Keio University – Sciences Po Double Master’s Degree Programme

Application Form

  • You must provide the information marked "*". Please make sure you input all the required information.
  • You can modify every section except the parts "Application and Admission Details", after activating your entry to the application.
  • You can do this by clicking the "Revise/Printout" icon on the web entry entrance page.
  • In order to change the "Application and Admission Details" later, you must register again as a new entry.
  • Please note that you may apply for either the KUSP Double Degree Programme or the CEMS MIM Programme, but NOT both of them simultaneously.

Application and Admission Details
Applicant’s Name: / Family: / First: / Middle:
Other Names:
Year of Enrollment: / 2012 / 04 / Please select /
Applicant Number:
Personal Details
Address / Adress 1:
Adress 2:
Apartment Name:
City / Town:
Prefecture / State:
Country:
Telephone Number: / Country code: / Area code: / Number:
Mobile Number:
Email:
Email (confirm):
Date of Birth / Please select / Please select / Please select /
Place of Birth / City / Town
Country
Citizenship / ☐Japan / ☐Other (specify):
Gender / ☐Male / ☐Female
Educational Background
College / University / Name of Institution:
Faculty / Department:
Location:
City:
Major / Fields:
Date entered: / Please select / Please select / Please select /
Date left / leaving: / Please select / Please select / Please select /
Degree conferred:
Reason for leaving: / ☐Graduated (Graduating) / ☐Withdrawal
☐Withdrawal following completion of course requirement
☐Withdrawal for transfer
If you have studied at more than one university or faculty, please add fields for them.
College / University / Name of Institution:
Faculty / Department:
Location:
City:
Major / Fields:
Date entered: / Please select / Please select / Please select /
Date left / leaving: / Please select / Please select / Please select /
Degree conferred:
Reason for leaving: / ☐Graduated (Graduating) / ☐Withdrawal
☐Withdrawal following completion of course requirement
☐Withdrawal for transfer
College / University / Name of Institution:
Faculty / Department:
Location:
City:
Major / Fields:
Date entered: / Please select / Please select / Please select /
Date left / leaving: / Please select / Please select / Please select /
Degree conferred:
Reason for leaving: / ☐Graduated (Graduating) / ☐Withdrawal
☐Withdrawal following completion of course requirement
☐Withdrawal for transfer
If you studied at Keio, please write your latest student ID number:
Work Experience
Input the information if you have work experience with a company / institution or a government organization.
Work experience / Employer:
Kind of Work:
Position Held:
Date Started: / Please select / Please select / Please select /
Date Left / Leaving: / Please select / Please select / Please select /
Your plan after enrolment:
☐Continue current job / ☐Take leave
☐Resign / ☐Not decided
If you have worked at more than one place, please add fields for them.
Work experience / Employer:
Kind of Work:
Position Held:
Date Started: / Please select / Please select / Please select /
Date Left / Leaving: / Please select / Please select / Please select /
Your plan after enrolment:
☐Continue current job / ☐Take leave
☐Resign / ☐Not decided
Work experience / Employer:
Kind of Work:
Position Held:
Date Started: / Please select / Please select / Please select /
Date Left / Leaving: / Please select / Please select / Please select /
Your plan after enrolment:
☐Continue current job / ☐Take leave
☐Resign / ☐Not decided
Experience of Studying Abroad (outside Japan)
Only put this information if you have studied abroad outside Japan for six month or more.
Name of Institution:
Date started: / Please select / Please select / Please select /
Date left / leaving: / Please select / Please select / Please select /
Country where you studied / studying:
If you have studied abroad (outside Japan) more than once, please add fields for them.
Name of Institution:
Date started: / Please select / Please select / Please select /
Date left / leaving: / Please select / Please select / Please select /
Country where you studied / studying:
Name of Institution:
Date started: / Please select / Please select / Please select /
Date left / leaving: / Please select / Please select / Please select /
Country where you studied / studying:
Language Proficiency
For the purpose of demonstrating that you meet the English language requirement for admission to KUSP Double Degree Programme, you must submit either the results of the Test of English as a Foreign Language (Internet-baset Test) (TOEFL iBT), or the International English Language Testing System (IELTS). TOEFL iBT or IELTS score report are valid for 2 years and scores will be considered expired if the test was taken more than two years prior to submission of the application.
Competency in English
(self-assessed) / ☐Native speaker / ☐Non-native speaker (check below)
Elementary < ☐1 ☐2 ☐3 ☐4 ☐5 > Advanced
English language test score
TOEFL iBT: / (a minimum of 100 required)
Date: / Please select / Please select / Please select /
IELTS: / (a minimum of 7.0 required)
Date: / Please select / Please select / Please select /
Please submit the score report / test report to Graduate School of Economics Section in the Office of Student Services, Keio University, together with all your other application documents.
Address: 2-15-45 Mita, Minato-ku, Tokyo, 108-8345, Japan.
Your statements in connection with the Application
We recommend that you compose your statements using a word processor and then paste them into the boxes below. You are welcome to type your statemtns directly in the boxes below. There is a word limit for each box.
Please describe in detail your reasons for applying (up to 200 words).
Please describe what you expect to learn in the KUSP Double Degree Programme, and what kind of abilities and skills you wish to acquire (up to 150 words).
Please describe in detail your career goal, and how your experience in the KUSP Double Degree Programme will help you achieve the goal (up to 150 words).
Please describe the theme of your project research in the KUSP Double Degree Programme (up to 50 words).
Please describe the purpose of your project research in the KUSP Double Degree Programme, the general findings of the existing literature in the related fields, and the expected contribution of your research (up to 250 words).
Please describe your study plan for the completion of your project reseach in the KUSP Double Degree Programme (up to 150 word)
Please describe your previous research including your undergraduate thesis (up to 100 words).

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