Master's Program Graduate Admissions 2021 Joint …...Curriculum Vitae Expected Date of Graduation...

Research

Institute

Code

F

※Note: Foreign students must acquire the residence status of "Student" before

3

Joint Master’s Program in International Development

and Peace through Sport

National

Year and Month

of (Expected)

Graduation

Oth

er

Exa

m

Su

bje

cts

Year

※Year and Month

of (Expected)

Completion

13

Research

Student/

Others

2

Date of Birth / Age

[ Phone: 　　　　（　　　　　　）　　　　　　 ]

(Country name

for foreigners)

Month

1

English

Domicile

Code

Program Name

Professional

(except part-

time)

Research Field (Supervisor's Name)

Sex

Private

Other

Written

ExaminationOral examination

4

5

Graduate

School

4

Foreign

<Attachment>

Attach the "Receipt of examination fee" or "Certificate of postal transfer payment" here.

Secure with glue.

　　

Public

ProgramOther

Foreign

3

2

Applicable Eligibility

※ the enrollment procedure.

If you have completed (or are attending) a graduate school, write the name in the "Curriculum Vitae."

Month

4

University

(Graduate School)

1

Com

ple

ted

5

Year

Oth

er

1University

※

Expect to

Co

mp

lete

551

Gra

duate

d

Expect to

Gra

duate

National

Public 2School/

Faculty

School/

Department

Relation-

shipName

　　　　　　　　[ Phone: 　　　 ( 　　　　　　) 　　　　　　]　　[ Cell Phone: 　　　 ( 　　　　　　)　　　　　　　 ]

(　　　　　　　　　　　　　　　　　)　　

2

Private

Reference

(Inside

Japan)

3

1

Elig

ibili

ty

2Privately

Funded

Foreign Student

Status at the

Time of

Application

Entrance in FallCooperative

Graduate

※

Permanent

Domicile

Application

Method (2)(1)

Application

Method (1)

General

Admission

Government

Sponsored

1Working

Individuals

Status at

the Time of

Application

2Student

M

2

Year Month Date Age

Fill in or circle the following items. (See the Guidelines for Completing the

Application Form.) Please do not fill in the fields marked with ※.

※Examinee

Number

4

Master's Program

　　　Graduate Admissions 2021

Joint Master’s Program in International Development and Peace through Sport

(University of Tsukuba, National Institute of Fitness and Sports in Kanoya)

Address

フリガナ

Name

Current

Address

　　　　　　　　　[ E-mail Address: 　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　]

Guidelines for Completing the Application Form 1. Enter your name, date of birth, and gender correctly in the application form. This information will be used as

your identification. 2. Please do not fill in the fields marked with ※. 3. Enter your permanent domicile in the “Permanent Domicile” field and permanent domicile code in the

“Domicile Code” field with reference to the table below. If you are a foreign national, enter the name of your country in the “Permanent Domicile” field.

[Domicile Code]

4. In the “Reference” field, enter the information of a person who lives in Japan and can contact the applicant.

If you are a foreign student granted the Japanese government Monbukagakusho (MEXT) Scholarship, provide a name other than “Monbukagakusho.”

5. Specify your desired research field and supervisor’s name in the “Research Field (Supervisor’s Name)” field as shown in the “List of Research Fields.”

6. Enter the name of the school you completed or graduated from in the “Eligibility” field according to the corresponding eligibility.

