Professional Documents
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1-2014 GKS Graduate Program Guidelines (English-Korean)
1-2014 GKS Graduate Program Guidelines (English-Korean)
A@
(Transc
ripts)
&C
!`
!&
(onl.
terms
attended)
School
Mear
#
st
.ear (
nd
.ear 7
rd
.ear ;
th
.ear $
th
.ear bc
bd (GP/)
efd
(converted
score)
/100
Term # ( 7 # ( 7 # ( 7 # ( 7 # ( 7
Dachel1
or
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
3aster @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
gQ hi 6jkO
(5ccupation or
Fesearch 2areer)
! ]
(Period)
! " B
(Institution or
compan.)
g l
(Position)
mSQn
(5peration or Dut.)
-o 9pq o
r st
u
(Previous Cisits to
Korea)
! ]
(Period)
Y@
(Purpose of Sta.)
v
(2it. or
Fegion)
or st "w!"
(5rganiAation 2oncerned)
x y
(Previous Scholarship
/ards Feceived from
Korean institutions)
!"B
(Sponsor)
xz(/mount)
(*SP@.ear)
y!]
(Period)
( @ )
( @ )
E(....) F(mm) )(dd)
/pplicantQs Name + (signature)
& GP/(Grade Point /verage) must )e converted on a ma!imum scale of #-- points (converted points) & See /ttachment I%
& 0ill out )oth the records of Dachelor4s N 3aster4s in the case of those appl.ing for Doctoral programs
/ttachment I#
(6nl# for !pplicants +ho appl# for this program via a 'esignated (niversit#)
Korean Government Scholarship Program (KGSP) !pplication -orm for Graduate Stud#
&Please tic: (O ) a )o! that applies to .ou"
15
1 $%!" (Institute of =ecommendation)
L {\ (Korean *niversit.)
2 $% '( (5#pe of =ecommendation)
L )*$%(General)
& - ('egree 0ourse of !pplication)
L .- (3aster4s) L /- (Doctoral)
4 0123('esired -ield of Stud#)
L 4523 (Bumanities and Social Sciences)
L 623 (Natural Sciences and Technolog.)
L 7823 (/rts and Ph.sical Education)
% 9:6 ; (56PIK %< 1< =>) ? #
(6nl# for 56PIK 7evel % and 7evel 1 holders)
256PIK 7evel % and 1 holders must start their stud#ing from Sep 1. 2014)
L Sep #, (-#;
@ (Personal 'ata)
Please read the form carefully. All applicants must complete all sections only by typing.
AB
(0ull Name)
CD(Given name) + A(0amil. name) + L 3ale
L 0emale
L Single
L 3arried
(Photo 7&;)
& Name should )e spelled the same as in the passport and in English"
EF)
(Date of Dirth)
E(....) F(mm) )(dd) GC(/ge+ )
H
(2ountr.)
@
(2itiAenship)
IJ
(Passport)
(Num)er)
(Date of Issue) (Date of e!pir.)
6KL
(2ontact Information)
&onl. applicant4s on
/ddress+
Tel" ( ) E1mail+
MNO
(Information
concerning applicant4s
most recent education)
MNPQ(7)
(Name of previousl.
attended *niv")
RSH@TU
(2ountr.@2it.)
V
(/cademic Degree
recentl. aarded)
L Dachelor L 3aster
W
(/cademic 3a9or)
MNVX4Y
(Title of graduation
dissertation, if
availa)le)
:8O
(?anguage
Proficienc.)
Z:A@
(English Proficienc.)
T5E0? IE?TS
Score +
Korean ?anguage
Proficienc.
(onl. T5PIK)
?evel+ L# L( L7 L; L$ L,
Score+
Pu)lished papers, if
availa)le(one or to)
/ards, if availa)le
(one or to)
[\
(/ppl.ing *niversit.)
\B
(Name of *niv")
B
(0acult.)
-B
(Department)
W
(/cademic 3a9or)
16
O
(/cademic
2areer)
!]
(Period)
B
(Name of *niv")
RSH
(2ountr.)
