Date Submitted:

FIRST STEP FORM

THE INTERNATIONAL GRADUATE PROGRAM (IGP)

GRADUATE SCHOOL OF LIFE SCIENCE, HOKKAIDO UNIVERSITY

※Please click □to put “✔” into the box.

Course: ☐Master’s Program ☐Doctoral Program

Desired enrollment: ☐April 20 ☐October 20

IMPORTANT NOTE:

Information on this application form could be shared in Hokkaido University only for the purpose of admission screening.

  1. Name (English)

first name / middle name / sur name
  1. Nationality
  1. Date of birth (dd/mm/yyyy)
  1. Gender
  1. Contact Information

Present address:

Phone:

E-mail:

  1. Potential Supervisor/ Laboratory Name

Write down the name of faculty member and laboratory name that you want to be considered for admission.

  1. Educational Background

Institution, Country / Major field / Graduated/ expected to graduate
Month&Year / Diploma/ Degree awarded
Month&Year / Final grades / Rank in class (rank/total students)
Bachelor
Master
Others
  1. Employment Record (begin with the most recent employment)

Organization, city, country / Perild of employment
Month&Year / Position / Type of work
From
To
From
To
  1. List of Publications and Graduation Thesis

Bachelor’s Thesis:

Master’s Thesis:

Publications:

  1. Technical skills that you learned (Instrument operation, computer skills, etc.)
  1. Conference Presentation of Papers that You Were a Speaker (Poster/Oral)

Write down all authors, presentation title, conference name, date, and location

  1. TOEFL, IELTS, TOEIC or other standardized English Test Score.

Write down the score and the date test was taken.

  1. Have you been awarded any scholarship, grant, award, or prize in the past? If yes, provide the details.

Scholarship, Grant, Award, Prize / Awarding organization/fund / Period
Month&Year / Explain briefly about the scholarship, etc
From
To
From
To
  1. How do you plan to support yourself during your study program? (multiple answers allowed)

☐I have been awarded the following scholarship(s)/loan(s).

Name of the scholarship:

☐I’ve applied for the following scholarship(s)/loan(s) and it’s under consideration now.

Name of the scholarship:

☐I’mlooking for scholarship(s)/loan(s) now.

☐I will bare all the expenses by myself/have a support from a sponsor (even if not granted any scholarship)

Sponsor’s name/relationship:


☐Other (specify):

  1. How did you hear about our program?

We would appreciate if you not only check an option, but also provide some details.

☐Program website

☐Met a professors or students from HU at international event etc.

☐Was advised by supervisor at home university

☐Saw a brochure/announcement at home university

☐At study abroad/ study in Japan fair etc.

☐Other

Details: