Docstoc

EXAMPLE EXAMPLE EXAMPLE APPLICATION FORM Master of

Document Sample
EXAMPLE EXAMPLE EXAMPLE APPLICATION FORM Master of Powered By Docstoc
					  EXAMPLE                                        EXAMPLE                                               EXAMPLE
                                              APPLICATION FORM
                          Master of Science in Sustainability, Development, and Peace
                         United Nations University - Institute for Sustainability and Peace
                                          September 2012 Enrolment

SECTION 1: APPLICANT DETAILS
                                                                                              Attach your photo taken
1. Full name in block capitals                                                                within the last 6 months.

Family                              First                        Middle                       Write your name and
FUJI                                HANAKO                       ANNA                         nationality in block letters on
                                                                                              the back of the photo.

                                                                                              (H: 45mm, W: 35mm)



2. Nationality(ies)                  3. Age on 1 September 2012                4. Date of birth (dd/mm/yyyy)
Japanese                             23                                        01/01/1989
5. Gender                            6. Marital status
Female                               Single
7. Current occupation (e.g. affiliation and position), including name of the university attended or employer
   Position: Undergraduate Student
  Affiliation: Global University (Tokyo, Japan)
8. Current mailing address
  1-1-1 Central, Shibuya-ku
  Tokyo 111-111, Japan
  Telephone No., starting with a country code: (+81 ) – 1-1111-1111
9. Home country address (if different from above)



  Telephone No., starting with a country code (+         )-

10. E-mail address: Please provide one email address (case sensitive) and type it in uppercase for confirmation.

   Case sensitive: hanako.fuji@global.edu                     Uppercase: HANAKO.FUJI@GLOBAL.EDU

E-mail will be the primary method of contact. Therefore, it is essential that you provide a valid e-mail address
here and that you regularly check your e-mail.

SECTION 2: EDUCATIONAL BACKGROUND
1. Please provide details about your higher education.
[Undergraduate Education]
Name of Institution (include City / Country): Global University (Tokyo, Japan)
Name of Department: Department of Law
Subject / Major Field: International Law
Period attended (mm/yyyy): From 08/2008             to 05/2012 (Expected graduation date)
Degree Awarded: Bachelor of Science in Law (Expected to be awarded in 05/2012)
                                                                          st
Title of Thesis (if available): “The role of the United Nations in the 21 century”
Grade Point Average or class rank (if available): 3.82 on a 4.0 scale




                                                   Page 1 of 5
  EXAMPLE                                             EXAMPLE                                                  EXAMPLE

[Postgraduate Education]
Name of Institution (include City / Country):
Name of Department:
Subject / Major Field:
Period attended (mm/yyyy): From                     to
Degree Awarded:
Title of Thesis:
Grade Point Average or class rank (if available):
2. Please list all schools attended including higher education institution in chronological order, starting with
primary school:
                                                                          Period at School (mm/yyyy)     Diploma/degree
                                                Location
Name of School                                                            From           To              obtained or
                                                (City / Country)
                                                                                                         expected
                                                                                                         High school
Tokyo #1 International School                   Tokyo / Japan             08/1996        05/2008
                                                                                                         diploma
Global University                               Tokyo / Japan             08/2008        05/2012         BSc




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

3. Please list articles, books, or other material published under your name, if any, with the name and address of
the publisher and the date of publication. If necessary, please attach an additional sheet.
N/A




SECTION 3: PROFESSIONAL BACKGROUND
1. Please list full-time positions, starting with the most recent employment.
                                                                                                         Employment Period
                                                Location
Name of Organization/Company                                               Job Title                     (mm/yyyy)
                                                (City / Country)
                                                                                                         From          To




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




                                                         Page 2 of 5
     EXAMPLE                                    EXAMPLE                                              EXAMPLE


SECTION 4: ENGLISH LANGUAGE LEVEL
*Applicants who are exempt from submitting a score sheet are not required to fill in 1 & 2. Please refer to page 4 of
Application Guide for details regarding exemptions.
1. Please indicate your English level.
Reading                                    Excellent                Good                      Fair
Writing                                    Excellent                Good                      Fair
Listening                                  Excellent                Good                      Fair
Speaking                                   Excellent                Good                      Fair
2. English proficiency qualification.
*Original score sheet must be submitted.
Name of Test                                      Test Date (dd/mm/yyyy)         Score
TOEFL - Paper-Based Testing (PBT)
TOEFL - Internet-Based Testing (iBT)
IELTS - Academic format

