Duksung Women S University

DUKSUNG WOMEN’S UNIVERSITY

APPLICATION FOR EXCHANGE PROGRAM 2011-2012

Note: Please ensure that all the information must be typed with a word processor.

1. PERSONAL DATA

Full Name

First name Middle name Last/family name Please attach a Date of birth Gender  M  F recent photo

Day Month Year

Enter name & date of birth exactly as it appears on your passport.

Country of Birth Country of Citizenship E-mail Address Permanent Home Address

Number and Street

City State Country Postal Code

If different from above, please give your mailing address for all admission correspondence.

Mailing Address

Number and Street

City State Country Postal Code

Phone at Mailing Address Permanent Home Phone

Predominant language spoken in your home Indicate your fluency of the foreign languages listed below. KOREAN  fluent  good  a little  none

TOPIK Score  Level 6 Level 5 Level 4  Level 3

ENGLISH  fluent  good  a little  none OTHERS ( )  fluent  good  a little  none

1 DUKSUNG WOMEN’S UNIVERSITY

2. EDUCATIONAL DATA Name of Institution you’re currently enrolled at Academic Field:

Major Name of Department & College

Academic Level:  Freshman  Sophomore  Junior  Senior  Graduate Student

Educational Background (from high school level)

Name of Institution Country Duration(MDY-MDY)

Please list any academic distinctions or honors you have won

Possible area(s) of academic major(s) to study at Duksung Women’s University or undecided  Intended Semester(s) to Study:  Spring 2011  Fall 2011  Spring 2012  Fall 2012

Advisor’s Contact Information (at your institution) Name Position Department Address Telephone Fax Email

3. FINANCIAL DATA Indicate the person or organization that will be responsible for your expenses during your study term at Duksung Women’s University. Name Relationship Address Telephone Fax Email

Approximate Amount of Support during the semester(s) US$ NOTE: The Korean Consulate may ask you to submit the sponsor’s ‘Certificate of Deposit Balance’ along with other financial documents to prove the sponsor’s financial abilities.

The Sponsor’s Certification “I guarantee that I will be responsible for the applicant’s all the expenses for the duration of the exchange program.”

Name Signature Date

4. ACCOMODATION Please check what kind of accommodation you would like to stay during the exchange program.  Duksung Dormitary  Off Campus (arranged by the student personally)

5. CHECK LIST I have included the followings with the application form.  One original copy of ‘Academic Transcript’ - in English  One original copy of ‘Certificate of Enrollment’ - in English  ‘Letter of Recommendation’ from a professor in the Dept. focusing on academic performance – in English  A ‘Study Plan’ (personal essay, 1 ~ 1.5p) – in English  A photo copy of passport (the page with the photograph)  1 passport size photo(For the Student ID card)

I certify that all the information in my application is true and correctly written:

Name Signature Date

Note: Documents for the spring semester should be sent in by no later than Dec. 10th and May 10th for the fall semester.

Office of International & Public Relations Duksung Women’s University 419 Ssangmun-Dong, Dobong-Gu, Seoul 132-714, Korea Tel) +82-2-901-8216 Fax) +82-2-901-8220 Email) [email protected] Homepage) http://www.duksung.ac.kr