Application for Fall 2010 External Scholarships for APU Graduate Schools

(for overseas applicants only)

APU will allocate the appropriate scholarships to successful applicants who submit this form in addition to their
regular APU application documents. Applicants who are selected by APU will be recommended to the appropriate
scholarship organizations. Final decisions regarding scholarship awards will be made by the scholarship organizations.

Applicant Information
1. Full Name:

Last (Surname) First Middle

2. Chinese Characters (if applicable):

3. Gender: ☐ Male ☐ Female

4. Date of Birth: Year Month Date

5. Nationality: 6. Native Language:

7. Current Address:

City Country ZIP Code

(In Chinese characters, if applicable):

8. Phone: 9. Cell Phone: 10. Fax:

11. E-mail Address: @

Requirements and Restrictions

Please read the requirements for each scholarship and indicate your response for each. If no box is checked for a
scholarship, APU will not consider you for that scholarship.

Joint Japan/World Bank Graduate Scholarship Program (JJ/WBGSP)

(1) I am applying for one of APU’s ICP Programs.
(2) I am a citizen of a World Bank member country, and am not currently residing in a developed country for a
period longer than 1 year.
(3) I have at least 2 years work experience.
(4) I will be under 40 years of age as of April 1st 2010.
(5) I am not a staff member of the World Bank Group, and I understand that I will not be able to work for the World
Bank Group for 3 years after completion of my studies at APU under this scholarship.

I answer “yes” to all of the above. No, I do not qualify for the scholarship.

MEXT International Priority Graduate Placement Programs (PGP) & MEXT University Selection
(1) I am submitting my application prior to February 12th 2010.
(2) I am not a resident of Japan and will not be residing there prior to September 2010.
(3) I will be under 35 years of age as of April 1st 2010.

I answer “yes” to all of the above. No, I do not qualify for the scholarship.

ERIA/JENESYS Next Leaders Program Scholarship

(1) I am a citizen of an ASEAN member country.
(2) I will be under 35 years of age as of April 1st 2010.
(3) If selected for the scholarship, I will attend the orientation, internship, and reporting session in Indonesia.

I answer “yes” to all of the above. No, I do not qualify for the scholarship.

I certify that all information indicated above is correct.

Date:

Name:

Signature:
This form is to be submitted in
addition to the APU Graduate School
Application Form for 2010 Admission
and all supporting documents.