Admission Entry Form via MEXT Scholarship Program

This is an application form for applying to ICU via MEXT Scholarship Embassy Recommendation.
Please note that your personal information provided in this form will only be used for this admission process.
For more information on how ICU safeguards personal information, see the university's Privacy Policy.

Passing Certificate of the Primary Screening
Please attach the scanned copy of the "Passing Certificate of the Primary Screening (第一次選考合格証明書)" issued by the Japanese Embassy, by clicking the "ファイルを選択"(Select file) button.
NAME
FAMILY Middle Given e.g. SMITH, Michael John
(Please omit FAMILY name if you do not have.)
Email Address
Skype ID (if you have)
Name of the Japanese Embassy or Consulate
Please see the website of "Ministry of Foreign Affairs of Japan."
Letter of Acceptance
Please let us know if you have a deadline to submit the Letter of Acceptance to the Embassy or Consulate.
MMM DD, YYYY e.g. Sep. 13, 2016
Current Address
The address that you would like us to send for any post mail and receive for sure. Please leave it blank if it is the same as the "Current Address."
Please include the country too.
Japanese Proficiency
Have you learned Japanese language? If so, please let us know how long and what level? (speaking, reading, writing, etc)
e.g.
-I have stayed in Tokyo for two months for study abroad and can speak daily conversation.
-Cannot read, write, nor speak. Never been to Japan.
-JLPT:N3
English Proficiency
Have you learned English language? If so, please let us know how long and what level? (speaking, reading, writing, etc)
e.g.
- I graduated a university where all courses were instructed in English.
- My native language is English.
- Score of TOFEL, TOEIC, IELTS
Desired Course
Note: Please read the Kenkyusei (Special Students) as follows.
If you have MA degree, you are eligible for applying the Kenkyusei of ICU Graduate School.
If you have BA degree (not MA), you are eligible for applying the Kenkyusei of ICU Undergraduate School, not ICU Graduate School.
Desired Area of Concentration
Please also see "Master's Course Program and Area of Concentrations" for detailed information.
Desired Faculty to be your Advisor
Please tell us the name of the faculty you desire to have as your advisor during your research at ICU.
Please see the web page of "Faculty"