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Application Form (ENG)

This document is an application form for Korean language education programs at a university in Korea. The form requests personal details like name, date of birth, contact information, passport and visa details. It also asks for academic background, Korean language proficiency, previous Korean study experience, health status, and a self-introduction. Applicants must sign and send the completed form along with other required documents to the address provided.

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Stefanny Yovanka
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1K views2 pages

Application Form (ENG)

This document is an application form for Korean language education programs at a university in Korea. The form requests personal details like name, date of birth, contact information, passport and visa details. It also asks for academic background, Korean language proficiency, previous Korean study experience, health status, and a self-introduction. Applicants must sign and send the completed form along with other required documents to the address provided.

Uploaded by

Stefanny Yovanka
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Please type the information instead of handwriting.

Application Form 3x4 size


(Korean Language Education: Regular/Short-term Program)
ID photo
1. Program Details
□ Winter Term (December to February) □ Spring Term (March to May)
Regular
□ Summer Term (June to August) □ Fall Term (September to November)
Program
* Check notices on the website to apply for on- campus dormitory accommodations.
□ Winter Short-term Intensive Program (□ Dormitory)
□ Spring Short-term Intensive Program
Intensive □ Summer Short-term Intensive Program 1 (□ Dormitory)
Program □ Summer Short-term Intensive Program 2 (□ Dormitory)
□ Fall Short-term Intensive Program
□ Youth Summer School (□ Dormitory)

2. Personal Details
(English name as recorded in passport)　
Name Korean Name 　
(YYMMDD)　
Date of Birth Nationality 　 Gender □M □F
Passport No. 　 ARC No. 　
E-mail 　 Occupation 　
(Korea) (Home Country)　
Contact No.1 Contact No.2
Address in Korea 　
Home Address 　

3. Academic Background (most recently attended institutions)


Name of School Major City/Country From To (Expected)
Middle School 　 　 　 　 　
/High School
/College　 　 　 　 　 　
　 　 　 　 　

4. Korean Proficiency □ NONE □ DOABLE (□ Beginner □ Intermediate □ Advanced)

5. Previous Korean Language Study


Name of Institution Study Period Fluency Textbook Used Remarks
　 　 　 　 　
　 　 　 　
6. Visa Status
Are you applying for a certificate of Why are you applying for a certificate
Type of Visa Expiration Date
school enrollment? of school enrollment?
　 　 □ YES □ NO 　
Emergency Name in Full 　 Relation to the applicant 　
Contact Details Address 　 Contact no. 　

7. How did you learn about our program?


□ Internet □ Acquaintance □ Institution/School
□ Study Abroad Fair □ Study Abroad Agency □ The Program Booklet
□ The Program Website □ Newspaper and Broadcasting □ Other ( )

8. Health Status
Health Status □ Good □ Average □ Poor
Name of disease and other details 　

9. Self-Introduction (Please write an objective and plan for studying Korean. Write in Korean if possible)

I hereby certify that the above information and relevant documentation submitted are true and
accurate.
Date: 20 . . .
Signature:
Please send this form together with other required documents to bellow address.

[02811] Korean Language Center, #301 Korean Education Center, Korea University, 41, Bugaksan-ro 27-gil,
Seongbuk-gu, Seoul, Republic of Korea
[02811] 서울특별시 성북구 북악산로 27 길 41 한국어교육관 301 호 한국어센터
Contacts: (82-2)3290-2971 (English), 2972 (Chinese), 2973 (Japanese) Fax: (82-2)921-5034
Email: korklcc@gmail.com Official Website: klcc.korea.ac.kr

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