W^_
(/cademic 3a9or)
=>V
(Diploma or
Degree)
<
A@
(Transc
ripts)
&C
!`
!&
(onl.
terms
attende
d)
School
Mear
#
st
.ear (
nd
.ear 7
rd
.ear ;
th
.ear $
th
.ear bc
bd (GP/)
efd
(converted
score)
/100
Term # ( 7 # ( 7 # ( 7 # ( 7 # ( 7
Dachel1
or
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
3aster @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
gQ hi 6jkO
(5ccupation or
Fesearch 2areer)
! ]
(Period)
! " B
(Institution or
compan.)
g l
(Position)
mSQn
(5peration or Dut.)
-o 9pq o
r st
u
(Previous Cisits to
Korea)
! ]
(Period)
Y@
(Purpose of Sta.)
v
(2it. or
Fegion)
or st "w!"
(5rganiAation 2oncerned)
x y
(Previous Scholarship
/ards Feceived from
Korean institutions)
!"B
(Sponsor)
xz(/mount)
(*SP@.ear)
y!]
(Period)
( @ )
( @ )
E(....) F(mm) )(dd)
/pplicantQs Name + (signature)
& GP/(Grade Point /verage) must )e converted on a ma!imum scale of #-- points (converted points) & See /ttachment "I%
& 0ill out )oth the records of Dachelor4s N 3aster4s in the case of those appl.ing for Doctoral programs
17
/ttachment I(
!|} (Self Introduction)
* Please type or print clearly within 1 page using blac in. (in !orean or in "nglish) (*10 points)
o Mour course of life, .our vie of life, stud. )ac:ground, .our hopes N ishes, etc
o Mour education and or: e!perience, etc", in relation to the KGSP program
o Mour motivations for appl.ing for this program
o Feason for stud. in Korea
18
/ttachment I7
Q2~ (Stud# Plan)
* Please type or print clearly within 1 page using blac in . (*10 points)
Goal of stud. N
Stud. Plan
o #oal of study$ title or sub%ect of research$ and detailed study plan
0uture Plan
after Stud.
o &uture plan in !orea or another country after study in !orea
19
/ttachment I;
7etter of =ecommendation
5o the applicant+ Please fill in .our name and the other re6uired information )elo" In turn, deliver or email this form to the person
ho ill rite this letter" /65E$ Fe6uest .our recommender to seal his or her letter of recommendation in an official envelope and
sign across the )ac: flap upon completion" Fecommendation letters that are not sealed and signed ill not )e accepted"
0onfidential
Name of /pplicant+ (given name) (famil. name)
Nationalit.+
Desired Degree Program+ L 3aster4s L Doctoral
Desired 3a9or+
5o the recommender+ The person named a)ove has applied for the RKorean Government Scholarship Program4" Ge as: for .our
assistance, and ould appreciate .our fran: and candid appraisal of the applicant"
* Please type or print clearly using black ink .
#" Bo long have .ou :non the applicant and in hat relationshipS
Please assess the applicantQs 6ualities in the evaluation ta)le given )elo" Fate the applicant compared to other classmates ho
are@ere in the same school .ear ith him@her"
2lassification
Trul.
E!ceptional
E!cellent Cer. Good Good Delo /verage
N@/
Top (E Top #-E Top ($E 3iddle $-E ?oer ($E
/cademic /chievement
0uture /cademic Potential
Integrit.
Fesponsi)ilit.@Independence
2reativit.@5riginalit.
2ommunication S:ills
Interpersonal s:ills
?eadership
(" Ghat do .ou consider to )e the applicant4s strengthsS
20
7" Ghat do .ou consider to )e the applicant4s ea:nessesS
;" Bo ell do .ou thin: the applicant has thought out plans for graduate stud.S
$" Please comment on the applicant4s performance record, potential, or personal 6ualities hich .ou )elieve ould )e helpful in
considering the applicant4s application for the proposed degree program"
Fecommender4s Name Date
Fecommender4s Signature
Position or Title+
*niversit. (Institution)+
/ddress+
(Aip1code+ 1 )
Tel+ 0a!+
Please return this form sealed in an official envelope and signed across the "ac, to the applicant Ce greatl# appreciate #our
timeliness regarding this letter for #our recommendee
21
/ttachment I$
DKorean Government Scholarship Program for Graduate Stud#E
Pledge ()
/s an applicant for the (-#; TKorean Government Scholarship Program (KGSP) for
Graduate Stud.U, I pledge to a)ide ). the folloing rules$
(#) To refrain from violation of universit. regulations and to fulfill m. o)ligations as a
KGSP scholar to the )est of m. a)ilit."
