APPLICATION FOR DONGA UNIVERSITY STUDENT EXCHANGE PROGRAM

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Exchange Program Application for Admission to Dong-A University

APPLICATION FOR DONG-A UNIVERSITY

STUDENT EXCHANGE PROGRAM

*Application is due by Friday January 16th, 2015


1

RECENT

PORTRAIT

PHOTO

(passport size; color)

. Personal Information

  1. Name (should be identical with the passport name)

English

(Family) (First) (Middle)

  1. Passport No.

  2. Country of Birth

  1. Country of Citizenship

  2. Gender (M/F)

6) Date of Birth (M/D/Y)

7) Current Address

8) Contact Information

Tel. Mobile

Fax E-mail


2. Academic Information

  1. Home University

  2. Department

  3. Major

  4. Student ID No. 5) School Year

6) Expected Graduation Date


3. Study Plan at Dong-A

  1. Period of study

From To

  1. Field of study you wish to enroll

Department

Major

  1. Proposed Enrollment Year at Dong-A University

Freshman □ Sophomore □ Junior □ Senior □



4. Language Proficiency

Korean Language Experience

Name of Institute

Period of Study










Korean Proficiency

Category

Excellent

Good

Fair

Poor

None

Speaking






Listening






Reading






Writing







Other Languages

Language

Excellent

Good

Fair

Poor






















5. Submit following documents with this application

  1. Copy of Insurance (showing the person insured, valid date, insured amount, etc.)

  2. Personal essay (1 page)

  3. English proficiency result (if English is not your first language)

  4. Official academic transcript

  5. Passport copy

  6. Portrait photo (passport size; color; attached at the top right section of the application)





I certify that the information provided on this form is accurate and true.


Signature of Applicant: Date of Application:

Pick up Request Form


Home Univeristy:


Name:


Date of Arrival in Busan: Feb 28, 2015


Arrival Time at Busan:


Arrival Site at Busan (please circle one)

*there is another bus station at Nopo, but this one is very far from the campus, so if you are taking a bus, please arrive at Sasang.


Flight or Train Number:


Other Request:



Please turn in by Feb. 9, 2015 to: [email protected]


3



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23 DATE FEBRUARY 23RD 2009 SUBJECT APPLICATION


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