SECTION 5: REFERENCES
Please list two persons who are familiar with your qualifications and character, and who have agreed to write a
letter of reference on your behalf.
1.     Name: Professor Adam Geneva
       Position/Title: Professor / Department Chair, Department of Law
       Affiliation/Institution (include City / Country): Global University (Tokyo, Japan)
       Office Address: #1234, Bldg. 5, 6-7-8 West, Shibuya-ku, Tokyo 111-222, Japan
       Telephone No., starting with a country code: (+81) – 1-2345-6789
       E-mail address: geneva@global.edu
       Relationship to applicant: Academic Advisor
2.     Name: Associate Professor Summer York
       Position/Title: Associate Professor, Department of Law
       Affiliation/Institution (include City / Country): Global University (Tokyo, Japan)
       Office Address: #4321, Bldg. 5, 6-7-8 West, Shibuya-ku, Tokyo 111-222, Japan
       Telephone No., starting with a country code: (+81) – 1-2345-9876
       E-mail address: york@global.edu
       Relationship to applicant: Thesis Supervisor




                                                  Page 3 of 5
  EXAMPLE                                         EXAMPLE                                          EXAMPLE


SECTION 6: FINANCIAL DECLARATION
If admission is granted, how do you plan to cover the tuition fees and living expenses for two years in Japan
(approximately 72,000 USD)?
        Personal resources/income: 10,000 USD
        Support from individual donor(s) (including family or guardian): 30,000 USD
        Support from sponsor (government / sponsoring agency / company)
            Awarded*             Applying - Result to be notified by (Date: dd/mm/yyyy): 01/03/2012
        *Please submit a photocopy of a letter from your sponsor, which shows the amount and period of funding.
        Name of Sponsor: United Fund for Higher Education
        Award amount: 35,000 USD
        Other resources: Please specify in detail:
                           Amount:          USD
Total financial resources: 75,000 USD


SECTION 7: SCHOLARSHIP

Scholarship available at UNU-ISP:
The Japan Foundation for UNU (JFUNU) Scholarship is available for outstanding applicants from developing countries
who can demonstrate a need for financial assistance, and they will be considered as candidates for the award of the
scholarship.
Please note that the JFUNU scholarship is extremely competitive and offered to a very small number of students
who are granted admission to UNU-ISP. Thus, applicants are strongly encouraged to apply for other funding
opportunities from the government of their country, private foundations, or international funding agencies.

1. Do you want to be considered for a JFUNU Scholarship?
       Yes
       No / I am not eligible

2. If so, would you be able to fund your studies and living in Tokyo for 2 years if JFUNU Scholarship is not granted?
         Yes
       No

SECTION 8: PLEASE PROVIDE THE FOLLOWING INFORMATION.
1. Have you ever been arrested, indicted, or summoned into court as a defendant in criminal proceedings, or
  convicted, fined or imprisoned for the violation of any law (excluding minor traffic violations)?
       Yes
       No
 If “yes”, please provide a statement as to the full particulars of each case and attach it in a sealed envelope marked
  “confidential”.

2. [For non-Japanese only] Previous Stays in Japan
Date (dd/mm/yyyy)
                                            Purpose
From              To




                                                     Page 4 of 5
  EXAMPLE                                         EXAMPLE                                             EXAMPLE
3. How did you find out about UNU-ISP master’s programme? Please check all that apply.
       UNU-ISP website
       UNU website
       (For Japanese speakers only) 大学院情報サイト「大学院へ行こう!」
       Other website: URL
       University (Name, include City / Country): Global University, Tokyo / Japan
       Friend / Family
       UNU-ISP brochure
       Other:

4. Checklist of documents to be enclosed:
       1. Application Form (this form) with photo and signature (all 5 pages to be completed in English)
       2. Three essays (using the provided form, in English)
       3. Two letters of reference (in sealed and signed envelopes)
       4. Official transcript(s) of academic records for all university study to date (original or certified copy only)
       5. Proof of Graduation (or Expected Graduation) Date
       6. Proof of English language proficiency:    TOEFL /    IELTS
             I am exempt from submitting proof of English language proficiency for the reason 1          /2     /3
            indicated on page 4 of Application Guide.
            I have arranged for the official scores to be sent directly to UNU-ISP from the testing institution. Date
            when this arrangement was made (dd/mm/yyyy):

I hereby declare that all information provided is true and correct, that the submitted documents contain no
forgeries, and that the essays are entirely my own work. If my application is accepted, I agree to comply with the
rules and regulations of the United Nations University. If any falsifications or forgeries are discovered before or after
enrolment, I understand that my acceptance may be revoked, and that no appeals will be allowed under any
circumstances.

Signature of Applicant:     (Handwritten signature here)

Date (dd/mm/yyyy):          25/12/2011



Applications must be submitted to the address below BY POST no later than 29 February 2012.
Please note that we do not accept any online or email applications.

         Admissions Office
         Master’s Degree Programme
         United Nations University - Institute for Sustainability and Peace (UNU-ISP)
         53-70, Jingumae 5-chome
         Shibuya-ku, Tokyo 150-8925
         JAPAN




                                                   Page 5 of 5

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:49
posted:3/12/2012
language:English
pages:5