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    Korean Government Scholarship Programfor Graduate Students

    "KGSP Guidelines for the Year 2010"

    1. Program Objective

    The Korean Government Scholarship Program is designed to provide higher education in

    Korea for international students in order to promote international exchange in education and

    mutual friendship between the participating countries.

    2. Total number of Applicants for Selection : 600 persons

    o Korean Embassy(Consulate) : 365 persons 2010 KGSP Places Allocation for Korean Embassies (Consulates)

    Quota

    Numberof

    Countries

    Name of Countries

    31 1 China18 1 Japan17 1 Russia

    12 2 Cambodia, Mongolia

    11 1 Vietnam

    10 2 Mexico, India9 1 Indonesia8 3 Thailand, Laos, Malaysia7 3 Philippines, Kazakhstan, Myanmar

    5 6 Chinese Taipei, Uzbekistan, Turkey, USA, Ethiopia, Colombia

    4 5 Nepal, Senegal, Bangladesh, Ukraine, New Zealand

    3 15Sri Lanka, Morocco, Azerbaijan, El Salvador, Egypt, Tanzania, Germany, France,Dominica, Chile, Iran, Canada, Democratic Republic of the Congo, Kyrgyzstan,Saudi Arabia

    2 20Singapore, Pakistan, Gabon, Romania, Belarus, Bulgaria, Slovakia, UnitedKingdom, Czech, Guatemala, Ecuador, Algeria, Yemen, Uganda, Belize,Honduras, Italy, Tunisia, United Arab Emirates, Poland

    1 55

    Ghana, Georgia, Greece, Guinea, Guinea-Bissau, Nigeria, Republic of SouthAfrica, Netherlands, Nicaragua, Democratic Republic of Timor-Leste, Rwanda,

    Libya, Lithuania, Moldavia, Bahrain, Barbados, Bahamas, Venezuela, Bolivia,Burkina Faso, Brazil, Brunei, Serbia, Seychelles, Sudan, Sweden, Slovenia,Armenia, Argentina, Hati, Ireland, Afghanistan, Angola, Oman, Austria,Uruguay, Iraq, Israel, Zambia, Cameroon, Qatar, Kenya, Costa Rica, Coted'Ivoire, Croatia, Tajikistan, Turkmenistan, Panama, Paraguay, Papua NewGuinea, Peru, Fiji, Hungary, Australia, Jordan

    Total 116 365o Korean University : 200 persons

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    2010 KGSP Places Allocation for Domestic Universities

    QuotaNumber ofCountries

    Name of Countries

    16 1 Vietnam

    9 1 Indonesia

    8 1 Philippines

    7 2 Uzbekistan, Mongolia

    6 3 Bangladesh, Malaysia, Cambodia

    5 5 Myanmar, Kazakhstan, Thailand, Laos, India

    4 2 Pakistan, Nepal

    3 4 Guatemala, Sri Lanka, Egypt, Tanzania

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    Ghana, Nigeria, Chinese Taipei, Dominican Republic, Mexico, Morocco, Brunei, Senegal,

    Singapore, Azerbaijan, Angola, Ecuador, Jordan, Ukraine, Kenya, Columbia, Kyrgyzstan,

    Rwanda, Turkey, Tunisia, Paraguay, Peru, Poland, Hungary, Yemen

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    Guinea, South Africa, Nicaragua, Germany, Democratic Republic of Timor- Leste, Liberia,

    Romania, Mali, Bahrain, Belarus, Bolivia, Bulgaria, Saudi Arabia, Sudan, Slovakia, United Arab

    Emirates, Argentina, Haiti, Afghanistan, Algeria, Ethiopia, El Salvador, Honduras, Uganda, Iraq,

    Iran, Jamaica, Zambia, Chile, Cameroon, Canada, Costa Rica, Cote dIvoire, Congo, Democratic

    Republic of Congo, Croatia, Panama, Papua New Guinea, Fiji, Australia

    Total 83 200 persons

    o Overseas Korean Adoptee : 35 persons

    3. Applicable Universities and fields

    o ApplicableUniversities : 61 Universities (or Institutes) designated by NIIED

    * Applicants recommended by the Korean Embassies (Consulates) or by the adoption

    association must choose 5 desired universities out of 61 universities below and send in

    the application form to a Korean Embassy (Consulate) in the country of origin or to the

    adoption association. (Except for students nominated by Korean Government through

    Korean Embassy)

    * Applicants recommended by the domestic universities must choose one desired university

    out of 61 universities below and send in the application form to that university.

