Application Form.

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4. Language Proficiency. Native Language. English. Native Fluent Intermediate Beginner. Test /. Qualifications results.
HOSEI Short-term Scholarship Program for High School Students (HOSEI-SSP)

Application Form

*Please fill in the form correctly and clearly.

1. Applicant Information Given Name Family Name Gender

Nickname Date of Birth

Nationality



(Y) (M) (D)

years old)

E-mail Current Address

City/ State Phone

Country

Country Code ( )

Postal Code

Mobile

Country Code ( )

2. Emergency Contact Information Name

Relationship to you

Address City/ State Phone

Country

Country Code ( )

Postal Code

Mobile

Country Code ( )

E-mail

3. Education History Current School Name Current School Address

City/ State

Country

Postal Code

1. What is your current grade in school?

Grade

2. When are you expecting to graduate from your current school?

YYYY /

MM

3. In chronological order, please list in English all schools that you have attended from elementary education to lower secondary education. (Nursery, kindergarten and language schools are not to be included.) School Name

(Elementary Education) Elementary School (Lower Secondary Education) Middle/Junior High School

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Location (City/country)

Period of attendance (years)

4. Language Proficiency Native Language

English

Native Fluent

Intermediate

Beginner

Test / Qualifications results (TOEFL®iBT / IELTS(Academic Module) band / TOEIC®)

Japanese

Native Fluent

Intermediate

Beginner

Test / Qualifications results (if any)

Other Languages

Native Fluent

Intermediate

Beginner

Other Languages

Native Fluent

Intermediate

Beginner

5. Additional Information 1. Do you have any concerns about yourself that you feel HOSEI university should be aware of (i.e. academic, learning, mobility, dietary, allergy etc.)? * Any concerns addressed here will not affect admission decisions.

2. Are you planning to go to Japanese university after high school? Yes If yes, what are you planning to study or interested in studying there?

3. Do you need to apply for a visa to enter Japan?

Yes

No

No

*Please check with the Japanese Embassy in your country beforehand about visa application requirements and procedures.

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6. Application Essay Write your answers to the following two questions in 800 – 1000 words. You may type your answers.

1. What are the reasons why you want to study in Japan in the future?

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2. What is one positive aspect of globalization? What is one negative aspect? In your opinion, what would be the best form of globalization in the 21st century?

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