Corea: Becas De Maestria Y Doctorado Del Korea Institute Of Science And Technology (Kist) 2014 | Graduate School | Personally Identifiable Information


※ Program Year Applying Type Applying Campus Applying Advisor 1 ※ Personal Information Name Date of Birth Photo (3cm x 4cm) Contact E-mail Address Sex  TOEFL iBT  TOEFL PBT  TOEFL CBT  TOEIC  IELTS  TEPS  Male  Female Nationality Tel. (mm/dd/yyyy) Mobile  Marital Status  Single  Married (in the order printed on your passport) Passport No.. Applying Advisor 2 2014 Semester Special Spring ■Fall Program Type Major Applying Advisor 3  M.S.  Ph.D.  Integrative

English Proficiency Test


Date of Test


※ Academic Information Degree Bachelor Master Transfer (if any) ※ Work Experience Date employed Company       ※ Guardian Information Name Address  Date Applicant (Signature) ※Application No. (For official use only) Relationship Occupation Contact Department/Position     Others     Name of University Department/Major Dates Attended

Status graduated expected graduated expected graduated expected

Degree No.


Location (Country)



To the Applicant: Please complete ONLY the top portion of this form. Mail this form with a self-addressed stamped envelope to the person who will write your recommendation. Ask your recommender to enclose the form he/she has written on your behalf, seal the envelope, sign across the flap, and mail it to you. Enclose the sealed envelope with your completed application. Applicant’s Name : Last(family) First(given) Middle(if any) Desired program of study

(1) Campus : ______________________________ (2) Major : ______________________________ (3) Program : □ Master's I do not ( □ Ph.D. □ Integrative.

) / do ( ) waive my right to review the completed recommendation form. Date :

Applicant's Signature :

To the Recommender: Thank you for agreeing to write an evaluation on behalf of the individual named above. We value your frank and thoughtful assessment of the applicant. After filling out the form, please seal and sign the back flap of the envelope. Attach additional sheets if necessary. 1. How long have you known the applicant? How would you describe the candidate in a few sentences?

2. What do you consider to be the applicant's strengths or talents?

3. Do you expect that this candidate will return to his/her home country to contribute in a meaningful way following completion of studies at UST? Explain how and why.

4. How would you rate the applicant relative to others in your organization (school)?

Please give us your appraisal of the applicant in terms of the qualities listed below. Rate the applicant in comparison with others

applying for graduate school whom you have known or with top performing men and women in his or her professional peer group.
No Basis for Judgment A. Motivation for graduate work B. Intellectual ability for graduate work C. Breadth of general knowledge D. Understanding of major field E. Ablility to analyze ideas F. Ethical standard & integrity G. Oral English expression skills H. Written English expression skills I. Promise in research/scholarship/ creative J. Overall, I expect the applicant's graduate work to be □ □ □ □ □ □ □ □ □ □ Excellent □ □ □ □ □ □ □ □ □ □ Above average □ □ □ □ □ □ □ □ □ □ Average □ □ □ □ □ □ □ □ □ □ Below average □ □ □ □ □ □ □ □ □ □

Please complete the following information and write your preferred address for UST correspondence.

Respondent's signature


Telephone number

E-mail address

Type Name




Institution or affiliation


Signature of Recommender:



Applicant’s Name Campus Program pages if necessary. □ Master's

(in the order printed on your passport) Major □ Ph.D. □ Integrative

Describe your reasons for pursuing graduate study and your academic and professional interests and goals. Attach additional

I certify that the completed above statements I have written are true and current. Signature Date

Consent Form for Collection·Use·Provision of Personal Information

Consent Form for Collection․Use․Provision of Personal Information When University of Science and Technology(‘UST’) intends to collect and use or provide the personal information to the 3rd parties regarding management of student’s academic records, UST shall obtain my consent pursuant to the Article 15, Article 17, Article 23, Article 24 of 「Act on the Protection of Personal Data」. I hereby consent to collection, use and provision of personal information by UST so that the academic record can be utilized by the public institution or by UST as much as need for performing services related to academic affairs according to the terms and conditions hereunder.

1. Matter concerning Collection and Use of Personal Information

Purpose of collection and use

■ Analyze & examine status of academic record and deliver reply ■ Send e-mail and SMS regarding various academic affairs-related works ■ Others

■ Unique Personal Information Items of to be collected and used ‣Student No., name, picture, ID No., sex, date of entrance, date of graduation from university(graduate school)attended, name of university(graduate school) attended, major at university(graduate school) attended, nationality, campus, major, academic record status, date of academic record change, academic record changes, date of completion, date of graduation, degree No., address, phone No., mobile phone No., E-mail, bank, account No., account holder, height, weight, blood type, religion, hobby, speciality, etc.

Retention and use period

This consent form shall be effective from date of consent to collection and use of personal information and shall be retained and used for the purpose above. But, after the purpose above is fulfilled, this consent form shall be kept as much as required for addressing a civil complaint and meeting legal obligation with regard to the purpose stated above.

Whether or not to Consent I hereby agree to collection and use of my personal information by UST. to Collection Use

(Agree ☐ Disagree ☐)

You are not obliged to consent to collection and use of personal information. If you do not consent to Rights of Veto collection and use of personal information, you may experience disadvantages such as restricted access to and system and restricted information on academic affairs while attending school. the Disadvantages (Agree ☐ Disagree ☐)

2. Matter concerning Provision of Personal Information
■ When specially specified by other acts, pursuant to the Article 18.2.2 of 「Act on the Protection of Personal data」.

Sign up to vote on this title
UsefulNot useful