    * You can find detailed information about the fields and majors of the applicable universities

    on the website of NIIED.

    Ajou Univ. , Catholic University of Korea, Cheongju Univ. , Chonbuk Natl Univ., Chonnam Natl Univ.,

    Chosun Univ. , Chung-Ang Univ. , Chungnam Natl Univ., Daegu Univ. , Daejeon University, Donga Univ. ,Dongguk University, Dongseo Univ. , Ewha womans Univ., Gangneung Wonju National University,

    Gyeungsang Natl Univ., Hallym University, Handong Global University, Hankuk university of Foreign

    studies, Hannam University, Hanyang Univ. , Hongik Univ. , Inha Univ. , Jeonju University, Kangwon natl

    Univ., Keimyung Univ. , Kongju national Univ., Konkuk Univ. , Konyang University, Kookmin Univ. , Korea

    Advanced Institute of Science and Technology(KAIST), Korea Aerospace University, Korea Development

    Institute (KDI), Korea Polytechnic University, Korea Univ. , Korea university of Technology and Education,

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    Kumoh National Institute of Technology, Kyunghee Univ. , Kyungpook Natl Univ., Kyungsung University,

    Mokpo Natl Univ., Myongji Univ. Pai Chai Univ., Pohang University of Science and Technology, Pukyong

    Natl Univ., Pusan National University, Seoul Natl Univ., Seoul National University of Technology, Silla

    Univ. , Sogang Univ. , Sookmyung womens Univ., Sungkyunkwan Univ. , Sunmoon Univ. , The Academy

    of Korean Studies, Univ. of Ulsan , University of science and technology, Wonkwang Univ. , Woosong

    University, Woosuk Univ. , Yeungnam Univ. , Yonsei Univ.

    o Available fields : All majors of general graduate schools

    * Specialized or professional graduate school programs such as law school program, medical

    school program, GSIS program, etc. are also eligible on the condition that the university

    covers all tuition over the initial 5 million won(KRW)/semester.

    * Night schools, Seasonal schools, and schools through Internet are not allowed.

    o Available course : Masters Program, Doctoral Program and integrated Masters & Doctoral

    Program.

    o Integrated Masters & Doctoral Program

    * Applicants are only eligible to apply for the Integrated Masters & Doctoral

    Program Scholarship if they apply for and are accepted into an Integrated &

    Masters and Doctoral Program from the start of the scholarship period.

    Applicants who are applying for a Masters Program and plan to apply for or

    switch to an Integrated Masters & Doctoral Program in the future are ineligible

    for this scholarship.

    * Very few schools offer Integrated & Doctoral Program. Applicants areresponsible for connecting the university/universities they wish to apply for to

    find out whether or not such programs are offered.

    * An applicant who applies for 5 year Integrated Masters & Doctoral Program

    especially can get scholarship for 4 years only.

    4. Main Notes for 2010 Selectiono Organizations accepting applications: Korean Embassies (Consulates), adoption association,

    and Domestic Universities in Korea

    * Applicants may not be recommended by more than one organization. Every applicant

    recommended by more than one organization will be disqualified automatically.

    o Selection Procedure : Students recommended by a Korean Embassy (Consulate) or

    domestic

    university will be evaluated separately.

    o Obtain Admission From the University Before Entry to Korea:

    - Applicants recommended by a Korean Embassy (Consulate) or overseas Korean adoptees

    must apply and gain admission into 1 of 5 universities out of the 61 designated

    universities.

