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UNIVERSITY OF WASHINGTON
Technical Japanese Master’s Program
Application
Academic Year Applying For: 20
(Applicants are only admitted during Autumn Quarter)
General Information
Name:
(last) (first) (middle)
Address: Apt:
City: State: Zip:
Email address:
Daytime Phone: ( ) - Evening Phone: ( ) -
Current School/Job Affiliation:
Date of Birth: / / Country of Citizenship:
(mm/dd/yyyy)
Social Security Number: - - UW Student ID # (if applicable):
Gender (optional): Male Female WA State Resident? Yes No
Applying as: (Select one below)
Inter-Engineering MSE Field: Dual Degree Option? Yes No
Inter-Engineering MS (for Human Centered Design & Engineering students) Dual Degree Option? Yes No
Degrees (List most recent first)
Degree Field Institution Year GPA
Work Experience (List most recent first)
Dates Position Employer
Test Scores
GRE: Date Taken: / /
(Verbal) (Quantitative) (Analytical) (Total)
TOEFL*: Date Taken: / /
(Section 1) (Section 2) (Section 3) (Total)
Application Deadline: February 28 of the year applied for. (Applications received after the deadline will be considered on a
space-available basis.)
*Required only for non-native speakers of English.
Page 1 of 7
Name
University of Washington
Application for Admission to the Technical Japanese Master’s Program
Japanese Language Background
Formal Language Study: (List most recent first.)
Year Institution Course Main Textbook Grade
Informal Language Training, if any:
Living Experience in Japan:
Self-assessment of Japanese Language Skills:
Speaking:
Reading:
Fulfillment of Language Entry Requirement: (If you do not currently have two years of formal Japanese language
training, provide a plan to meet that requirement prior to admission.)
Page 2 of 7
Name
University of Washington
Application for Admission to the Technical Japanese Master’s Program
Statement of Degree and Career Objectives
On this sheet, please write a statement in English that explains why you want to enter this program and how the degree will
further your educational and career objectives. This material will be used in judging your qualification for admission.
Signature of the Applicant to the Technical Master’s Japanese Program
I certify that all statements contained in this Application for Admission to the Technical Japanese Program are true to the best of
my knowledge.
/ /
Signature Date
The University of Washington provides equal opportunity in education without regard to race, color, national origin, sex, age, or
handicap, in accordance with Title VI of the Civil Rights Act of 1964, Title IX of the Education Amendment of 1972, Section 501
of the Rehabilitation Act of 1973, and the Age Discrimination Act of 1975.
Page 3 of 7
Technical Japanese Master’s Program
Name
Proposed MSE/MS Plan of Study
Following are the mandatory courses for TJP.
Technical Japanese Courses (30 credits including Internship)
Course No. Title Cr Year 1 Year 2
HCDE 461 Japanese for Tech & Business Professions 1 5 Autumn
HCDE 462 Japanese for Tech & Business Professions 2 5 Winter
HCDE 463 Japanese for Tech & Business Professions 3 5 Spring
HCDE 601 Internship in Japan 3 Summer
HCDE 601 Internship continuation in Japan 4 Autumn
or or
HCDE 561 Adv Japanese for Tech and Business Profs 1
HCDE 562 Adv Japanese for Tech and Business Profs 2 4 Winter
HCDE 563 Adv Japanese for Tech and Business Profs 3 4 Spring
Engineering specialty: Selected 400- and/or 500-level courses in one engineering department (min. 24 credits).
12 or more credits should be from 500-level courses.
Course No. Title Cr Year 1 Year 2
A departmental advisor is required to sign the plan. The TJP Program Coordinator will submit the plan to the advisor
for approval. (Note: The advisor’s signature does not guarantee enrollment into these courses; it only indicates
approval of the student’s choice of courses in his/her engineering specialty if the student is accepted into the program.)
To the advisor:
Before signing this Plan of Study, please check the following points:
(1) Do the courses the applicant proposes form a coherent course plan?
(2) Does the applicant have the background he/she needs to complete these courses successfully?
(3) Are the courses within a sequence in the appropriate order?
(4) Will the courses be offered in the quarters the applicant has listed above?
(5) If an instructor limits class size in a selected course, will the applicant be accepted?
(6) Does the applicant qualify if a course requires instructor consent?
Page 4 of 7
Approval of Engineering Specialty Faculty Advisor.
After reviewing applicant’s proposed Plan of Study, I approve the above plan.
Advisor Department
/ /
Signature Date
Page 5 of 7
This section is to be completed only by students who are planning to follow an engineering track but who do not
yet have an undergraduate engineering degree from an accredited university.
Enter the quarter and year that you took the following required engineering undergraduate courses.
Math (24 cr)
Course No. Title Cr Transfer Cr or Qtr taken
Math 124/134 Calc with Anal Geom 5
Math 125/135 Calc with Anal Geom 5
Math 126/136 Calc with Anal Geom 5
Math 307 Linear Analysis 3
Total Math Credits
Natural Science (25 cr)
Course No. Title Cr Transfer Cr or Qtr taken
Chem 140/145 General Chemistry 4
Phys 121 Mechanics 4
Phys 122 Electromag & Oscil Motion 4
Total Natural Science Credits
Written & Oral Communication (12 cr)
Course No. Title Cr Transfer Cr or Qtr taken
Total Communication Credits
Engineering Fundamentals (24 cr)
Course No. Title Cr Transfer Cr or Qtr taken
Engr 142 Comp Prog I 4
Fundamentals Credits
Total Undergraduate Engineering Required Credits
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