(() To )ehave in a manner appropriate to Korean culture and societ., and not to participate in
an. form of political activit. (such as organiAing a political part., 9oining a political part.,
attending political meetings, pu)lishing political articles and declarations, organiAing or
participating in demonstrations of a political nature, and so on)"
(7) To accept responsi)ilit. for pa.ing an. de)ts incurred in Korea
(;) To agree ith NIIEDQs decision concerning the graduate program and the Korean
language course
($) To a)ide ). all terms and regulations set ). NIIED"
(,) To permit NIIED to use m. personal information for the KGSP"
If I am proved to have violated an. of the a)ove or to have made a false statement in m.
application documents, I shall accept an. resolution or penalt. made ). NIIED, even hen it
ma.@might result in suspension, revocation or ithdraal of m. scholarship"
I as informed and full. understand that KGSP scholars are not permitted to transfer schools
for the entire duration of scholarship after confirming their host institution including Korean
language institution"
(....)" (mm)" (dd)"
/pplicant4s Name + (signature)
22
/ttachment I,
PE=S6/!7 >E'I0!7 !SSESS>E/5
/pplicants are not re6uired to undergo an authoriAed medical e!am )efore passing the (
nd
Selection ith NIIED8 hoever, all
successful candidates must ta:e a comprehensive medical e!am hen its4 orientation (including an BIC and TDPE drug test&&, etc)
in accordance ith the re6uirements of the Korea Immigration Service and the KGSP" If the results sho that the applicant is unfit to
stud. and live overseas more than 7 .ears, he@she ma. )e dis6ualified"
&&The TDPE (tetra)romophenolphthalein eth.l ester) drug tests are for evaluating past usage of stimulant drugs"
Gender+ FEIGF5 cm CEIGF5 :g
1 Ghen and for hat reason did .ou last consult a ph.sicianS
(Please e!plain in the ad9acent space")
V*ESTI5N MES N5 I0 MES, P?E/SE EWP?/IN
Bave .ou ever had an infectious disease that posed a ris: to
pu)lic health (such as, )ut not limited to, tu)erculosis, FIG
and other S5's)S
#" allergiesS
(" high )lood pressureS
7" dia)etesS
;" an. t.pe of BepatitisS
Bave .ou ever suffered from or )een treated for depression,
an!iet., or an. other mental or mood disorderS (If .ou have
received treatment, please e!plain and attach an official
medical report")
Bave .ou ever )een addicted to alcoholS
Bave .ou ever a)used an. narcotic, stimulant, hallucinogen or
other su)stance (hether legal or prohi)ited)S
If necessar., are .ou prepared to undergo ph.sical tests to
verif. the ansers given in response to 6uestions and
a)oveS
Bave .ou )een hospitaliAed in the last to (() .earsS
Bave .ou had an. serious in9ur., ailment or sic:ness in the last
five ($) .earsS
Do .ou have an. visual or hearing impairmentsS
Do .ou have an. ph.sical disa)ilitiesS
Do .ou have an. cognitive@mental disa)ilitiesS
/re .ou ta:ing an. prescri)ed medicationS
/re .ou on a special dietS
5n average, ho man. standard servings of alcohol do .ou consume each ee:S
/ttachment I%
23
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/ttachment I=
0ontact Information of the 1
st
Selection Institutions
Korean Em"assies (or 0onsulates)
24
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#" Personal data (/ttachment I#) \ \
(" !|} Self Introduction (/ttachment I() \ \
7" Q2~ Stud. Plan (/ttachment I7) \ \
