Application for Admission

International Student Scholarship

Sponsored by SHIMJEON FOUNDAION

(Photo)
(4X5cm)

(Please print or type clearly either in Korean or English)
I! "Application #ourse$
1. (Term of Proposed Enrollment)
(Year) 1(Spring) (!all)
. ("egree)# (K$P) (%&) ('&) !("octorate)
(. "#('a)or*"ept.)
II! "%ersonal Information$
1. $% &' ((+ame as it appears on passport)

First Last Middle
. )(,ender)# *('ale) $(!emale) (. $%+,(Passport +o.)#
4. -./0("ate of %irth)# * * 5. 1(+ationality)#
year month day
-. 23(./rrent mailing address)
number and name of street

city province country postal code
0. 45+,(1ome Telephone)# 222222222222222222222222 3. 6745(.ell Phone)#
country code-city code-number country code-city code-number
4. 89(!a5)# 16. E7mail#
counrty code-city code-number
11. :&;<(Emergency .ontact 8nformation)
"in &orea$# =>(+ame) ?@(9elationship)
23(&ddress)#
45+,(1ome Telephone)# 222222222222222222222222 6745(.ell Phone)#
89(!a5)# E7mail#
"Home #ountry$# =>(+ame) ?@(9elationship)
23(&ddress)#
45+,(1ome Telephone)# 222222222222222222222222 6745(.ell Phone)#
89(!a5)# E7mail#
III! "Educational Information$
A: B: CDEF GH IJ EF K . ($ist all the schools attended)
1

E((name of school*/ni;ersity) 3K"(location) L(dates attended) (degree*ma)or)

E((name of school*/ni;ersity) 3K"(location) L(dates attended) (degree*ma)or)

E((name of school*/ni;ersity) 3K"(location) L(dates attended) (degree*ma)or)

E((name of school*/ni;ersity) 3K"(location) L(dates attended) (degree*ma)or)

E((name of school*/ni;ersity) 3K"(location) L(dates attended) (degree*ma)or)
I'! "(an)ua)e %roficiency$
1. I(+ati;e $ang/age) #
. MNO(Korean Proficiency) E5cellent ,ood !air Poor T<P8K
(. MNO(English Proficiency) E5cellent ,ood !air Poor T<E!$ 8E$TS
'! "A)reement on %ri*acy %olicy$
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8 /nderstand that the personal information incl/ded in application doc/ment: passport: and grade report =ill >e collected:
/sed: and maintained >y Kangnam ?ni;ersity and Shim)eon !o/ndation for the p/rpose of ad;ising on st/dy at Kagnam
?ni;ersity and determining the stat/s of my credential as a scholarship st/dent.
'I! "Application A)reement $
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2
&s a grantee of the Kangnam ?ni;ersity 8nternational St/dent Scholarship sponsored >y Shim)eon !o/ndation: 8 pledge to
a>ide >y the follo=ing r/lesA
To refrain from ;iolation of /ni;ersity reg/lations: and to f/lfill my o>ligations as a st/dent to the >est of my
a>ility.
To o>ser;er the la=s of Korea: to >eha;e in a manner appropriate to the Korean c/lt/re and society: and not to
participate in any form of political acti;ity (s/ch as organiBing a political party: )oining a political party: attending
political meetings: p/>lishing political articles and declarations: organiBing or participating in demonstrations of
political nat/re: and so on).
To >e responsi>le for paying personal e5penses not co;ered >y the scholarship s/ch as costs for meals: te5t>ooCs:
and other li;ing e5penses.
To a>ide >y all terms and reg/lations set >y Kangnam ?ni;ersity and Shim)eon !o/ndation.
8f one (1) year of Korean lang/age ed/cation for admission to reg/lar co/rse does not meet the admission
reD/irements: all the costs incl/ding Korean lang/age co/rses and dormitory fees are >orne >y the st/dent /ntil
he*she meets the condition. <ther=ise st/dent ret/rning home =ith one (1) year Korean lang/age co/rse
certificate.
To eligi>le for grad/ation: /ndergrad/ate: grad/ate and doctorEs co/rse grantees m/st pass T<P8K 4 >efore the
e;al/ation period of a grad/ate7to7>e. 8f fails to achie;e T<P8K 4: all the costs are >orne >y the st/dent /ntil
he*she meets the condition.
+o additional f/nding reD/est shall >e asCed to Kangnam ?ni;ersity: Shim)eon !o/ndation and ?ni;ersity .h/rch
other than agreed scholarship >enefits d/ring scholarship period.
8f 8 am pro;ed to ha;e ;iolated any of the a>o;e articles: to ha;e made a false statement in my application doc/ments or to
ha;e failed to comply =ith academic standards or the r/les of Korean lang/age school and /ni;ersity: 8 shall accept the
decision of Kangnam ?ni;ersity and Shim)eon !o/ndation: e;en tho/gh it may incl/de the s/spension or re;ocation of the
scholarship and ret/rning home.
* *
((+ame) T((Signat/re) /0("ate#year*month*day)
3
Self78ntrod/ction
+ame
4
St/dy Plan
+ame
5