reading □ □ □ □

＊Please ask your English teacher to write this evaluation. If possible, the teacher should have taught you for at least a year or more.

Applicant's Name:Applicant's Name:

Family Name: 　　　Given Name:

＊ Please make your recommendation as detailed as possible.＊ Please write your recommendation in English or Japanese.＊ Please return this document in a sealed envelope to the applicant or mail it to us directly at:

Ritsumeikan Asia Pacifi c University, Admissions Offi ce, 1-1 Jumonjibaru, Beppu, Oita, 874-8577 Japan.＊ Please write your contact information so that we may contact you directly if necessary.

To the Evaluator

Please fi ll in the following information as we may contact you directly if necessary.

①Name of person writing the evaluation ②Occupation

③Name of institution ④Job title

⑤Period you have taught the applicant / ― / (yyyy/mm - yyyy/mm)

⑥Address

⑦Email ⑧Tel

⑨Signature ㊞ ⑩Date

（手書き／Handwritten）

K氏　名Name


受験生の個人情報の取扱いについて入学試験に際し、受験生から取得する個人情報は、次のとおりに取扱います。(1) 利用目的① 入学試験の実施（出願処理・受験票等送付および入学試験の実施）および選考② 合否の通知、発表③ 入学手続書類の送付④ 在留資格取得・更新に関する書類の作成⑤ 留学生オリエンテーションの案内の送付⑥入学前教育案内書類の送付⑦ 入学後の生活に関する案内（住宅斡旋、傷害保険および生活協同組合等）の送付⑧ 入学試験後の各種アンケート調査の送付

(2) 個人情報の管理　受験生の個人情報は、法令に則り、漏洩、滅失、き損等がないよう安全に管理します。

(3) 個人情報に関する業務の委託　出願受付および出願書類記載事項のコンピューター登録等、個人情報に関する業務の一部は、個人情報の適切な取扱いに関する契約を締結した上で、外部の事業者に委託することがあります。

(4) 入学試験の統計資料について　受験生から取得した個人情報は、各種の統計処理を施した上で、今後の入学試験の調査・研究の資料として利用するほか、進学希望者への情報公開に使用します。なお、公開される統計資料により個人が特定されることはありません。

Personal Information PolicyPersonal information collected from individuals during the admissions process will be handled in accordance with the following.(1) Purpose of Use of personal Information① To carry out the admissions process, such as screening, etc.② To notify results③ To send enrollment-related documents④ To complete the procedures to attain the Certifi cate of Eligibility to issue a VISA⑤ To send the orientation guide for new students⑥To send information on pre-enrollment education⑦To send information on post-enrollment living matters　(accommodation services, personal injury insurance, university co-op, etc.)⑧ To send various questionnaires after admission

(2) Management of Personal Information　 Ritsumeikan Asia Pacifi c University will manage the personal information of application in compliance

with relevant laws and regulations. Information will be managed securely to prevent loss, destruction or divulgence.

(3) Outsourcing of Handling of Personal Information　 Ritsumeikan Asia Pacifi c University may outsource part of the handling of the personal information of

applicants when necessary, such as the receipt of applications or the data entry of personal details. In such cases, Ritsumaikan Asia Pacifi c University and the external organization will sign a contract regarding the appropriate management of personal information.

(4) Statistical Use of Personal Information　 Ritsumeikan Asia Pacifi c University may use data extracted from applicants’ personal information to

conduct various statistical analysis to be used for surveys and research relating to the admission process. This data may also be provided to students interested in applying to Ritsumaikan Asia Pacifi c University. However, the university shall ensure that any information made public cannot be used to identify specifi c individuals.