;" $% ?etter of Fecommendation(#) (/ttachment I;) \ \
$" Pledge (/ttachment I$) \ \
," H PEFS5N/? 3EDI2/? /SSESS3ENT(/ttachment I,) \ \
%" V(7)B Diploma or certificate of graduation from undergraduate institution \ \
=" -A@B 5fficial Transcript from undergraduate institution \ \
'" .V(7)B Diploma or certificate of graduation from graduate institution 1 \
#-" .-A@B 5fficial Transcript from graduate institution 1 \
##" 9:8OB(RS`) 2ertificate of Korean ?anguage
(5riginal cop. of T5PIK), if applica)le
#(" Z:8OB(RS`) 2ertificate of English ?anguage
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#7" kX4(RS`) Pu)lished papers, if applica)le
#;" u@(RS`) /ards, if applica)le
#$" IJ 2op. of passport \ \
#," @ "w # 2ertificate of citiAenship of applicant and Bis@Ber Parents, Dirth
certificate, Passport, 2ertificate of nationalit. e!patriation etc"
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41
1% ,h $ J` =K
(0hec, 7ist for !pplication 'ocuments)
!" (Institute of !pplication) $
#(0onfirmer) $ (Signature)
#) Name of /pplicant+ (given@first name) (famil.@last name)
() 2ountr. +
7) Desired Degree Program + L 3aster4s L Doctoral
42
FEGISTF/TI5N N*3DEF
&Do not rite in this area"
(2Please tic, (A) in the appropriate "o4)
!pplication 'ocuments Su"mission(B8/)
2hec: ?ist Mes No
#" Personal Data (/ttachment I#)
(" Self Introduction (/ttachment I()
7" Stud. Plan (/ttachment I7)
;" ?etter of Fecommendation (/ttachment I;)
$" Pledge (/ttachment I$)
," PEFS5N/? 3EDI2/? /SSESS3ENT (/ttachment I,)
%" Diploma or certificate of graduation from undergraduate institution
=" 5fficial transcripts N student records from undergraduate institution
'" Diploma or certificate of graduation from graduate institution
#-" 5fficial transcripts N student records from graduate institution
##" 2ertificate of Korean ?anguage Proficienc. (original cop. of T5PIK), if applica)le
#(" 2ertificate of T5E0? or IE?TS Score (original cop.), if applica)le
#7" Pu)lished papers, if applica)le
#;" /ards, if applica)le
#$" 2op. of passport
#," 2ertificate of citiAenship of applicant and his@her parents+ )irth certificate,
passport, 2ertificate of nationalit. e!patriation, etc"
#%" /doption documents (&onl. for overseas Korean adoptees)
/ttachment I#
( )
(6nl# for !pplicants (including Korean adoptees) +ho appl# for this program via an Em"ass# of Korea)
Korean Government Scholarship Program (KGSP) !pplication -orm for Graduate Stud#
&Please tic: (O ) a )o! that applies to .ou"
& $%!" (Institute of =ecommendation)
L &" (Em)ass.)
& $% '( (5#pe of =ecommendation)
43
L )*$%(General) L +,(Korean /doptee)
& - ('egree 0ourse of !pplication)
L .- (3aster4s) L /- (Doctoral)
4 0123('esired -ield of Stud#)
L 4523 (Bumanities and Social Sciences)
L 623 (Natural Sciences and Technolog.)
L 7823 (/rts and Ph.sical Education)
% 9:6 ; (56PIK %< 1< =>) ? #
(6nl# for 56PIK 7evel % and 7evel 1 holders)
256PIK 7evel % and 1 holders must start their stud#ing from Sep 1. 2014)
L Sep #, (-#;
@ (Personal 'ata)
Please read the form carefully. All applicants must complete all sections only by typing.
AB
(0ull Name)
CD(Given name) + A(0amil. name) + L 3ale
L 0emale
L Single
L 3arried
(Photo 7&;)
& Name should )e spelled the same as in the passport and in English"
EF)
(Date of Dirth)
E(....) F(mm) )(dd) GC(/ge+ )
H
(2ountr.)
@
(2itiAenship)
IJ
(Passport)
(Num)er)
(Date of Issue) (Date of e!pir.)
