Research
Institute
Code
F
※Note: Foreign students must acquire the residence status of "Student" before
3
Joint Master’s Program in International Development
and Peace through Sport
National
Year and Month
of (Expected)
Graduation
Oth
er
Exa
m
Su
bje
cts
Year
※Year and Month
of (Expected)
Completion
13
Research
Student/
Others
2
Date of Birth / Age
[ Phone: ( ) ]
(Country name
for foreigners)
Month
1
English
Domicile
Code
Program Name
Professional
(except part-
time)
Research Field (Supervisor's Name)
Sex
Private
Other
Written
ExaminationOral examination
4
5
Graduate
School
4
Foreign
<Attachment>
Attach the "Receipt of examination fee" or "Certificate of postal transfer payment" here.
Secure with glue.
Public
ProgramOther
Foreign
3
2
Applicable Eligibility
※ the enrollment procedure.
If you have completed (or are attending) a graduate school, write the name in the "Curriculum Vitae."
Month
4
University
(Graduate School)
1
Com
ple
ted
5
Year
Oth
er
1University
※
Expect to
Co
mp
lete
551
Gra
duate
d
Expect to
Gra
duate
National
Public 2School/
Faculty
School/
Department
Relation-
shipName
[ Phone: ( ) ] [ Cell Phone: ( ) ]
( )
2
Private
Reference
(Inside
Japan)
3
1
Elig
ibili
ty
2Privately
Funded
Foreign Student
Status at the
Time of
Application
Entrance in FallCooperative
Graduate
※
Permanent
Domicile
Application
Method (2)(1)
Application
Method (1)
General
Admission
Government
Sponsored
1Working
Individuals
Status at
the Time of
Application
2Student
M
2
Year Month Date Age
Fill in or circle the following items. (See the Guidelines for Completing the
Application Form.) Please do not fill in the fields marked with ※.
※Examinee
Number
4
Master's Program
Graduate Admissions 2021
Joint Master’s Program in International Development and Peace through Sport
(University of Tsukuba, National Institute of Fitness and Sports in Kanoya)
Address
フリガナ
Name
Current
Address
[ E-mail Address: ]
Guidelines for Completing the Application Form 1. Enter your name, date of birth, and gender correctly in the application form. This information will be used as
your identification. 2. Please do not fill in the fields marked with ※. 3. Enter your permanent domicile in the “Permanent Domicile” field and permanent domicile code in the
“Domicile Code” field with reference to the table below. If you are a foreign national, enter the name of your country in the “Permanent Domicile” field.
[Domicile Code]
4. In the “Reference” field, enter the information of a person who lives in Japan and can contact the applicant.
If you are a foreign student granted the Japanese government Monbukagakusho (MEXT) Scholarship, provide a name other than “Monbukagakusho.”
5. Specify your desired research field and supervisor’s name in the “Research Field (Supervisor’s Name)” field as shown in the “List of Research Fields.”
6. Enter the name of the school you completed or graduated from in the “Eligibility” field according to the corresponding eligibility.
7. Notify us promptly if there is any change in your contact information after submitting the application form.
北海道 Hokkaido
01 埼玉県 Saitama
11 岐阜県 Gifu
21 鳥取県 Tottori
31 佐賀県 Saga
41
青森県 Aomori
02 千葉県 Chiba
12 静岡県 Shizuoka
22 島根県 Shimane
32 長崎県 Nagasaki
42
岩手県 Iwate
03 東京都 Tokyo
13 愛知県 Aichi
23 岡山県 Okayama
33 熊本県 Kumamoto
43
宮城県 Miyagi
04 神奈川県 Kanagawa
14 三重県 Mie
24 広島県 Hiroshima
34 大分県 Oita
44
秋田県 Akita
05 新潟県 Niigata
15 滋賀県 Shiga
25 山口県 Yamaguchi
35 宮崎県 Miyazaki
45
山形県 Yamagata
06 富山県 Toyama
16 京都府 Kyoto
26 徳島県 Tokushima
36 鹿児島県 Kagoshima
46
福島県 Fukushima
07 石川県 Ishikawa
17 大阪府 Osaka
27 香川県 Kagawa
37 沖縄県 Okinawa
47
茨城県 Ibaraki
08 福井県 Fukui
18 兵庫県 Hyogo
28 愛媛県 Ehime
38
栃木県 Tochigi
09 山梨県 Yamanashi
19 奈良県 Nara
29 高知県 Kochi
39
群馬県 Gunma
10 長野県 Nagano
20 和歌山県 Wakayama
30 福岡県 Fukuoka
40
Y M
Y M
Y M
Y M
Y M
Y M
Y M
Y M
Y M
Y M
Y M
Y M
Examinee
Number※
Joint Master’s Program in
International Development and Peace through Sport
Expected
Date of
Graduation
Date of
Entrance
(Note) 1. This form is for Japanese students only. Foreign student must use the designated form.