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    - Applicants recommended by a university in Korea should enter the same university.

    o Exemption of Korean language course: TOPIK level 5 or 6 certificate holder

    5. Duration of KGSPo Masters : 3 yrs. (01.09.2010 ~ 31.08.2013) - 1 yr. of Korean language + 2 yrs. of Masters

    o Doctoral : 4 yrs. (01.09.2010 ~ 31.08.2014) - 1 yr. of Korean language + 3 yrs of Doctoral

    o Integrated Masters & Doctoral : 5 yrs. (01.09.2010 ~ 31.08.2015) - 1 yr. of Korean

    language + 4 yrs. of Integrated Masters & Doctoral

    6. Korean Language Course

    o After 1 year of Korean language training, Master's or doctoral program will be followed.

    o Duration : 1 year (Scholarship students who still dont get a TOPIK level 3 or above

    certificate after completing the language course should take an additional language course

    and can enter only after getting TOPIK level 3 or above)

    * After additional 2 semesters of Korean language courses (total 1 year period), studentswho still dont acquire the TOPIK 3 or above cannot enter the main program. (A student

    who used the additional language training will have demerit when he/she asks for an

    emergency extension with reasonable explanation. (For instance: Deduction of that period

    from the possible extension.)

    o Institution :

    - Applicants recommended by a Korean Embassy (Consulate) and overseas Korean

    adoptees will study at 1 of the 5 applied universities.

    - Applicants recommended by the universities in Korea will study at the same university.

    o Exemption of Korean language course: TOPIK level 5 or 6 certificate holder.* Students who are exempted from the Korean language course may enter the graduate

    school starting from September 1, 2010 or March 1, 2011.

    * Those who wish to enter on March 1, 2011 should get admission by himself/herself from

    the university and submit it to NIIED. (Otherwise, they will be disqualified.)

    * A student exempted from Korean language course must enter the main program by Mar 1,

    2011, otherwise he/she will be disqualified.

    * A student who acquires TOPIK level 5 or 6 certificate during the Korean language course

    can enter the main program on Mar 1, 2011 if he/she wants to.

    7. Application Qualifications

    o Both applicant and his/her parents must be citizens of the foreign country.

    * Applicants cannot have Korean citizenship.

    o Applicants should be in good health, both mentally and physically, to stay in Korea for a long

    period of time.

    o Should be under 40 years of age as of September 1, 2010

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    o Hold a Bachelors or Masters degree as of September 1, 2010

    * Applicants who are enrolling or have already enrolled in the same academic program in

    Korea as the one they are applying for will not be admitted.

    * For Masters program (or Integrated Masters & Doctoral program): students who hold a

    Bachelors degree or a diploma that is equivalent to or higher than Bachelors degree

    * For Doctoral program: students who hold a Masters degree or a diploma that is equivalent

    to or higher than Masters degree.

    * Applicants who are expecting the adequate diploma should present their diploma by

    September 1, 2010 before entry.

    o Should have a grade point average (G.P.A.) at least 2.64 on a 4.0 scale, 2.80 on a 4. 3 scale,

    2.91 on a 4.5 scale or grades/marks/score of 80% or higher from the previous attended

    institution

    * If the grade is difficult to convert to percentage, official explanatory documents from theattended university are required.

    8. Scholarship Payment

    o Scholarship Period : same as the period of invitation

    o Payment

    -Airfare : A round-trip economy class ticket

    * Airfare for entry will not be provided to one who is staying in Korea on account of the

    study (Korean language course, undergraduate or graduate school) or employment as of

    the confirmation date of selection of scholarship students.

    * Fees within domestic travel, as well as insurance while travelling to and from the Republicof Korea, will not be provided.

    -Monthly Allowance : 900,000 won(KRW) per month

    -Research Allowance : 210,000 won for students in human and social sciences; 240,000

    won for students in natural and mechanic sciences per semester

    -Relocation (Settlement) Allowance : 200,000 won upon arrival

    -Language Training Fee : The full costs up to 1 year

    -Tuitions : All admission fees are waived by the host institution. The full tuition is paid by

    NIIED.

    -Dissertation Printing Costs : 500,000 ~ 800,000 won for the costs related to a printingdissertation

    -Medical Insurance : 15,000 won per month(limited insurance coverage) will be provided to

    the university for students.

