2019 ASEAN-Korea Youth Network Workshop

What is a Sustainable Smart City?:

Molding the Young Pioneers of Smart & Innovative Urban Solutions
8-18 July 2019 | Korea and Singapore

APPLICATION FORM

REMINDER: Please note that the application form must be typed or clearly written in English.
A. Personal Information
Nationality
Last Name (As indicated in your Full Given Name (As indicated in your
(In English) passport) (In English) passport)
Date of Birth Male Female
Gender
(dd-mm-yyyy)
Current
Address
주민등록증/Alien
E-mail
Registration Card No.
Mobile No. I will stay in Korea
(E.g. +country until*:
code-00-0000- *For ASEAN Students
0000) based in Korea Only

Student Type Language Undergraduate Master’s Doctoral

Language School:
Language City, Country:
(어학당) Level:
Expected Month and Year of Graduation:
University:
City, Country:
Undergraduate Major:
Expected Month and Year of Graduation*:
Educational *For master’s and doctoral degree students, kindly write your actual year
of graduation.
Background
University:
City, Country:
Master’s Major:
Expected Month and Year of Graduation*:
*For doctoral degree students, kindly write your actual year of graduation.
University:
City, County:
Doctoral
Major:
Expected Month and Year of Graduation:
 English □ Fluent □ Advanced □ Intermediate □ Basic
___________ □ Fluent □ Advanced □ Intermediate □ Basic
Language
___________ □ Fluent □ Advanced □ Intermediate □ Basic
Proficiency
___________ □ Fluent □ Advanced □ Intermediate □ Basic
___________ □ Fluent □ Advanced □ Intermediate □ Basic
Relevant 1)
Experiences 2)
(date/title)
3)
Areas of
(Culture/ Sports/ Environment/Sciences)
Interest
Skills (blogging/ video-making/ traditional dance)

B. Application Questions
1. Please introduce yourself. (Max. 300 words)
 2. Please describe what motivated you to apply for this program and
what you think other participants will learn from you during the program. (Max. 500 words)

I hereby declare that all information provided herein is true and correct.

Date: Name: (signature)