6KL
(2ontact Information)
&onl. applicant4s on
/ddress+
Tel" ( ) E1mail+
MNO
(Information
concerning applicant4s
most recent education)
MNPQ(7)
(Name of previousl.
attended *niv")
RSH@TU
(2ountr.@2it.)
V
(/cademic Degree
recentl. aarded)
L Dachelor L 3aster
W
(/cademic 3a9or)
MNVX4Y
(Title of graduation
dissertation, if
availa)le)
:8O
(?anguage
Proficienc.)
Z:A@
(English Proficienc.)
T5E0? IE?TS
Score +
Korean ?anguage
Proficienc.
(onl. T5PIK)
?evel+ L# L( L7 L; L$ L,
Score+
Pu)lished papers, if
availa)le(one or to)
/ards, if availa)le
(one or to)
[\
(/ppl.ing *niversit.)
\B
(Name of *niv")
B
(0acult.)
-B
(Department)
W
(/cademic 3a9or)
*niversit. #
*niversit. (
*niversit. 7
44
O
(/cademic
2areer)
!]
(Period)
B
(Name of *niv")
RSH
(2ountr.)
W^_
(/cademic 3a9or)
=>V
(Diploma or
Degree)
<
A@
(Transc
ripts)
&C
!`
!&
(onl.
terms
attended)
School
Mear
#
st
.ear (
nd
.ear 7
rd
.ear ;
th
.ear $
th
.ear bc
bd (GP/)
efd
(converted
score)
/100
Term # ( 7 # ( 7 # ( 7 # ( 7 # ( 7
Dachel1
or
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
3aster @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
gQ hi 6jkO
(5ccupation or
Fesearch 2areer)
! ]
(Period)
! " B
(Institution or
compan.)
g l
(Position)
mSQn
(5peration or Dut.)
-o 9pq o
r st
u
(Previous Cisits to
Korea)
! ]
(Period)
Y@
(Purpose of Sta.)
v
(2it. or
Fegion)
or st "w!"
(5rganiAation 2oncerned)
x y
(Previous Scholarship
/ards Feceived from
Korean institutions)
!"B
(Sponsor)
xz(/mount)
(*SP@.ear)
y!]
(Period)
( @ )
( @ )
E(....) F(mm) )(dd)
/pplicantQs Name + (signature)
& GP/(Grade Point /verage) must )e converted on a ma!imum scale of #-- points (converted points) & See /ttachment I%
& 0ill out )oth the records of Dachelor4s N 3aster4s in the case of those appl.ing for Doctoral programs
/ttachment I#
(6nl# for !pplicants +ho appl# for this program via a 'esignated (niversit#)
Korean Government Scholarship Program (KGSP) !pplication -orm for Graduate Stud#
&Please tic: (O ) a )o! that applies to .ou"
1 $%!" (Institute of =ecommendation)
L {\ (Korean *niversit.)
4 $% '( (5#pe of =ecommendation)
L )*$%(General)
45
& - ('egree 0ourse of !pplication)
L .- (3aster4s) L /- (Doctoral)
4 0123('esired -ield of Stud#)
L 4523 (Bumanities and Social Sciences)
L 623 (Natural Sciences and Technolog.)
L 7823 (/rts and Ph.sical Education)
% 9:6 ; (56PIK %< 1< =>) ? #
(6nl# for 56PIK 7evel % and 7evel 1 holders)
256PIK 7evel % and 1 holders must start their stud#ing from Sep 1. 2014)
L Sep #, (-#;
@ (Personal 'ata)
Please read the form carefully. All applicants must complete all sections only by typing.
AB
(0ull Name)
CD(Given name) + A(0amil. name) + L 3ale
L 0emale
L Single
L 3arried
(Photo 7&;)
& Name should )e spelled the same as in the passport and in English"
EF)
(Date of Dirth)
E(....) F(mm) )(dd) GC(/ge+ )
H
(2ountr.)
@
(2itiAenship)
IJ
(Passport)
(Num)er)
(Date of Issue) (Date of e!pir.)