    -Special fund for students proficient in Korean language (TOPIK level 5 or 6) : 100,000 won

    per month(Commencing from the main program)

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    9. Selection Procedure

    o "KGSP Guidelines for the Year 2010" including the application form will be on at the website

    of NIIED, GKS.(www.gks.go.kr), the Korean Embassy (Consulate), and domestic universities.

    o For applicants recommended by the Korean Embassy (Consulate)

    - Korean Embassy (Consulate) may recommend 1.5 times their quota to NIIED

    - Evaluation on the applicants eligibility by NIIED

    - NIIED entrusts the applicants to the desired universities (in order of choice)

    o For applicants recommended by domestic universities

    -Each designated domestic university can recommend up to 15 candidates (3 per country)

    -Special selection committee will evaluate the candidates.

    -In regards to candidates, NIIED will refer to the Korean Embassy (Consulate) for eligibility

    when needed.

    o For overseas Korean adoptees- Recommendation by Korean Embassy (Consulate) or Adoption Associations in Korea

    - Evaluation on the applicants eligibility by NIIED

    - NIIED entrusts the applicants to the desired universities (in order of choice)

    - Special selection committee will make the final decision.

    10. Selection Criterion

    o All documents including the transcript, self introduction, study plan, language proficiency

    (Korean and English), recommendation, papers and awards etc.

    11. Required Documentation

    o Place of submission :

    - For applicants recommended by a Korean Embassy (Consulate) : Korean Embassy

    (Consulate)

    - For applicants recommended by a domestic university : the same domestic university

    - For overseas Korean adoptees : Korean Embassy (Consulate) or Adoption Associations in

    Korea

    o Deadline of Submission : The date set forth by the Korean Embassy (Consulate) in the

    country of origin or universities in Korea.

    * Deadline for recommendation to NIIED is May 14, 2010.

    o Required documents :

    Check List for Application DocumentsMA (IntegratedMA & Doctoral)

    Doctoral

    1. Personal data (Attachment #1) 2. Self Introduction (Attachment #2) 3. Study Plan (Attachment #3)

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    4. Letter of Recommendation (Attachment #4) 5. Pledge (Attachment #5) 6. Personal Medical Assessment (Attachment #6) 7. Copies of diploma(s) from previously attended undergraduate

    Institution(s)

    8. Official transcript of previously attended undergraduate

    institution(s)

    9. Copies of diploma(s) from previously attended graduate

    institution(s)-

    10. Official transcript of previously attended graduate institution(s) - 11. Certificate of TOPIK score (original copy) 12. Certificate of TOEFL or IELTS score (original copy) directly sent

    from ETS/IELTS

    13. Published papers, if available (one or two)

    14. Awards, if available (one or two)

    15. Copy of passport 16. Certificate of Citizenship of His/Her Parents : birth certificate,

    passport, etc. (* only for overseas Koreans)

    17. Adoption documents (*only for overseas Korean adoptee)

    - Applicants from Korean Embassy (Consulate) or Adoption Association: One original

    document (placed in a separate envelope) and 2 extra copies.

    - Applicants from domestic universities: One original document (placed in a separate

    envelope) and 5 extra copies.

    o Note

    - Dual recommendation by more than one organization is not acceptable.

    - Documents should be presented in the original form. Documents not in English or Korean

    must be accompanied by a complete and accurate English or Korean translation certified

    by the issuing institution.

    - Submitted documents will not be returned to the candidates.

    - Incomplete or incorrect documents are subject to rejection by NIIED. (Even after entry to

    Korea)

    - In case of submitting copied documents inevitably, applicants must submit the original to

    the Korean Embassy (Consulate) and have the two documents collated.(Collated

    documents need to be submitted behind the original documents)

    - Applicants who dont hold a diploma may submit a certificate or letter of expectedgraduation.

    - Applicants must accurately fill out the health checklist based on truth. All successful

    applicants must take a medical exam in Korea (including an HIV and TBPE drug test) in

    accordance with the requirements of the Korea Immigration Service and the KGSP

    program. If the results show that the applicant is unfit to be a KGSP student, all costs for

    departure to their own country will be borne by the KGSP applicant.

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    - Applicants may submit the copies of published papers, if available.

    - Applicants may submit the copies of awards, if available.

    * Applicants must submit all the documents by check list order. (Check list for

    the application documents should be the front page with the stapled

    documents followed.)