2. Enter your education higher than high school. If you have enrolled in the university as a research student or
credited auditor (auditing student), enter the period of enrollment as well.
3. If we found that you made a false entry or didn't write necessary information in this form after entrance,
your admission shall be void.
4. Please do not fill in the fields marked with ※.
5. As necessary, delete "Graduation" with a double line and write "Completion" on the left.
Expected
Date of
Graduation
Education
Date of
Entrance
Date of
Graduation
Date of
Entrance
Date of
Entrance
Master's Program
Curriculum Vitae
Expected
Date of
Graduation
NameFamily First Middle/ Other
履 歴 書 Curriculum Vitae
氏 名
フリガナ
ローマ字
男(M)
・ 女(F)
Sex
生 年 月 日 Date of Birth
Year Month Date 19
年齢 Age
国 籍 Nationality
在留資格 Resident
Status
Family Name First Name Middle Name
学 校 教 育
Education
学 校 名 ・ 所 在 地
Name and Address of School
正規の修学年数 Officially Required Number of Years of Schooling
入学及び卒業年月 Year and Month of Entrance and Completion
修業年数 Period of Schooling
専 攻 科 目
Major Subject if any
学 位 ・ 資 格 Diploma or Degree Awarded
初 等 教 育 Elementary Education
小 学 校 Elementary School
学校名 Name 所在地 Location
年 yrs
入学 from 卒業 to
年 yrs
中 等 教 育 Secondary Education
中学及び高校 Secondary School
中学 Lower
学校名 Name 所在地 Location
年 yrs
入学 from 卒業 to
年 yrs
高校 Upper
学校名 Name 所在地 Location
年 yrs
入学 from 卒業 to
年 yrs
高 等 教 育 Higher Education 大 学
Undergraduate Level
学校名 Name 所在地 Location
年 yrs
入学 from 卒業 to
年 yrs
高 等 教 育 Higher Education 大 学 院
Graduate Level
学校名 Name 所在地 Location
年 yrs
入学 from 卒業 to
年 yrs
以 上 を 通 算 し た 全 学 校 教 育 就 学 年 数 Total Number of Years of Schooling as given Above
年 yrs TOTAL
年 yrs
休学等、在籍中に修学を中断した期間(理由) Periods of interruption of studies, if any from 年 yr., 月 mon.~to 年 yr., 月 mon.( )
研 究 歴 Research Activities (研究生の 経歴を含 む。)
研 究 機 関 名 Name of Research Institution
所 在 地 Address
身 分 Status
研 究 期 間 Duration of Research
年数 yrs
~
~
~
記入は、日本語又はローマ字体を用いてください。 Please type or print in Japanese or English.
( 外 国 人 出 願 者 用 )
(for foreign applicants)
※
受験
番号
~
~
~
~ ~
Examinee Number ※
Name Family First Middle / Other
Program Joint Master’s Program in International Development and Peace through Sport
Date of Birth Year
Month
Date
Course / Field
Field:
If you have an employment history, describe all of your previous and current jobs including job titles, responsibilities, and research content. If you need more space, make a photocopy of this form.
Employment Period Year Month – Year Month
Company / Organization
Full-time Part-time
Job Title / Responsibilities / Research Content
Employment Period Year Month – Year Month
Company / Organization
Full-time Part-time
Job Title / Responsibilities / Research Content
Employment Period Year Month – Year Month
Company / Organization
Full-time Part-time
Job Title / Responsibilities / Research Content
Employment Record
Cut
he
re
Cut here
Joint Master’s Program in
International Development
and Peace through Sport
○
※
Program /
Field
Examinee
Number
Master's Program Master's Program
Field
Joint Master’s Program in
International Development
and Peace through Sport
Joint Master’s Program in
International Development
and Peace through Sport
Oral
Examina-
tion
English
Written
Examina-
tion
Photo CardAdmission Ticket for
Examination
Examinee
Number
Field
(Attach identical photograph.)