6KL
(2ontact Information)
&onl. applicant4s on
/ddress+
Tel" ( ) E1mail+
MNO
(Information
concerning applicant4s
most recent education)
MNPQ(7)
(Name of previousl.
attended *niv")
RSH@TU
(2ountr.@2it.)
V
(/cademic Degree
recentl. aarded)
L Dachelor L 3aster
W
(/cademic 3a9or)
MNVX4Y
(Title of graduation
dissertation, if
availa)le)
:8O
(?anguage
Proficienc.)
Z:A@
(English Proficienc.)
T5E0? IE?TS
Score +
Korean ?anguage
Proficienc.
(onl. T5PIK)
?evel+ L# L( L7 L; L$ L,
Score+
Pu)lished papers, if
availa)le(one or to)
/ards, if availa)le
(one or to)
[\
(/ppl.ing *niversit.)
\B
(Name of *niv")
B
(0acult.)
-B
(Department)
W
(/cademic 3a9or)
O
(/cademic
2areer)
!]
(Period)
B
(Name of *niv")
RSH
(2ountr.)
W^_
(/cademic 3a9or)
=>V
(Diploma or
Degree)
46
<
A@
(Transc
ripts)
&C
!`
!&
(onl.
terms
attended)
School
Mear
#
st
.ear (
nd
.ear 7
rd
.ear ;
th
.ear $
th
.ear bc
bd (GP/)
efd
(converted
score)
/100
Term # ( 7 # ( 7 # ( 7 # ( 7 # ( 7
Dachel1
or
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
3aster @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
gQ hi 6jkO
(5ccupation or
Fesearch 2areer)
! ]
(Period)
! " B
(Institution or
compan.)
g l
(Position)
mSQn
(5peration or Dut.)
-o 9pq o
r st
u
(Previous Cisits to
Korea)
! ]
(Period)
Y@
(Purpose of Sta.)
v
(2it. or
Fegion)
or st "w!"
(5rganiAation 2oncerned)
x y
(Previous Scholarship
/ards Feceived from
Korean institutions)
!"B
(Sponsor)
xz(/mount)
(*SP@.ear)
y!]
(Period)
( @ )
( @ )
E(....) F(mm) )(dd)
/pplicantQs Name + (signature)
& GP/(Grade Point /verage) must )e converted on a ma!imum scale of #-- points (converted points) & See /ttachment "I%
& 0ill out )oth the records of Dachelor4s N 3aster4s in the case of those appl.ing for Doctoral programs
47
/ttachment I(
!|} (Self Introduction)
* Please type or print clearly within 1 page using blac in. (in !orean or in "nglish) (*10 points)
o Mour course of life, .our vie of life, stud. )ac:ground, .our hopes N ishes, etc
o Mour education and or: e!perience, etc", in relation to the KGSP program
o Mour motivations for appl.ing for this program
o Feason for stud. in Korea
48
/ttachment I7
Q2~ (Stud# Plan)
* Please type or print clearly within 1 page using blac in . (*10 points)
Goal of stud. N
Stud. Plan
o #oal of study$ title or sub%ect of research$ and detailed study plan
0uture Plan
after Stud.
o &uture plan in !orea or another country after study in !orea
49
/ttachment I;
7etter of =ecommendation
5o the applicant+ Please fill in .our name and the other re6uired information )elo" In turn, deliver or email this form to the person
ho ill rite this letter" /65E$ Fe6uest .our recommender to seal his or her letter of recommendation in an official envelope and
sign across the )ac: flap upon completion" Fecommendation letters that are not sealed and signed ill not )e accepted"
0onfidential
Name of /pplicant+ (given name) (famil. name)
Nationalit.+
Desired Degree Program+ L 3aster4s L Doctoral
Desired 3a9or+
5o the recommender+ The person named a)ove has applied for the RKorean Government Scholarship Program4" Ge as: for .our
assistance, and ould appreciate .our fran: and candid appraisal of the applicant"
* Please type or print clearly using black ink .
#" Bo long have .ou :non the applicant and in hat relationshipS
Please assess the applicantQs 6ualities in the evaluation ta)le given )elo" Fate the applicant compared to other classmates ho
are@ere in the same school .ear ith him@her"
2lassification
Trul.
