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APPLICATION FORM
ASIAN CROSS-CULTURAL EXPLORATION PROGRAMME
2012
Apply for Music
Apply for ArtsI. PERSONAL INFORMATION
Name (as appear on the passport)
_______________________________________________________________________________
FIRST NAME LAST NAME
Citizenship (Nationality)___________________________________________________________
Date of Birth _________________________ Age _______________ Sex: M / F
Religion________________________________________________________________________
Passport Number __________________________ Place of Issue__________________________
Issued Date_______________________ Expired Date__________________________________
Permanent Address______________________________________________________________
______________________________________________________________________________
Telephone: (_____)_________________________Fax(_____)____________________________
Mobile Phone: (______)__________________________________________________________
Mailing Address (If different) _____________________________________________________
______________________________________________________________________________
Telephone: (_____)_________________________Fax(_____)____________________________
Email _________________________________________________________________________
※ Please attach your resume if have
II. EDUCATIONAL BACKGROUND
1. Current Education Background
Faculty/Department_____________________________________________________________
Major________________________________ School Year______________________________
University ____________________________________________________________________
University Address______________________________________________________________
_____________________________________________________________________________
Telephone (______)__________________________ Fax: (______)________________________
Grade Point Average ____________/___________(____________/4.0)
*Please provide your original maximum and earned GPAS and transformed one’s on 4.0scale
2. Level of Language Ability (please circle one)
English: Poor, fair, good, excellent
(※ If you have the Proficiency Test Result, please provide the details.
Name of the test : Score: )
Korean: Poor, fair, good, excellent
(※ If you have the Proficiency Test Result, please provide the details.
Name of the test : Score: )
Other Language (please specify, if any)_______________________________
(※ If you have the Proficiency Test Result, please provide the details.
Name of the test : Score: )
3. Identify any exchanged programmes you have attended in last 5 years;
3.1 Name of the Program_________________________________________________________
Country____________________________ Duration___________________________________
Name of the University or Institution________________________________________________
Field of Study __________________________________________________________________
Name of the organizer___________________________________________________________
3.2 Name of the Program_________________________________________________________
Country____________________________ Duration___________________________________
Name of the University or Institution________________________________________________
Field of Study __________________________________________________________________
Name of the organizer___________________________________________________________
3.3 Name of the Program_________________________________________________________
Country____________________________ Duration___________________________________
Name of the University or Institution________________________________________________
Field of Study __________________________________________________________________
Name of the organizer___________________________________________________________
4. Identify any awards you have received;
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
5. Identify any activities you have done related to music or arts;
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
III. OTHER NECESSARY DOCUMENTS
PLEASE SUBMIT THE FOLLOWING DOCUMENT TOGETHER WITH YOUR APPLICATION (your application will not be considered without the following materials):
A. AN ORIGINAL TRANSCRIPT (in ENGLISH)
B. RESUME OR BRIEF BIODATA
C. TWO ADDITIONAL PHOTOS (35×45mm)
D. COPY OF PASSPORT
E. LANGUAGE PROFICIENCY TEST RESULT (Optional )
F. APPLICANT ASSESSMENT FORM
I, the undersigned, hereby acknowledge, under the penalty of perjury, that the foregoing information is true and correct to the best of my knowledge.
Applicant Signature Dated
__________________________ ____________________________
Authorized Person Signature Dated
(Preferable Director of International Relation Office)
__________________________ ____________________________
Position _________________________________________________________________
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