Date Submitted:

FIRST STEP FORM

THE INTERNATIONAL GRADUATE PROGRAM (IGP)
GRADUATE SCHOOL OF LIFE SCIENCE, HOKKAIDO UNIVERSITY
※Please click □ to put “✔” into the box.

Course: ☐Master’s Program ☐Doctoral Program

Desired enrollment: ☐April 20 ☐October 20

IMPORTANT NOTE:
Information on this application form could be shared in Hokkaido University only for the purpose of
admission screening.

1. Name (English)
first name middle name sur name

　 　 　

2. Nationality

3. Date of birth (dd/mm/yyyy)

4. Gender

5. Contact Information
Present address:
Phone:
E-mail:
6. Potential Supervisor/ Laboratory Name
Write down the name of faculty member and laboratory name that you want to be considered for admission.

7. Educational Background
Graduated/ Diploma/ Rank in

expected to Degree Final class

　 Institution, Country Major field
graduate awarded grades (rank/total

Month&Year Month&Year students)

Bachelor 　 　 　 　 　 　
 Master 　 　 　 　 　 　

Others 　 　 　 　 　 　

8. Employment Record (begin with the most recent employment)

Perild of employment
Organization, city, country Position Type of work
Month&Year

From
　 　 　
To

From
　 　 　
To

9. List of Publications and Graduation Thesis

Bachelor’s Thesis:
Master’s Thesis:
Publications:
10. Technical skills that you learned (Instrument operation, computer skills, etc.)

11. Conference Presentation of Papers that You Were a Speaker (Poster/Oral)

Write down all authors, presentation title, conference name, date, and location

12. TOEFL, IELTS, TOEIC or other standardized English Test Score.

Write down the score and the date test was taken.

13. Have you been awarded any scholarship, grant, award, or prize in the past? If yes, provide the
details.
Awarding Period Explain briefly about the
Scholarship, Grant, Award, Prize
organization/fund Month&Year scholarship, etc

From
　 　 　
To

From
　 　 　
To

14. How do you plan to support yourself during your study program? (multiple answers allowed)
☐ I have been awarded the following scholarship(s)/loan(s).
Name of the scholarship:
 ☐ I’ve applied for the following scholarship(s)/loan(s) and it’s under consideration now.
Name of the scholarship:

☐ I’m looking for scholarship(s)/loan(s) now.

☐ I will bare all the expenses by myself/have a support from a sponsor (even if not granted any scholarship)
Sponsor’s name/relationship:

Doctoral/Master’s Course of Graduate School of Life Science, Hokkaido University

Application Fee: 30,000 yen / Entrance Fee: 282,000 yen / Tuition: 535,800 yen per year

☐ Other (specify):

15. How did you hear about our program?

We would appreciate if you not only check an option, but also provide some details.

☐ Program website
☐ Met a professors or students from HU at international event etc.
☐ Was advised by supervisor at home university
☐ Saw a brochure/announcement at home university
☐ At study abroad/ study in Japan fair etc.
☐ Other
Details: