Jmcoe-Q SHORT VISIT SCHOLARSHIP

Kyushu University EU Centre

JMCoE-Q SHORT VISIT SCHOLARSHIP

APPLICATION

APPLICATION CHECKLIST

Application Documents

1. JMCoE-Q Short Visit Scholarship Application (Form 1)

2. Motivation for Application: “The reasons why I want to study in the EU” (Form 2)

3. History of Non-native Language Study (Form 3)

Note: Students attending study abroad programs which do not include language courses must submit this form to indicate their ability to communicate effectively in the program’s language of instruction.

4. Official academic transcript (Japanese or English) (with GPA for undergraduates)

Note: Official transcripts must show the previous spring and fall grades/GPA.

A letter of recommendation from your academic advisor may be submitted if this information is not currently on your transcript.

5. Photocopy of official study abroad program acceptance letter

Note: Students may indicate the date of expected acceptance on the application if the acceptance letter cannot be obtained by the application deadline.

6. Travel Expenses & Tuition Fees Documentation(Form 4)

Note: Applicants must provide a quote issued by a travel agency or an online estimate for travel expenses, and an invoice or documents indicating the tuition fees.

7. Program details (program description, syllabi, etc.)

*8. Study Abroad Insurance (Futai kaigaku ofGakkensai) Fees Documentation

Note: Selected applicants will be requested to provide an invoice or documents indicating the insurance fees.

Submission of Application

All application documents may be submitted in person or sent via post to:

Kyushu University EU Centre (JMCoE-Q Secretariat)

(Located within Kyushu University EU Centre: Engineering Main Bldg., 2nd Fl, Rm 254, Hakozaki Campus)

6-10-1, Hakozaki, Higashi-ku, Fukuoka, 812-8581 TEL: +81-(0)92 642-4433

(OR all application documents, except #4 above,may be submitted by e-mail to:

If other documents are sent via email, please submit #4, the academic transcript, in person or via post)

(Form1)

Photograph
(passport-style, please paste the photo data here.) / JMCoE-Q Short Visit Scholarship
Application Form
Date of Submission: (Year) (Month) (Day)
Name in katakana
Name as it appears on your passport / (Last) (First) (Middle)
Date of birth & age / (Year) (Month) (Day) Age:
Sex / Nationality / Female ・ Male ( Nationality: )
Faculty
Major
Current academic year & initial date of university enrollment / Undergraduate year ______Graduate year ______
Initial date of university enrollment:(Year) (Month)
Student number
Current address
Home phone
Mobile phone
E-mail address
(PC)
E-mail address
(mobile phone)
Address in
home country
Phone number in
home country
Name of program & institution of expected enrollment in the EU
Period of Study / ～
Acceptance letter / Circle one: Issued Not issued
If not issued, specify expected issue date
(e.g., early July 2011)

(Form2)

Motivation for Application:“The reasons why I want to study in the EU”

Name：

Student Number:

Please write, in 500 words or less, why you want to study in the EU, including how you expect to apply
knowledge gained from this experience in the future.

(Form 3)

History of Non-native Language Study

Note: If you will attend a study abroad program which does not include language courses, please submit this form to indicate your ability to communicate effectively in the program’s language of instruction.

Name:

Faculty: Current Academic Year:

１.Language of instruction： ______

２．History of study in language of instruction

Period of Study
(year/month～year/month) / Form of Study
(e.g.,university & course title, self-study, online course, etc.)
/ ～ /
/ ～ /
/ ～ /
/ ～ /

３．Current self-estimated level (circle one of the 5 levels for each category)

Speaking none １ ２ ３ fluent/native

Listening none １ ２ ３ fluent/native

Writing none １ ２ ３ fluent/native

Composition none １ ２ ３ fluent/native

Pronunciation none １ ２ ３ fluent/native

４．Please write down the precise goals you wish to achieve in this short-term study abroad program.

(Form 4)

Travel Expenses & Tuition Fees Documentation

Name：

Student Number:

Travel Expenses: Please attach a copy, or enter below, a quote issued by a travel agency or an online estimate.
Tuition Fees (if applicable): Please attach a copy of, or enter below, an invoice or program information indicating tuition fees. (Indicate the URL address if there is information available on the website.)