E!ceptional
E!cellent Cer. Good Good Delo /verage
N@/
Top (E Top #-E Top ($E 3iddle $-E ?oer ($E
/cademic /chievement
0uture /cademic Potential
Integrit.
Fesponsi)ilit.@Independence
2reativit.@5riginalit.
2ommunication S:ills
Interpersonal s:ills
?eadership
(" Ghat do .ou consider to )e the applicant4s strengthsS
50
7" Ghat do .ou consider to )e the applicant4s ea:nessesS
;" Bo ell do .ou thin: the applicant has thought out plans for graduate stud.S
$" Please comment on the applicant4s performance record, potential, or personal 6ualities hich .ou )elieve ould )e helpful in
considering the applicant4s application for the proposed degree program"
Fecommender4s Name Date
Fecommender4s Signature
Position or Title+
*niversit. (Institution)+
/ddress+
(Aip1code+ 1 )
Tel+ 0a!+
Please return this form sealed in an official envelope and signed across the "ac, to the applicant Ce greatl# appreciate #our
timeliness regarding this letter for #our recommendee
51
/ttachment I$
DKorean Government Scholarship Program for Graduate Stud#E
Pledge ()
/s an applicant for the (-#; TKorean Government Scholarship Program (KGSP) for
Graduate Stud.U, I pledge to a)ide ). the folloing rules$
(#) To refrain from violation of universit. regulations and to fulfill m. o)ligations as a
KGSP scholar to the )est of m. a)ilit."
(() To )ehave in a manner appropriate to Korean culture and societ., and not to participate in
an. form of political activit. (such as organiAing a political part., 9oining a political part.,
attending political meetings, pu)lishing political articles and declarations, organiAing or
participating in demonstrations of a political nature, and so on)"
(7) To accept responsi)ilit. for pa.ing an. de)ts incurred in Korea
(;) To agree ith NIIEDQs decision concerning the graduate program and the Korean
language course
($) To a)ide ). all terms and regulations set ). NIIED"
(,) To permit NIIED to use m. personal information for the KGSP"
If I am proved to have violated an. of the a)ove or to have made a false statement in m.
application documents, I shall accept an. resolution or penalt. made ). NIIED, even hen it
ma.@might result in suspension, revocation or ithdraal of m. scholarship"
I as informed and full. understand that KGSP scholars are not permitted to transfer schools
for the entire duration of scholarship after confirming their host institution including Korean
language institution"
(....)" (mm)" (dd)"
/pplicant4s Name + (signature)
52
/ttachment I,
PE=S6/!7 >E'I0!7 !SSESS>E/5
/pplicants are not re6uired to undergo an authoriAed medical e!am )efore passing the (
nd
Selection ith NIIED8 hoever, all
successful candidates must ta:e a comprehensive medical e!am hen its4 orientation (including an BIC and TDPE drug test&&, etc)
in accordance ith the re6uirements of the Korea Immigration Service and the KGSP" If the results sho that the applicant is unfit to
stud. and live overseas more than 7 .ears, he@she ma. )e dis6ualified"
&&The TDPE (tetra)romophenolphthalein eth.l ester) drug tests are for evaluating past usage of stimulant drugs"