    - Applicants who are currently studying in Korea or graduated from Korean university must

    submit one recommendation letter of the head of department of the relevant university.

    * No Student is allowed to transfer school during the entire period of

    program once he/ she enters the school.

    12. Selection Schedule

    o Recommendation deadline : May 14, 2010

    o Final selection by NIIED : by June 30, 2010

    o Result notice : by July 10, 2010o Entry to Korea : from August 25, 2010 to August 30, 2010

    o Korean language course or graduate school : starting from September 1, 2010

    13. For further information, please contact

    o Korean Embassy (Consulate) / universities in Korea

    o KGSP Team, National Institute for International Education Development (NIIED)

    - Address: 43 Ewhajanggil, Jongno-gu, Seoul, 110-810, Republic of Korea

    - Website: http://www.niied.go.kr or http://www.gks.go.kr

    (Korean) http://www.niied.go.kr

    (English) http://www.niied.go.kr Korean Government Scholarship Program Notice

    - Phone: +82-2-3668-1448 (in English), +82-2-3668-1358 (in Korean)

    - Fax: +82-2-743-4992

    14. Other useful websites

    KCUE (Korean Council for University Education) http://www.kcue.or.kr

    Learning Korean http://www.kosnet.go.kr

    Universities and Graduate schools in Korea http://www.studyinkorea.go.kr

    Understanding of Korean culture http://korea.net

    Overseas Korean embassies http://www.mofat.go.kr

    Visa and Registration http://immigration.go.kr

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    15. Application Form : See below.

    (Check List for Application Documents)

    (Institute of Recommendation) :

    (Confirmer) : (Signature)

    1) Name of Applicant: (given name) (family name)

    2) Country :

    3) Desired Degree Program : Masters Doctoral Integrated Masters & Doctoral

    (*Please tick() in the appropriate box.)

    Application Documents Submission(Y/N)

    Check List Yes No

    1. Personal data (Attachment #1)

    2. Self Introduction (Attachment #2)

    3. Study Plan (Attachment #3)

    4. Letter of Recommendation (Attachment #4)

    5. Pledge (Attachment #5)

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    REGISTRATION NUMBER

    *Do not write in this area.

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    6. PERSONAL MEDICAL ASSESSMENT (Attachment #6)

    7. Copies of diploma(s) from undergraduate institution(s)

    8. Transcript & Student Records from undergraduate institution(s)

    9. Copies of diploma(s) from graduate institution(s)

    10. Transcript & Student Records from graduate institution(s)

    11. Certificate of Korean Language (original copy of TOPIK)

    12. Certificate of TOEFL or IELTS score (original copy or directly sent from ETS/IELTS)

    13. Published papers, if available

    14. Awards, if available

    15. Copy of passport

    16. Certificate of Citizenship of the Applicant and His/Her Parents : birth certificate, passport,

    etc. (*only for overseas Korean)17. Adoption documents (*only for overseas Korean adoptee)

    Attachment #1

    Korean Government Scholarship Program(KGSP) Application Form for Graduate Program

    *Please tick () a box that applies to you.

    1. (Institute of Recommendation)(Embassy or Consulate) (Korean University)

    2. (Type of Recommendation)

    (General) (Korean Governments Invitation)(Overseas Korean Adoptee)3. (Applying Degree Course)

    (Masters) (Doctoral) (Integrated Masters & Doctoral)4.(Desired Field)

    (Human and Social Sciences)(Natural Sciences)(Arts and Physical Education)

    5.(TOPIK 5)(Preferable Entrance Date only for TOPIK level 5 or 6 holder)

    S ep 1, 2010 Mar 1, 2011

    (Personal Data)Please read the form carefully. All applicants complete all sections..

    (Full Name)(Given name) : (Family name) : Male

    Female

    Single

    Married(Photo 3*4)

    * Name should be spelled the same as in the passport and in English.

    (Date of Birth)

    (yyyy) (mm) (dd) (Age: )

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    (Country)

    (Citizenship)

    (Passport)

    (Number)

    (Date of Issue) (Date of expiry)

    (Emergency Address)

    Address:

    Tel. ( ) E-mail:

    (Information ofapplicants final

    education)

    ()(Name of Previously

    attended Univ.)