7. Notify us promptly if there is any change in your contact information after submitting the application form.

北海道 Hokkaido

01 埼玉県 Saitama

11 岐阜県 Gifu

21 鳥取県 Tottori

31 佐賀県 Saga

41

青森県 Aomori

02 千葉県 Chiba

12 静岡県 Shizuoka

22 島根県 Shimane

32 長崎県 Nagasaki

42

岩手県 Iwate

03 東京都 Tokyo

13 愛知県 Aichi

23 岡山県 Okayama

33 熊本県 Kumamoto

43

宮城県 Miyagi

04 神奈川県 Kanagawa

14 三重県 Mie

24 広島県 Hiroshima

34 大分県 Oita

44

秋田県 Akita

05 新潟県 Niigata

15 滋賀県 Shiga

25 山口県 Yamaguchi

35 宮崎県 Miyazaki

45

山形県 Yamagata

06 富山県 Toyama

16 京都府 Kyoto

26 徳島県 Tokushima

36 鹿児島県 Kagoshima

46

福島県 Fukushima

07 石川県 Ishikawa

17 大阪府 Osaka

27 香川県 Kagawa

37 沖縄県 Okinawa

47

茨城県 Ibaraki

08 福井県 Fukui

18 兵庫県 Hyogo

28 愛媛県 Ehime

38

栃木県 Tochigi

09 山梨県 Yamanashi

19 奈良県 Nara

29 高知県 Kochi

39

群馬県 Gunma

10 長野県 Nagano

20 和歌山県 Wakayama

30 福岡県 Fukuoka

40

Y M

Y M

Y M

Y M

Y M

Y M

Y M

Y M

Y M

Y M

Y M

Y M

Examinee

Number※

Joint Master’s Program in

International Development and Peace through Sport

Expected

Date of

Graduation

Date of

Entrance

(Note) 1. This form is for Japanese students only. Foreign student must use the designated form.

2. Enter your education higher than high school. If you have enrolled in the university as a research student or

credited auditor (auditing student), enter the period of enrollment as well.

3. If we found that you made a false entry or didn't write necessary information in this form after entrance,

your admission shall be void.

4. Please do not fill in the fields marked with ※.

5. As necessary, delete "Graduation" with a double line and write "Completion" on the left.

Expected

Date of

Graduation

Education

Date of

Entrance

Date of

Graduation

Date of

Entrance

Date of

Entrance

Master's Program

Curriculum Vitae

Expected

Date of

Graduation

NameFamily First Middle/ Other

履歴書 Curriculum Vitae

氏名

フリガナ

ローマ字

男(Ｍ)

・女(Ｆ)

Sex

生年月日 Date of Birth

Year Month Date 19

年齢 Age

国籍 Nationality

在留資格 Resident

Status

Family Name First Name Middle Name

学校教育

Education

学校名・所在地

Name and Address of School

正規の修学年数 Officially Required Number of Years of Schooling

入学及び卒業年月 Year and Month of Entrance and Completion

修業年数 Period of Schooling

専攻科目

Major Subject if any

学位・資格 Diploma or Degree Awarded

初等教育 Elementary Education

小学校 Elementary School

学校名 Name 所在地 Location

年 yrs

入学 from 卒業 to

年 yrs

中等教育 Secondary Education

中学及び高校 Secondary School

中学 Lower


年 yrs


年 yrs

高校 Upper


年 yrs


年 yrs

高等教育 Higher Education 大学

Undergraduate Level


年 yrs


年 yrs

高等教育 Higher Education 大学院

Graduate Level


年 yrs


年 yrs

以上を通算した全学校教育就学年数 Total Number of Years of Schooling as given Above

年 yrs TOTAL

年 yrs

休学等、在籍中に修学を中断した期間（理由） Periods of interruption of studies, if any from 年 yr., 月 mon.～to 年 yr., 月 mon.（）

研究歴 Research Activities (研究生の経歴を含む。)

研究機関名 Name of Research Institution

所在地 Address

身分 Status

研究期間 Duration of Research

年数 yrs

～

～

～

記入は、日本語又はローマ字体を用いてください。 Please type or print in Japanese or English.

( 外国人出願者用 )

(for foreign applicants)

※

受験

番号

～

～

～

～～

Examinee Number ※

Name Family First Middle / Other

Program Joint Master’s Program in International Development and Peace through Sport

Date of Birth Year

Month

Date

Course / Field

Field:

If you have an employment history, describe all of your previous and current jobs including job titles, responsibilities, and research content. If you need more space, make a photocopy of this form.

Employment Period Year Month – Year Month

Company / Organization

Full-time Part-time

Job Title / Responsibilities / Research Content



Full-time Part-time




Full-time Part-time


Employment Record

Cut

he

re

Cut here


International Development


○

※

Program /

Field

Examinee

Number

Master's Program Master's Program

Field







Oral

Examina-

tion

English

Written

Examina-

tion

Photo CardAdmission Ticket for

Examination

Examinee

Number

Field

(Attach identical photograph.)

Cut

he

re

Examinee

Number

Name

※

English

Exam Subjects

Written

Examina-

tion

Oral

Examina-

tion

Program /

Field

Master's Program

Name

(Attach identical photograph.)

