Application
Application
Application
I. PROGRAM TO APPLY
Program Title: Japanese Short-term In-session Program 2012 (J-ShIP 2012)
Program Option and Duration: J-ShIP Winter (Dec.17-Feb.04)
Dec.
□ Male □ Female 19
Year Month Day
5. Mailing address
Address:
Tel: Fax: E-mail:
Mobile:
6. Permanent address
Address: Tel:
7. Emergency contact
Name in full: Relationship:
Address:
Tel: Fax: E-mail:
Mobile:
M1
Faculty / School: Current School Year:
Major1: Major 2: Minor:
Dec.
2. Expected graduation/completion
Year Month
3. Educational background (beginning from the last high school you attended)
Entrance Completion
Institution Name and location of institution Major field of study
Year Month Year Month
College/
University
Others
2. Applicant should understand that J-ShIP Summer and J-ShIP Autumn are programs for
Japanese learners of beginner levels. Also, lower intermediate learners may join J-ShIP
Winter. Revise the Section I of this form, in which you have chosen as the Program
Option. To avoid foreseeable confusions in the class, Osaka University will be forced to
reject applicants who have too high or too low proficiencies for each J-ShIP option.
※ uncountable
hours at anywhere
I also fully understand that J-ShIP participants are obliged to pay tuition fee and some related program
fees to Osaka University prior to the program begins, regardless any memorandums between their home
institutions and Osaka University or individual scholarship status.
I hereby apply for admission to the J-ShIP program with a full understanding of the conditions and
requirements mentioned in J-ShIP.
Date:
Position:
Signature:
Contact TEL:
FAX:
E-mail: