Application Form 2012

International Student Exchange Program
Chonnam National University

APPLICATION PACKAGE
(Use this sheet as the cover of your application)
Date:
(Month)
Name of Applicant:
(Last Name)
(Day)
(First Name)
(Year)
(Middle Name)
Home University:
This application should be sent as a complete package containing all the following documents.
Application form for International Exchange Program of Chonnam National University (Sheet # 2-4)
Letter of Recommendation (Sheet #5)
Study Plan (Sheet #6)
Financial Certificate for Admission (Sheet #7)
Certificate of Health (Sheet #8)
Certificate of Enrollment (in English)
Official Transcript of Academic Record (in English)
One Copy of Passport
Three Copies of Photograph (4*3cm)
This application package should be sent to the following address through the office for student exchange program
at the applicants home university.
Office of International Affairs

77 Yongbong-ro, Buk-gu, Gwangju 500-757, South Korea
(Phone) +82-62-530-5114 / (Fax) +82-62-530-1269
Application package to this office before:

December 31, 2011 for Spring Semester 2012 (March-June); and
May 31, 2012 for Fall Semester (September-December)
Academic Year 2012-2013

UNDERGRADUATE STUDIES PROGRAM & GRADUATE STUDIES PROGRAM
CHONNAM NATIONAL UNIVERSITY
Gwangju, Korea
INTERNATIONAL EXCHANGE PROGRAM APPLICATION

FOR ADMISSION TO CHONNAM NATIONAL UNIVERSITY
Application category:
Undergraduate Studies Program
Graduate Studies Program
Color photo
4*3cm
Taken within 3
months,
Full front face,
without hat
School to which you are applying: School/Faculty of

Department of
Major field:
Name of prospective academic supervisor (if any)
Program period:
One-year from March 2012 through February 2013
One-year from September 2012 through August 2013
One-semester from March 2012 through August 2012
One-semester from September 2012 through February 2013
Home institution:
Expected Graduation date at your home institution:
Name (Indicate the full legal name that will appear in your passport)
Male
Vernacular:
Female
(Family)
(First)
(Middle)
Name in English:
(Family)
(First)
(Middle)
Present address:
Phone:
Fax:
E-mail:
Home address:
Phone:
Date of birth:
(MM)
(DD)
(YYYY )
Country of present citizenship:
Place of birth:
(State)
(Country)
Marital Status: ( ) Married ( ) Single
Native language:
Korean language experience
Period of Study
/ / - / /
Name of Institution
Textbook Name
/
/
/ / -
/
/
/
/
Korean proficiency
Please give your own assessment of your Korean proficiency.
Excellent
Good
Fair
Poor
None
Speaking
Listening
Reading
Writing
Foreign language study other than Korean
Language
Period of study
Institution
Families:
Name in English
Date of Birth
(mm/dd/yyyy)
Relationship
Occupation
Physical Condition
Height:
cm
Weight:
Rate your general health:
Excellent
kg
Good
Fair
Poor
Indicate any mental, physical disability if you may have:

Passport & visa information
Passport Number:
Date of issue:
Date of expiration:
Issuing authority:
Do you have any past entry into/stay in Korea?
Yes
time(s)
No
I certify that all the information provided on this form and in the accompanying documents is complete and accurate
to the best of my knowledge, and, if admitted, I agree to comply with the rules and regulations of Chonnam National
University.
Date:
Applicants Name:
(Signature)

Document for visa application
PERSONAL HISTORY
1.Citizenship Country
2. Date of Birth
(Month)
Name
/
(Day)
/
(Year)
3. Present Address
4. Marital status
Single
Married
Spouses Name
5. List, in chronological order, all the schools attended.

Name of Institution
(Elementary, Secondary, and Post-Secondary)
Location
(City, Country)
From
(yy/mm/dd)
To
(yy/mm/dd)
(1)
(2)
(3)
(4)
(5)
Highest diploma/degree awarded
Describe any academic honors, awards, publications you have achieved or scholarships you have received.
6. Occupation or work experience (if any)

Name of Company
Location
From
To
(1)
(2)
(3)
(4)
7. Past Record of entry into Korea
Date of entry
Date of exit
Visa status
Purpose of your stay
(1)
(2)
(3)
8. Plan after completion
( ) Return to home country
( ) Others (
( ) Enter a higher school in Korea
( ) Find work in Korea
I hereby certify that all the information provided on this form is accurate to the best of my knowledge, and was written
by me.
Date
(yy/mm/dd) Signature
UNDERGRADUATE STUDIES PROGRAM & GRADUATE STUDIES PROGRAM