(4 x 3 cm)

Name

Cut

he

re

(4 x 3 cm)

PhotoPhoto

Program /

Field

Field

Desktop Admission Ticket







※

○ ○ ○

Headshot with no hats, taken

within the last three months

Headshot with no hats, taken

within the last three months

<Guidelines for the Completion>

• Attach your photographs and enter

your name and field.

• Cut out along the lines.




Exam Subjects

(Joint Master’s Program in International Development and Peace through Sport)

Name Research Field and Supervisor

Title

Write the background, purpose, method and expected result of study within 600 words.

Attaching a handwritten or printed document is allowed in case of having difficulty in typing.

Examinee Number

※

Research Plan

受験番号

※

英語外部検定試験スコア貼付用紙

TOEIC Listening & Reading Test Official Score Certificate, TOEFL Test Taker Score Report / Examinee Score Report or IELTS (Academic Module)

Official Test Report Form

スポーツ国際開発学共同専攻 Joint Master’s Program in International Development and Peace through Sport

提出書類（提出する書類の□にレ印を付してください。） Document to be submitted (Check the appropriate box)

□ ＴＯＥＩＣ（Ｌ＆Ｒ）公式認定証 (TOEIC Listening & Reading Test Official Score Certificate)

□ ＴＯＥＦＬ受験者用控えスコア (TOEFL Test Taker Score Report / Examinee Score Report)

□ ＩＥＬＴＳ公式成績証明書（IELTS (Academic Module) Official Test Report Form）

スコア貼付用箇所

（左側の枠線に合わせて貼り、右側の端部分は折り返してください。） Attach the Original document here.

(Attach it along the line on the left-hand side of the frame and fold it

so as not to exceed the line on the right-hand side of the frame.)

【注意事項】１．公式認定証または受験者用控えスコアのコピー、TOEIC SW Test及び TOEIC Bridge

Testの公式認定証、TOEIC Institutional Program(IP) Score Report及び、TOEFL Institutional Test Score Report の提出は認めません。

２．TOEIC Listening & Reading Test公式認定証、TOEFL受験者用控えスコア、及びIELTS公式成績証明書は、スポーツ国際開発学共同専攻入学試験実施日から過去２年以内に受験したものが有効です。

３．提出された原本は返却しません。また、提出済スコアの差替えは認めません。

[Note] 1. You are not allowed to submit a copy of TOEIC Listening & Reading Test Official

Score Certificate, TOEFL Test Taker Score Report / Examinee Score Report or IELTS (Academic Module) Official Test Report Form, the Official Score Certificate of TOEIC SW Test or TOEIC Bridge Test, TOEIC Institutional Program (IP) Score Report, and TOEFL Institutional Test Score Report.

2. Only the TOEIC Listening & Reading Test Official Score Certificate, TOEFL Test Taker Score Report/ Examinee Score Report or IELTS (Academic Module) Official Test Report Form of the test within the past two years from the examination date of Joint Master’s Program in International Development and Peace through Sport are valid.

3. We will not return the submitted original document. Also, we do not allow you to replace the submitted score with the other scores.

受験番号 Examinee Number

※

研究歴証明書 Certificate of Research Activities

国籍 (Nationality ) ：

氏名 ( Name )：

生年月日 ( Date of Birth )：

上記の者は、下記のとおり研究歴を有することを証明する。 This is to certify that the above person engaged in the research activities as follows.

記

在籍した機関、部局名及び身分 (Status and Institution Attended)

研究期間 (Duration of Research)

年月日から年月日まで ( 年か月間） From : to : ＝ ( Day ) ( Month ) ( Year ) ( Day ) ( Month ) ( Year ) (Years) (Months)

研究題目及び研究内容 (Title and Outline of Research)

指導教員職・氏名 (Name and Position of Supervisor)

年月日 (Date) ：署名 (Signature) ：

氏名 (Name) ：

職名（注） (Title＊) ：印

機関名 (Institution)：

所在地 (Address of Institution)：

(注) 証明者は、機関の長等（例えば、学長又は学部長等）とします。

(＊The title of the certifier should be equivalent to representative of organization such as President, Dean, Director, etc)

様式 (外国人出願者用 ) Form (for foreign applicants)

Address Sheet #1 1. Please do not write in the fields marked with ※. 2. The address sheets will be used to send out acceptance

letters and enrollment documents to the successful applicants. Enter the mailing address and name clearly in block letters. (This applies only to those who reside in Japan)

3. If you enter the name and address of a person other than the applicant, enter the applicant’s name in the box しかく below.

