*Application is due by Friday January 16th, 2015
1
RECENT
PORTRAIT
PHOTO
(passport
size; color)
Name (should be identical with the passport name)
English
(Family) (First) (Middle)
Passport No.
Country of Birth
Country of Citizenship
Gender (M/F)
6) Date of Birth (M/D/Y)
7) Current Address
8) Contact Information
Tel. Mobile
Fax E-mail
2. Academic Information
Home University
Department
Major
Student ID No. 5) School Year
6) Expected Graduation Date
3. Study Plan at Dong-A
Period of study
From To
Field of study you wish to enroll
Department
Major
Proposed Enrollment Year at Dong-A University
Freshman □ Sophomore □ Junior □ Senior □
4. Language Proficiency
Korean Language Experience
Name of Institute |
Period of Study |
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Korean Proficiency
Category |
Excellent |
Good |
Fair |
Poor |
None |
Speaking |
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Listening |
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Reading |
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Writing |
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Other Languages
Language |
Excellent |
Good |
Fair |
Poor |
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5. Submit following documents with this application
Copy of Insurance (showing the person insured, valid date, insured amount, etc.)
Personal essay (1 page)
English proficiency result (if English is not your first language)
Official academic transcript
Passport copy
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)
Busan(Gimhae) Domestic Airport
Busan(Gimhae) International Airport
Busan Train Station
Busan Bus Station at Sasang
*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]
2018 INTERNATIONAL SUMMER SCHOOL COURSE TEACHING APPLICATION FORM
20XX WRITTEN QUESTIONS ON APPLICATION GUIDELINES AS WE
23 DATE FEBRUARY 23RD 2009 SUBJECT APPLICATION
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