Gender+ FEIGF5 cm CEIGF5 :g
2 Ghen and for hat reason did .ou last consult a ph.sicianS
(Please e!plain in the ad9acent space")
V*ESTI5N MES N5 I0 MES, P?E/SE EWP?/IN
Bave .ou ever had an infectious disease that posed a ris: to
pu)lic health (such as, )ut not limited to, tu)erculosis, FIG
and other S5's)S
#" allergiesS
(" high )lood pressureS
7" dia)etesS
;" an. t.pe of BepatitisS
Bave .ou ever suffered from or )een treated for depression,
an!iet., or an. other mental or mood disorderS (If .ou have
received treatment, please e!plain and attach an official
medical report")
Bave .ou ever )een addicted to alcoholS
Bave .ou ever a)used an. narcotic, stimulant, hallucinogen or
other su)stance (hether legal or prohi)ited)S
If necessar., are .ou prepared to undergo ph.sical tests to
verif. the ansers given in response to 6uestions and
a)oveS
Bave .ou )een hospitaliAed in the last to (() .earsS
Bave .ou had an. serious in9ur., ailment or sic:ness in the last
five ($) .earsS
Do .ou have an. visual or hearing impairmentsS
Do .ou have an. ph.sical disa)ilitiesS
Do .ou have an. cognitive@mental disa)ilitiesS
/re .ou ta:ing an. prescri)ed medicationS
/re .ou on a special dietS
5n average, ho man. standard servings of alcohol do .ou consume each ee:S
/ttachment I%
53
GP! 0onversion 5a"le
40 Scale 4& Scale 4% Scale %0 Scale 100 Points Scale
7"'% < ;"- ;"(, < ;"7 ;";, < ;"$ ;"'$ < $"-- #--
7"'( < 7"', ;"(( < ;"($ ;";# < ;";$ ;"'- < ;"'; ''
7"== < 7"'# ;"#% < ;"(# ;"7, < ;";- ;"=; < ;"=' '=
7"=; < 7"=% ;"#( < ;"#, ;"7# < ;"7$ ;"%' < ;"=7 '%
7"=- < 7"=7 ;"-= < ;"## ;"(, < ;"7- ;"%7 < ;"%= ',
7"%$ < 7"%' ;"-7 < ;"-% ;"(# < ;"($ ;",= < ;"%( '$
7"%# < 7"%; 7"'= < ;"-( ;"#, < ;"(- ;",( < ;",% ';
7",% < 7"%- 7"'7 < 7"'% ;"## < ;"#$ ;"$% < ;",# '7
7",( < 7",, 7"=' < 7"'( ;"-, < ;"#- ;"$# < ;"$, '(
7"$= < 7",# 7"=; < 7"== ;"-# < ;"-$ ;";$ < ;"$- '#
7";' < 7"$% 7"%$ < 7"=7 7"'# < ;"-- ;"7; < ;";; '-
7";# < 7";= 7",$ < 7"%; 7"=# < 7"'- ;"(7 < ;"77 ='
7"7( < 7";- 7"$, < 7",; 7"%# < 7"=- ;"#( < ;"(( ==
7"(; < 7"7# 7";, < 7"$$ 7",# < 7"%- ;"-# < ;"## =%
7"#$ < 7"(7 7"7% < 7";$ 7"$# < 7",- 7"'- < ;"-- =,
7"-% < 7"#; 7"(% < 7"7, 7";# < 7"$- 7"%' < 7"=' =$
("'= < 7"-, 7"#= < 7"(, 7"7# < 7";- 7",= < 7"%= =;
("'- < ("'% 7"-' < 7"#% 7"(# < 7"7- 7"$% < 7",% =7
("=# < ("=' ("'' < 7"-= 7"## < 7"(- 7";$ < 7"$, =(
("%( < ("=- ("'- < ("'= 7"-# < 7"#- 7"7; < 7";; =#
(",; < ("%# ("=- < ("=' ("'# < 7"-- 7"(7 < 7"77 =-
/ttachment I=
0ontact Information of the 1
st
Selection Institutions
Korean Em"assies (or 0onsulates)
54
/o 0ountr# 5E7 -!H Email
55
# /fghanistan '71(-1(#-1(;=# '71(-1(#-1(%($ :a)ulKmofa"go":r
( /lgeria (#7 (-)(# $; ,$ $$ (#7 (-)(# $; ,$ %- :oemalKmofa"go":r
7
/ngola
XNami)iaY
(>(;;) ((( --, -,%<= (>(;;) ((( --, -,, :orem)ass.ZangolaKmofa"go":r
; /rgentina
($;1##) ;=-(1
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($;1##) ;=-71,''7 argentinaKmofa"go":r
$ /ustralia (,# () ,(%-1;#-- (,# () ,(%71;=7' australiaKmofat"go":r
,
/ustria
XSloveniaY
(;71#) ;%=1#''# (;71#) ;%=1#-#7 mailK:oreaem)"at
%
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