KwanseiGakuinUniversitySchool of International Studies

PRELIMINARY INQUIRY FORM

(Overseas Admission)

Please note:

This is not an application for admission to the Kwansei Gakuin UniversitySchool of International Studies. This form must be submitted via e-mail (or fax)before you make a formal application. It enables you to give the School of International Studies (SIS)some information about yourself, so that the SIScan determine whether you are qualified to apply for admission.When this form has been submitted and evaluated, and if it is decided that you are qualified to apply for admission, the SIS will send you the official application documents by e-mail.

Completing this form does not commit you to applying for admission, nor does any reply from us commit KwanseiGakuinUniversity to accepting your application if you decide to apply formally for admission.

Personal Information

Name in English: / /

(Last/Family) (First) (Middle)

Name in kanji, if applicable: / Sex:□Female □Male

(Last) (First)

Country of citizenship: Date of Birth: / /

Day Month Year

Present mailing address:

Country

Tel: Fax: E-mail address:

Preferred year of entry

Please indicate the year in which you wish to enter theUniversity. Our school year starts in April.

Language and other qualifications:

Please list any English-language qualifications (TOEFL, TOEIC, IELTS, etc.) you have obtained, with the date and score obtained.

Please list any Japanese-language qualifications (test results for the Examination for Japanese University Admission for International Students-EUJ,Japanese Language Proficiency Test-JLPT,etc.) you have obtained, with the date and score obtained.

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Education

Please list below in chronological order all schoolsyou have attended, beginning with elementary school or the equivalent in your country.

Names and location of schoolsattended Date of enrollment Date of graduation

/ /

/ /

/ /

Employment Experience

Please give details of any employment experienceif you have, with dates.

Financial Information

Tuition and other fees in your first year at the School of International Studies will amount to approximately ￥1,400,000. A minimum of ¥1,000,000 per year will also be requiredto cover living and other expenses. How will these fees and expenses be funded? Please check the box that applies.

 Own funds Parent or guarantor

 Scholarship or loan Scholarship or loan (tuition); and own funds, parent or guarantor (living expenses)

Please tell us briefly in English why you are considering applying for the School of International Studiesat KwanseiGakuinUniversity.

Supporting Materials

When sending this form, please attach the following documentsina digital format.Please checkthe ones that you are sending.

Transcripts of your high schoolacademic record (the most recent ones available)

Test results of SAT, IB or any other standard scholarly assessment test

TOEFL, TOEIC, IELTS or other English-language qualifications

*Please also attach any other documents which you feel might help us to assess your suitability for our program.

E-mail address: Fax: +81-798-54-6082