Cut
he
re
Examinee
Number
Name
※
English
Exam Subjects
Written
Examina-
tion
Oral
Examina-
tion
Program /
Field
Master's Program
Name
(Attach identical photograph.)
(4 x 3 cm)
Name
Cut
he
re
(4 x 3 cm)
PhotoPhoto
Program /
Field
Field
Desktop Admission Ticket
Joint Master’s Program in
International Development
and Peace through Sport
Joint Master’s Program in
International Development
and Peace through Sport
※
○ ○ ○
Headshot with no hats, taken
within the last three months
Headshot with no hats, taken
within the last three months
<Guidelines for the Completion>
• Attach your photographs and enter
your name and field.
• Cut out along the lines.
Joint Master’s Program in
International Development
and Peace through Sport
Exam Subjects
(Joint Master’s Program in International Development and Peace through Sport)
Name Research Field and Supervisor
Title
Write the background, purpose, method and expected result of study within 600 words.
Attaching a handwritten or printed document is allowed in case of having difficulty in typing.
Examinee Number
※
Research Plan
受験番号
※
英語外部検定試験スコア貼付用紙
TOEIC Listening & Reading Test Official Score Certificate, TOEFL Test Taker Score Report / Examinee Score Report or IELTS (Academic Module)
Official Test Report Form
スポーツ国際開発学共同専攻 Joint Master’s Program in International Development and Peace through Sport
提出書類(提出する書類の□にレ印を付してください。) Document to be submitted (Check the appropriate box)
□ TOEIC(L&R)公式認定証 (TOEIC Listening & Reading Test Official Score Certificate)
□ TOEFL受験者用控えスコア (TOEFL Test Taker Score Report / Examinee Score Report)
□ IELTS公式成績証明書(IELTS (Academic Module) Official Test Report Form)
スコア貼付用箇所
(左側の枠線に合わせて貼り、右側の端部分は折り返してください。) Attach the Original document here.
(Attach it along the line on the left-hand side of the frame and fold it
so as not to exceed the line on the right-hand side of the frame.)
【注意事項】 1.公式認定証または受験者用控えスコアのコピー、TOEIC SW Test及び TOEIC Bridge
Testの公式認定証、TOEIC Institutional Program(IP) Score Report及び、TOEFL Institutional Test Score Report の提出は認めません。
2.TOEIC Listening & Reading Test公式認定証、TOEFL受験者用控えスコア、及びIELTS公式成績証明書は、スポーツ国際開発学共同専攻入学試験実施日から過去2年以内に受験したものが有効です。
3.提出された原本は返却しません。また、提出済スコアの差替えは認めません。
[Note] 1. You are not allowed to submit a copy of TOEIC Listening & Reading Test Official
Score Certificate, TOEFL Test Taker Score Report / Examinee Score Report or IELTS (Academic Module) Official Test Report Form, the Official Score Certificate of TOEIC SW Test or TOEIC Bridge Test, TOEIC Institutional Program (IP) Score Report, and TOEFL Institutional Test Score Report.
2. Only the TOEIC Listening & Reading Test Official Score Certificate, TOEFL Test Taker Score Report/ Examinee Score Report or IELTS (Academic Module) Official Test Report Form of the test within the past two years from the examination date of Joint Master’s Program in International Development and Peace through Sport are valid.
3. We will not return the submitted original document. Also, we do not allow you to replace the submitted score with the other scores.
受 験 番 号 Examinee Number
※
研 究 歴 証 明 書 Certificate of Research Activities
国 籍 (Nationality ) :
氏 名 ( Name ):
生年月日 ( Date of Birth ):
上記の者は、下記のとおり研究歴を有することを証明する。 This is to certify that the above person engaged in the research activities as follows.
記
在籍した機関、部局名及び身分 (Status and Institution Attended)
研 究 期 間 (Duration of Research)
年 月 日から 年 月 日まで ( 年 か月間) From : to : = ( Day ) ( Month ) ( Year ) ( Day ) ( Month ) ( Year ) (Years) (Months)
研 究 題 目 及 び 研 究 内 容 (Title and Outline of Research)
指 導 教 員 職 ・ 氏 名 (Name and Position of Supervisor)
年月日 (Date) : 署 名 (Signature) :
氏 名 (Name) :
職 名(注) (Title*) : 印
機 関 名 (Institution):
所 在 地 (Address of Institution):
(注) 証明者は、機関の長等(例えば、学長又は学部長等)とします。
(*The title of the certifier should be equivalent to representative of organization such as President, Dean, Director, etc)
様式 (外国人出願者用 ) Form (for foreign applicants)
Address Sheet #1 1. Please do not write in the fields marked with ※. 2. The address sheets will be used to send out acceptance
letters and enrollment documents to the successful applicants. Enter the mailing address and name clearly in block letters. (This applies only to those who reside in Japan)
3. If you enter the name and address of a person other than the applicant, enter the applicant’s name in the box しかく below.
