Leadership Development Program for Ｓspace Exploration and Research
Leadership Development Program for ＳSpace Exploration and Research
Nagoya University Program for Leading Graduate Schools
Application Form for M1 Winter Application
Date:
※Expand the blank downward appropriately. ( dd / mm / yyyy )
Full Name: ,( family name ) ( given name)
Gender: □ Male : □ Female Nationality:
Birth Date:
Affiliation: ______
Major: ______Laboratory: ______
Working Experience: □ Yes □ No
Filing more than one Leading Graduate School application: □ Yes □ No
If yes, indicate the school names:
Contact Address: [Phone number]
[E-mail address] @
Skype name (if you want to use Skype for interview):
Name of Supervisor at Graduate School, Nagoya University:
Contact address: [Phone number]
[E-mail address] @
Financial Aid: As a rule, you will receive a financial support as Scholarship. (Note: you cannot receive other scholarships double.) Indicate funding agencies and amount of money below if you plan to be a recipient of any stipends after admitted in this program.
Funding Agency:
e.g. Japan Student Service Organization (JASSO), Japan Society for the Promotion of Science (JSPS), etc.
Receipt amount & period:
e.g. ¥x,xxx per month for 1 year, ¥x,xxx per year for 3 years, a lump-sum receipt of ¥x,xxx, etc.
Fill out the current status of curriculum taken in the program (Internal Nagoya University Transfer Applicants Only):
・Basics for Space Science and Technology □
・Video Lectures for Space Science and Technology □
・Satellite System Lectures & Satellite Development and Utilization Courses □
(Specify )
・Others (Overview of space research and exploration, Global leadership training, etc.:
(Specify )
Interview Procedure: Interview Procedure:
・Interview will be held at Nagoya University and arranged the time between 8:45 a.m. and 6:00 p.m. on any of the days from (Mon) 8th to (Fri) 12th February, 2016 (Note to omit the date on February 11th due to the national holiday) . Please write the time slots and the date that you are inconvenient. If you are unavailable all the date shown above, interview will be carried out by Skype. If so, indicate that Skype interview is your first choice and write your inconvenient date and time (Japan time) slots during the period above.
[Important] Please note that you cannot leave this program until completion for a Ph.D.
For instance, you cannot leave the program even if you are selected for DC1 or DC2 Research Fellowship by Japan Society for the Promotion of Science (JSPS) while you stay in the program. Please check the box below if you agree with this condition:
□ I agree with the condition above.
Describe your work plan (300-400 words)
It must include the following points: Short summary of
・Your leadership ideals
・Aspirations to activities in the program
ex) ChubuSat instrument development project, Internships, etc.
・Your future carrier plan after completing this program and your prospect how demonstrating international leadership you earn in the space related industry.