CHONNAM NATONAL UNIVERSITY
Gwangju, Korea
LETTER OF RECOMMENDATION
To the Applicant
This form should be given to a professor under whom you have studied and who is able to comment on your
qualifications for study at Chonnam National University. For the convenience of the person completing the
form, you should attach an envelope addressed to the Office of International Affairs, Chonnam National
University, with your name.
Applicants name
Applicants address
To the Academic Sponsor
This form is submitted to you for your opinion on the applicant's qualifications for study at Chonnam
National University. Your information will be treated as confidential. Please feel free to use both sides of
this form or to attach another paper. For inclusion in the applicant's dossier, this letter should be received
at the appointed address no later than the application deadline.
Name
Position
Name of Faculty / Department
Name of Institution
Signature
Date
(mm/dd/yy)
STUDY PLAN
Academic objectives and study plan at Chonnam National University
Name
Major
Financial Certification for Admission
1. Name
in Full
English:
Last Name
First Name
Marital Status : Single

Gender : Male
2. Nationality :
Middle Name if any)
Married
Female
3. Date of Birth(M/D/Y) :
4. Place of Birth :
5. Mailing Address :
6. Local telephone Number(in Korea) :
7. Present Occupation :
You and your sponsor must provide for your educational and living expenses for the duration of your entire
educational program at Chonnam National University. Also, educational and/or living expenses must be
provided for your husband or wife and/or children who will be accompanying you. Please attach a bank
certification indicating that either you or your sponsor has at least US$ 500 for at least a period of one month
in your or your sponsors account.
If you are not paying for your own educational and living expenses, please indicate the person or organization
which is paying for you.
Name:
Relationship to Applicant:
Occupation:
Address:
Country:
I guarantee that the amount of US $

will be available for the above named applicant and/or
husband or wife and/or children for the entire duration of this program.
Signature:
Date:
(MM)
(DD)
(YY)
Forms to be attached: An original letter on official stationary, or a certified true copy of such letter, must be
submitted from a bank or other financial institution where the prospective student or sponsor has saving deposits,
certificates of deposit, money market certificates, or other types of accounts containing readily available funds.

Office of International Affairs

77 Yongbong-ro, Buk-gu, Gwangju 500-757, South Korea
Certificate of Health
Applicants name:
(Family)
Date of Birth:
(First)
(Middle)
(mm/dd/yy)
Sex: Male Female
Height: (
Weight: (
) cm
Eye Sight (Uncorrected) Right (

(Corrected) Right (
)
Hearing: Right (
Urinalysis: Albumin (
Left (
)
) kg
)
Left (
Left (
)
Sugar (
Occult Blood (
Respiratory Organs:
Chest X-ray:
(Please comment on condition of applicants lungs, giving date of examination.)
Circulatory Organs:
Blood Pressure: Systolic (
)
Diastolic (
)
P.R. (
)p.m.
Nervous System:
Please give a detailed description of any disease, including chronic ailments or physical disabilities, found.
Please give the applicants medical history.
Is the general state of the applicants health good enough for him/her to purse the course of study
contemplated in Korea?
Excellent
With prudence, probably no serious problem
Adequate
Doubtful
Signature:
(Physicians Name in Print):
Office/Institute:
Address:
Date:
(mm/dd/yy)
The date of certification should not be more than 6 month prior to the application deadline. If another type
of Certificate of Health mentions all of the above examination points, it can be used in place of this form.

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International Student Exchange Program

Chonnam National University

Office of International Affairs

Application package to this office before:

Academic Year 2012-2013

INTERNATIONAL EXCHANGE PROGRAM APPLICATION

School to which you are applying: School/Faculty of

Country of present citizenship:

Marital Status: ( ) Married ( ) Single

Rate your general health:

Indicate any mental, physical disability if you may have:

Do you have any past entry into/stay in Korea?

Academic Year 2012-2013

5. List, in chronological order, all the schools attended.

6. Occupation or work experience (if any)

Purpose of your stay

( ) Enter a higher school in Korea

( ) Find work in Korea

UNDERGRADUATE STUDIES PROGRAM & GRADUATE STUDIES PROGRAM

Academic Year 2012-2013

Financial Certification for Admission

Marital Status : Single

Middle Name if any)

I guarantee that the amount of US $

Chonnam National University

Academic Year 2012-2013

Eye Sight (Uncorrected) Right (

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