application form gsep 2018 A

Eligibility (A)

Tokyo Institute of Technology
Global Scientists and Engineers Program (GSEP)
April 2018 Application Form
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Please type the answers or write legibly in print (block letters).

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Numbers should be written in Arabic numerals.

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Years should be written using the A.D. (19YY, 20YY) system.

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Acronyms and abbreviations should be spelled-out the first time.


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Personal data in this application will only be used for admissions purposes.

1.

Name:
(Family)

2.

Nationality:

(Given)

(Middle)

Date of Birth:
(yyyy/mm/dd)


3.

If you know a Tokyo Tech faculty or Tokyo Tech Alumni Association member,
please provide his/her contact information. (This is not mandatory, but
he/she may be consulted and his/her comments taken into account during
the application screening.)

Name:
Relationship:
Address:
Tel:
Fax:
Email:

Eligibility (A)

4.

Essays
A) Why do you wish to enter the Global Scientist and Engineers Program at

the Tokyo Institute of Technology? How will completing this degree
contribute to your career objectives? (max. 500 words)

Eligibility (A)

B) Please tell us about yourself, including the following (max. 500 words):


What are your academic strengths and goals?



What kinds of activities have you initiated or taken part in as a
student?



What leadership experience do you have?




Comment on your knowledge regarding Japanese culture and the
language.



List any awards or certifications that you have received in sports or
academia.

Date:

Eligibility (A)

(yyyy/mm/dd)
Signature:

Eligibility (A)

[Questionnaire] Please type all your answers.
Admission results will be sent by post in mid-November 2017. Please write the postal

address, telephone and facsimile numbers, and email address at which you can be
reached at this time.
Address:
Postal code:
Phone number:
Fax number:
Email address:

Country:

Applicants who intend to apply for the Japanese Government (MEXT) Scholarship are
requested to provide the following information:

 Japanese embassy or consulate nearest to your residence in your home country:

MEXT Scholarship students are required to embassy or consulate in their
country of nationality.

 International airport in your country of nationality that you will use to travel to
Japan:


Name of Airport:
Location (City/Province/Country) of Airport:
In accordance with MEXT regulations, MEXT Scholarship students will be provided
an economy class air ticket from the international airport closest to their place of
residence in their country of nationality to Narita or Haneda International
Airport.
Please provide your (expected) postal address, telephone number, and email
address in your home country as of April, 2018.
 Unchanged from November 2017
 Expected residence as of April 2018
Address:
Phone number:
Email:
If your address changes after submission, please inform the Tokyo Institute of
Technology Admissions Division.
E-mail: nyu.gak@jim.titech.ac.jp

Eligibility (A)


Tokyo Institute of Technology
Global Scientists and Engineers Program (GSEP) 2018
Application Check Sheet
Name in Full (FAMILY NAME, First Name)

1.

Nationality

Select the eligibility and conditions that correspond to your application to GSEP.

 (a) I wish to enroll in this program as a MEXT scholarship student. (Eligibility
(A))

 (b) I wish to enroll in this program as a privately-funded international student.
I currently do not live in Japan. (Eligibility (B))
 (c) I wish to enroll in this program as a privately-funded international student.
I currently live in Japan. (Eligibility (B))
2.


This section only applies to those who selected 1(a).
Among those admitted, the top ten students will be awarded MEXT scholarships.
In the case you are NOT awarded a MEXT scholarship, are you willing to enroll in
this program as a privately-funded international student? Please check the
corresponding box.

 (a) No
 (b) Yes
3.

This section applies for those who selected 1(b) or 2(b).
Applicants who did not qualify for the Japanese Government (MEXT) Scholarship
may apply for the Monbukagakusho Honors Scholarship for Privately Financed
International Students offered by the Japan Student Services Organization
(JASSO).
Do you wish to apply for the Monbukagakusho Honors Scholarship for Privately
Financed International Students?
 Yes
 No
Please note that those who are already recipients of a scholarship are not eligible

to apply for the JASSO scholarship. The scholarship will provide a monthly stipend
of ¥48,000 (JPY), and is subject to change in accordance with JASSO directives.
The scholarship will be provided from April 2018 to March 2019 (12 months).
Please note that recipients of this scholarship are still required to pay admission
and the tuition fees.

Eligibility (A)

4. [Application Documents]
Eligibility
(A)

(B)




Please check the following boxes () and submit these application
documents by the deadline.
(1)Application Form for GSEP Eligibility (A)

(Attached form: original, no photocopies)
(1)Application Form for GSEP Eligibility (B)
(Attached form: original, no photocopies)





(2)Questionnaire (Attached form, should be typed)





(3)Check Sheet (Attached form, this form)






















(4) Application Form for MEXT scholarship (Attached form: original, no
photocopies)
(5) Passport photocopy (photocopy of the page(s) that show the
applicant’s name, nationality, date of birth and photo)
*Only applicants who currently reside in Japan are required to submit
the Certificate of Residence (juminhyo) or a photocopy of both sides of
their Residence Card (zairyu card) to prove their status of residence
and authorized period of stay. Only original copies of the Certificate of
Residence will be accepted.

(6) Official Academic Transcripts (Original or certified true copy)
(7) Certificate of Graduation or Expected Graduation (Original or certified
copy)
*If the applicant’s high school does not issue graduation certificates,
please check the following box.
 I have submitted other notarized documents that authenticate my
graduation and/or expected graduation.
(8) TOEFL, TOEIC or IELTS test scores
(No photocopies -- only original documents will be accepted. TOEFLITP, TOEIC-ITP, TOEIC-IP will not be accepted.)
If you have not requested the official score sheets to be directly
delivered to the Admissions Division of Tokyo Tech by the ETS/British
Council, please leave the boxes unchecked.
.
.
)
 TOEFL (Test Date:
.
.
)
 IELTS (Test Date:
Applicants who have requested an exemption from the submission of
English test scores, please check following box.
I have requested for an exemption from submitting English test
scores.
(9) The "Payment Verification" page(printed copy)
Please print out the "Payment Verification" page that appeared on the
screen at the end of the payment process and include the sheet in
your application package.
Tokyo Tech will NOT accept any payments made by cash or check.

Eligibility (A)

[Individual Assessment]


I have applied for the Individual Assessment of Admission Eligibility.