Gachon University dormitory registration

GACHON UNIVERSITY APPLICATION

EXCHANGE/VISITING PROGRAM

Name: _________________________________________________________________________

LAST(FAMILY NAME) FIRST(GIVEN NAME) MIDDLE NAME(S)

Home University: _____________________________________________________

REQUIRED DOCUMENT CHECK LIST

□ 1. Application Form □ 2. On-Campus Housing Application □ 3. Academic Transcript & Certificate of Registration □ 4. Official Letter of Recommendation □ 5. Copy of Passport □ 6. Three(3) Passport Size Photos □ 7. Proof of Language Proficiency (if applicable): Korean/English □ 8. Copy of Health Insurance (The student can submit upon arrival)

Attach Photograph Here (4X5cm)

STUDENT EXCHANGE/VISITING APPLICATION

Please check where applicable.

Admission for	□ Spring Semester 2016	□ One Semester
□ Two Semesters

Ⅰ. Personal Information

* As it appears on your passport- CAPITAL LETTERS

Name	Family
Given
Middle
Korean	(Optional)
Chinese	(Optional)
Gender	□ Female □ Male	Date of Birth
Country of Birth		Nationality
Mailing Address
Permanent Address	(if different)
Telephone		E-mail
Emergency Contact, Name and Number
Full Name
Relationship to Applicant
Telephone		E-mail

Ⅱ. Academic Information

Home University
Academic Major
Current Year of Study(Current Grade)
Home Univ. Student Exchange Program Office Information
Coordinator’s Name in Full
Title & Office
Mailing Address
Telephone
E-mail

Ⅲ. Language Proficiency

Native Language
Korean Language Proficiency	□ Excellent □ Good □ Fair □ Poor
Korean Classes Required?	□ YES □ NO

Ⅳ. Declaration and Signature

I, the applicant, hereby certify that to the best of my knowledge the above information is true and complete without evasion and misrepresentation. I understand that if found otherwise, it is sufficient cause for rejection or dismissal. I agree to abide by the present and future rules and regulations, both academic and nonacademic, and the scholastic standards of Gachon University.

Date: Signature:

Ⅴ. Please provide a statement of purpose (1 or 2pages, Korean or English)

GACHON UNIVERSITY DORMITORY REGISTRATION

Дата добавления: 2015-11-14