Program

Master's Program

Joint Master’s Program in International Development and Peace through Sport

Name

Examinee Number ※

殿 ※

殿

※

※ 国費私費

※

郵外有職者

Graduate Admissions 2021 List of Application Documents Joint Master’s Program in International Development and Peace through Sport Name

Note: Make sure to mark “○” in the “Check” columns for documents to be submitted. Your application may not be accepted unless all the required documents are submitted.

Documents Check Required for Remarks

[Joint Master’s Program designated forms]

Application Form All applicants

Curriculum Vitae All applicants Excluding foreign applicants

Curriculum Vitae for Foreign Applicants All foreign applicants

Employment Record All applicants who have employment history

Admission Ticket for Examination / Photo Card / Desktop Admission Ticket

All applicants

Research Plan All applicants

TOEIC Listening & Reading Test Official Score Certificate, TOEFL Test Taker Score Report / Examinee Score Report or IELTS (Academic Module) Official Test Report Form

All applicants

Certificate of Research Activities Foreign applicants who meet the conditions

Address Sheet #1 All applicants For sending out acceptance letters and other documents from University of Tsukuba or National Institute of Fitness and Sports in Kanoya

List of Application Documents All applicants

Address Sheet #2 All applicants Use this sheet for sending the application documents

Examination Fee (“Certificate of postal transfer payment” or “Receipt of examination fee” of JPY 30,000)

All applicants Attach to the specified column of the Application Form. Not required for government-sponsored foreign students

[Certificates and other documents to be prepared by applicants]

(Expected) Graduation Certificate All applicants

Degree Certificate

1. Applicants who have graduated from foreign universities

2. Applicants who would obtain a qualification for application from the National Institution for Academic Degrees and University Evaluation

Academic Transcript All applicants

Letter of Approval for Taking the Entrance Examination (Format of your choice, A4 size)

Applicants who currently attend a university or graduate school

Not required for students who will graduate or complete in March 2021

Applicants who currently work for a government agency, school, or company

Not required for part-time workers

Certificate of Government-Sponsored Foreign Student

Foreign applicants who meet the conditions

Reply Envelope (with a JPY 374 postage stamp attached)

All applicants

This will be used to send you admission ticket for examination

受付月日 ※

月日受付者 ※ 点検者 ※

※欄は記入しないでください。Please do not fill in the fields marked with ※.

受験番号 ※

(Address Sheet #2)

速達

3 0 5 8 5 7 4

Jap

an

Program

筑波大学

　体育芸術エリア支援室

スポーツ国際開発学共同専攻

Note 1: Fill out the same information as in the Application Form.

Note 2: Attach this Address Sheet to a K2 size envelope and submit by mail or by hand.

書

留

速

達（

出

願

書

類

在

中）

御中

大学院教務

(Express Mail Service)

Address

茨城県つくば市天王台一　一　一

Name

Ex

pre

ss

Ma

il S

erv

ice (

Ap

pli

cati

on

Do

cu

me

nts

En

clo

se

d)

Japan:

Registered

Express Mail

Overseas:

Express Mail

(Address Sheet #2)

速達

8 9 1 2 3 9 3

Note 1: Fill out the same information as in the Application Form.

Note 2: Attach this Address Sheet to a K2 size envelope and submit by mail or by hand.

　教務課入試係

Program スポーツ国際開発学共同専攻

Name

Address

(Express Mail Service)

Jap

an

鹿屋体育大学

鹿児島県鹿屋市白水町一番地

書

留

速

達（

出

願

書

類

在

中）

御中

Ex

pre

ss

Ma

il S

erv

ice (

Ap

pli

cati

on

Do

cu

me

nts

En

clo

se

d)

Japan:

Registered

Express Mail

Overseas:

Express Mail

Master's Program Graduate Admissions 2021 Joint …...Curriculum Vitae Expected Date of Graduation...

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Transcript of Master's Program Graduate Admissions 2021 Joint …...Curriculum Vitae Expected Date of Graduation...