Academic Year 2015

The University of Tokyo Program for Leading Graduate Schools

Integrated Human Sciences Program for Cultural Diversity

Application Form (Entry to the October 2015Master’s Program)

Affiliation(Department)
Student ID Number
  1. Applicant Information

Name
Date of Birth
History of Education / Month, Year. Completion of Bachelor Program, Department of XXX, Faculty of YYY, University of ZZZ
October, 2015. Entrance to Master’s Program, Department of XXX, Graduate School of YYY, The University of Tokyo
Current Address / Phone: Email:
Current Affiliation / Department of XXX, Graduate School of YYY, The University of Tokyo
(Institute/Center: )
Supervisor
(may be provisional) / Department / Name
Are you/will you be receiving a student loan? / Yes/No / Are you/will you be receiving any scholarship or stipend as an international student? If so, provide the applicable information on the right. / Name of scholarship/stipend:
Duration:
Monthly Amount: Yen
Please circle the sentence on the right, if you do not wish to receive the IHS stipend for any reason (e.g. for tax deduction purposes, or because you have been awarded another scholarship). / I will not receive the IHS stipend.
I hereby declare that I am not applying to other leading graduate school programs (Enter a check mark [✓] in the box on the right).
Research Project
(in your home department)
  1. The Reasons for Your Application to This Program and Your Career Plan

Explain the reasons for your application to this program and your career plan after the completion of the doctoral program (refer to your ideas about how you can contribute to the realization of a multicultural society by taking this program while pursuing your specialization). Furthermore, provide a self-assessment of your strengths and other relevant information that you deem important (conference presentations, superior academic performance, award-winning record, experience in studying abroad, and distinctive extramural activities). Your statement should be approximately 800 words in English or 2,000 characters in Japanese.

Applicant’s Name

1