OFFICE OF INTERNATIONAL AFFAIRS

YEOJU INSTITUTEOF TECHNOLOGY

- Application of Exchange Student Program

Photo (3*4cm)

Please fill out the form either in Korean or English CLEARLY.

Name
(as shown in passport) Family name Given name

Name
(Korean Name you want to spoken and written)

Date of Birth / / Nationality

Month Day Year

Passport No.
Home Address

Current Address

Telephone Cell
Email Address
Emergency Contact

Academic Information
Home Institution(Full name in English)
Major
Academic Status □ Freshman □ Sophomore □ Junior □ Senior
High School Attended(Full name in English)
Date of Graduation Telephone
Address

Financial Sponsor Information

Name
(as shown in passport) Family name Given name

Relationship
Address
Telephone Cell

Enrollment Information
Proposed Department in YIT
Length of Exchange □ Spring semester □ Fall semester □ One year

Score
Korean Ability - TOPIK Score ________________________________________
English Ability –TOEIC, TOEFL, TEPS or IBT Score ______________________
University Score- GPA _________________

Self-Introduction
I certify that none of the information on this form is false or has been withheld.
Signature Date / /
Month Day Year

Study Plan
I certify that none of the information on this form is false or has been withheld.
Signature Date / /
Month Day Year