    /(Country/City)

    (Academic Degree) Bachelor Master

    (Academic Major)

    (Title of graduation

    dissertation, ifavailable)

    (Language

    Proficiency)

    (English Proficiency)

    TOEFL IELTS Score :

    Korean LanguageProficiency

    (only TOPIK)

    Level : High Middle LowScore :

    Published papers, ifavailable(one or two)

    Awards, if available(one or two)

    (Applying University)

    (Name of Univ.)

    (Faculty)

    (Department)

    (Academic Major)

    1(1st choice)2

    (2nd choice)

    3(3rd choice)4

    (4th choice)5

    (5th choice)

    (AcademicCareer)

    (Period)

    (Name of Univ.)

    (Country)

    (Academic Major)

    (Diploma orDegree)

    ~

    (Transcripts)

    SchoolYear

    1st year 2nd year 3rd year 4th year 5th year (GPA)

    (converted

    score)

    /100Term 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3

    Bachel-or

    / / / / / / / / / / / / / / /

    MAST-ER

    / / / / / / / / / / / / / / /

    (Occupation or

    (Period)

    (Institution or

    (Position)

    (Operation or Duty)

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    Research Career) company)

    ( Sponsorship)

    (Sponsor)

    (Amount)(US$/year)

    (Period)

    ( / )

    ( / )

    (yyyy) (mm) (dd)

    Applicant's Name : (signature)

    * GPA(Grade Point Average) must be converted on a maximum scale of 100 points (converted points) * See Attachment .#7* Fill out both the records of Bachelors & Masters in the case of those applying for Doctoral program

    * Credit score rank: your rank / total number of students in the class or major

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    Attachment #2

    (Self Introduction)* Please type or print clearly within 1 page using black ink. (in Korean or in English) (*10 points)

    o Your course of life, your view of life, study background, your hope & wish, etco Your education and work experience, etc in relation to major fieldo Reason for study in Koreao Important thesis, report, patent, R&D achievement, awards and scholarship records, etc.

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    Attachment #3

    (Study Plan)

    * Please type or print clearly within 1 page using blackink. (*10 points)

    Goal of study &Study Plan

    o Goal of study, title or subject of the research and detailed study plan

    Future Plan

    after Study o Future plan in Korea or another country after study in Korea

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    Attachment #4

    Letter of Recommendation

    To the applicant: Please fill in your name and other information below. Deliver or mail this to the person who will write this letter.Ask your recommender to seal this in an official envelope and sign across the back upon completion. Recommendation letters that

    are not sealed and signed will not be accepted.

    Confidential

    Name of Applicant: (given name) (family name)

    Nationality :

    Desired Degree Program : Masters Doctoral Integrated Masters & Doctoral

    Desired Major :

    To the recommender : The person named above has applied for Korean Government Scholarship Program. We ask for your

    assistance, and would appreciate your frank and candid appraisal of the applicant.

    1. How long have you known the applicant and in what relationship?

    2. What do you consider to be the applicants strengths?

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    Attachment #5

    Korean Government Scholarship Program for Graduate Students

    Pledge ()

    As an applicant for 2010 the Korean Government Scholarship Program (KGSP) forGraduate Students, I pledge to abide by the following rules;

    (1)To refrain from violation of university regulations and to fulfill my obligations as a

    student to the best of my ability.

    (2)To behave in a manner appropriate to the Korean culture and society, and not to

    participate in any form of political activity (such as organizing a political party, joining

    a political party, attending political meetings, publishing political articles anddeclarations, organizing or participating in demonstrations of a political nature, and so

    on).

    (3) To accept responsibility for paying any debts incurred in Korea

    (4) To agree with NIIED's decision concerning the course and the institution of the Korean

    language course.

    (5) To abide by all terms and regulations set by NIIED.

    (6) To admit NIIED to use my personal information of the application documents in order

    to decide the admission.

    If I am proved to have violated any of the above or to have made a false statement in myapplication documents, I shall accept any resolution or penalty made by NIIED, eventhough it might result in suspension, revocation or withdrawal of the scholarship.

