Form B: Evaluation: Kyoto University Application For Kyoto Iup

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Kyoto University

APPLICATION FOR KYOTO IUP

FORM B: EVALUATION (School Principal/Head, Subject/Homeroom Teacher, or Guidance Counselor)

*Applicants must ask their school to process this document.

*Please note that this document must be prepared on school letterhead stationery. It must be produced
by the school and signed by one of the following: a subject/homeroom teacher, the school
principal/head, or a guidance/college counselor of the school that the applicant currently attends or
most recently attended for secondary education. The completed document must be submitted directly
by the school to the Kyoto iUP Admissions Office via registered mail.

The form on the following two pages must be completed and sent by registered mail (e.g. EMS, UPS,
DHL, or FedEx) to ensure its arrival at the Kyoto iUP Admissions Office (address below) between
November 15 and December 28, 2018.

Kyoto iUP Admissions Office


Kyoto University
Yoshida International House Bldg. (B1), Yoshida South Campus,
Yoshida Nihonmatsu Cho, Sakyo-ku, Kyoto 606-8501, Japan
TEL:+81-(0)75-753-3331

Thank you for your cooperation.

Kyoto iUP Admissions Office

FORM B: EVALUATION
Evaluation
(FORM B)

1. Evaluator’s information

Name:

Title:

Name of school/institution:

School address:

Work phone number: Email

Subject/s taught by the evaluator (if applicable)

Subject/s taught to the applicant (if applicable)

2. General information about the applicant

Name of Kyoto iUP applicant:

Date of birth:
How long and in what capacity the
evaluator has known the applicant
Rank of the applicant
(Applicant’s rank in the grade)

GPA
GPA type
(Please give details: scale, weighted or
unweighted, etc.)

3. Please enter the following information about your school during the past three academic
years.

AY2015 AY2016 AY2017


Number of graduates
Number of students who go on to
enroll in universities in other
countries (*1)
(*1) Please provide examples of such
universities:
AY: Academic Year

FORM B: EVALUATION
4. Please evaluate the applicant in terms of academic ability, motivation, personal strengths,
and interpersonal skills.

5. Please provide any other information relevant to the evaluation.


(Attach additional sheet/s if necessary.)

Date of issue: / /
(Month) (Date) (Year)

Evaluator’s handwritten signature


) (Month) (Year)

Evaluator’s name in block letters

FORM B: EVALUATION

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