Program
Master's Program
Joint Master’s Program in International Development and Peace through Sport
Name
Examinee Number ※
殿 ※
殿
※
※ 国 費 私 費
※
郵 外 有 職 者
Graduate Admissions 2021 List of Application Documents Joint Master’s Program in International Development and Peace through Sport Name
Note: Make sure to mark “○” in the “Check” columns for documents to be submitted. Your application may not be accepted unless all the required documents are submitted.
Documents Check Required for Remarks
[Joint Master’s Program designated forms]
Application Form All applicants
Curriculum Vitae All applicants Excluding foreign applicants
Curriculum Vitae for Foreign Applicants All foreign applicants
Employment Record All applicants who have employment history
Admission Ticket for Examination / Photo Card / Desktop Admission Ticket
All applicants
Research Plan All applicants
TOEIC Listening & Reading Test Official Score Certificate, TOEFL Test Taker Score Report / Examinee Score Report or IELTS (Academic Module) Official Test Report Form
All applicants
Certificate of Research Activities Foreign applicants who meet the conditions
Address Sheet #1 All applicants For sending out acceptance letters and other documents from University of Tsukuba or National Institute of Fitness and Sports in Kanoya
List of Application Documents All applicants
Address Sheet #2 All applicants Use this sheet for sending the application documents
Examination Fee (“Certificate of postal transfer payment” or “Receipt of examination fee” of JPY 30,000)
All applicants Attach to the specified column of the Application Form. Not required for government-sponsored foreign students
[Certificates and other documents to be prepared by applicants]
(Expected) Graduation Certificate All applicants
Degree Certificate
1. Applicants who have graduated from foreign universities
2. Applicants who would obtain a qualification for application from the National Institution for Academic Degrees and University Evaluation
Academic Transcript All applicants
Letter of Approval for Taking the Entrance Examination (Format of your choice, A4 size)
Applicants who currently attend a university or graduate school
Not required for students who will graduate or complete in March 2021
Applicants who currently work for a government agency, school, or company
Not required for part-time workers
Certificate of Government-Sponsored Foreign Student
Foreign applicants who meet the conditions
Reply Envelope (with a JPY 374 postage stamp attached)
All applicants
This will be used to send you admission ticket for examination
受付月日 ※
月 日 受 付 者 ※ 点 検 者 ※
※欄は記入しないでください。Please do not fill in the fields marked with ※.
受 験 番 号 ※
(Address Sheet #2)
速 達
3 0 5 8 5 7 4
Jap
an
Program
筑波大学
体育芸術エリア支援室
スポーツ国際開発学共同専攻
Note 1: Fill out the same information as in the Application Form.
Note 2: Attach this Address Sheet to a K2 size envelope and submit by mail or by hand.
書
留
速
達(
出
願
書
類
在
中)
御中
大学院教務
(Express Mail Service)
Address
茨城県つくば市天王台一 一 一
Name
Ex
pre
ss
Ma
il S
erv
ice (
Ap
pli
cati
on
Do
cu
me
nts
En
clo
se
d)
Japan:
Registered
Express Mail
Overseas:
Express Mail
(Address Sheet #2)
速 達
8 9 1 2 3 9 3
Note 1: Fill out the same information as in the Application Form.
Note 2: Attach this Address Sheet to a K2 size envelope and submit by mail or by hand.
教務課入試係
Program スポーツ国際開発学共同専攻
Name
Address
(Express Mail Service)
Jap
an
鹿屋体育大学
鹿児島県鹿屋市白水町一番地
書
留
速
達(
出
願
書
類
在
中)
御中
Ex
pre
ss
Ma
il S
erv
ice (
Ap
pli
cati
on
Do
cu
me
nts
En
clo
se
d)
Japan:
Registered
Express Mail
Overseas:
Express Mail
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