    I was informed and fully understand that KGSP students are not allowed to transfer schoolsafter entering the program for the entire duration of their studies.

    * Only for an Integrated Masters & Doctoral Program applicant: Ive already checked theapplying university whether it offers the Program or not. (tick in )

    (yyyy). (mm). (dd).

    Applicants Name : (signature)

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    Attachment #6

    PERSONAL MEDICAL ASSESSMENTApplicants do not require an authorized medical exam before they arrive in Korea; all successful applicants must take a medicalexam in Korea (including an HIV and TBPE drug test**) in accordance with the requirements of the Korea Immigration Serviceand the KGSP program. If the results show that the applicant is unfit to be an KGSP student, all costs for departure to their owncountry will be borne by the KGSP applicant.**The TBPE (tetrabromophenolphthalein ethyl ester) drug tests for use of stimulant drugs.

    Gender: HEIGHT cm WEIGHT kg

    When and for what reason did you last consult a physician?(Please explain in the adjacent space)

    QUESTION YES NO IF YES, PLEASE EXPLAIN

    Have you ever had an infectious disease that posed a risk topublic health (such as, but not limited to, tuberculosis, HIVand other STDs)?

    1. allergies?

    2. high blood pressure?3. diabetes?4. any type of Hepatitis?

    Have you ever suffered from or been treated for depression,anxiety, or any other mental or mood disorder? (If you havereceived treatment, please explain and attach an officialmedical report).

    Have you ever been addicted to alcohol?

    Have you ever abused any narcotic, stimulant, hallucinogenic orother substance (whether legal or prohibited)?

    If necessary, are you prepared to undergo physical tests toverify the answers given in questions and above?

    Have you been hospitalized in the last two (2) years?

    Have you had any serious injury, ailment or sickness in the lastfive (5) years?

    Do you have any visual or hearing impairments?

    Do you have any physical disabilities?

    Do you have any cognitive/mental disabilities?

    Are you taking any prescribed medication?

    Are you on a special diet?

    On average, how many standard servings of alcohol do you consume each week?:

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    Attachment #7

    GPA Conversion Table

    4.0 scale 4.3 scale 4.5 scale100 points

    scale3.97 ~ 4.0 4.26 ~ 4.3 4.46 ~ 4.5 100

    3.92 ~ 3.96 4.22 ~ 4.25 4.41 ~ 4.45 99

    3.88 ~ 3.91 4.17 ~ 4.21 4.36 ~ 4.40 98

    3.84 ~ 3.87 4.12 ~ 4.16 4.31 ~ 4.35 97

    3.80 ~ 3.83 4.08 ~ 4.11 4.26 ~ 4.30 96

    3.75 ~ 3.79 4.03 ~ 4.07 4.21 ~ 4.25 95

    3.71 ~ 3.74 3.98 ~ 4.02 4.16 ~ 4.20 94

    3.67 ~ 3.70 3.93 ~ 3.97 4.11 ~ 4.15 93

    3.62 ~ 3.66 3.89 ~ 3.92 4.06 ~ 4.10 923.58 ~ 3.61 3.84 ~ 3.88 4.01 ~ 4.05 91

    3.49 ~ 3.57 3.75 ~ 3.83 3.91 ~ 4.00 90

    3.41 ~ 3.48 3.65 ~ 3.74 3.81 ~ 3.90 89

    3.32 ~ 3.40 3.56 ~ 3.64 3.71 ~ 3.80 88

    3.24 ~ 3.31 3.46 ~ 3.55 3.61 ~ 3.70 87

    3.15 ~ 3.23 3.37 ~ 3.45 3.51 ~ 3.60 86

    3.07 ~ 3.14 3.27 ~ 3.36 3.41 ~ 3.50 85

    2.98 ~ 3.06 3.18 ~ 3.26 3.31 ~ 3.40 84

    2.90 ~ 2.97 3.09 ~ 3.17 3.21 ~ 3.30 83

    2.81 ~ 2.89 2.99 ~ 3.08 3.11 ~ 3.20 822.72 ~ 2.80 2.90 ~ 2.98 3.01 ~ 3.10 81

    2.64 ~ 2.71 2.80 ~ 2.89 2.91 ~ 3.00 80

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