Download - TOKYO INTERNATIONAL UNIVERSITY ELIGIBILITY ......OTHER EDUCATION (specialized school, Japanese Language school, etc. if any) TOKYO INTERNATIONAL UNIVERSITY ELIGIBILITY VERIFICATION

First Middle Last

EDUCATIONAL BACKGROUNDELEMENTARY EDUCATION (e.g. grade school, primary school, etc.)

SECONDARY EDUCATION (e.g. middle school, junior high school, senior high school)

HIGHER EDUCATION (university or college)

OTHER EDUCATION (specialized school, Japanese Language school, etc. if any)

TOKYO INTERNATIONAL UNIVERSITYELIGIBILITY VERIFICATION FORM

Date :

Name Sex FM

Date of Birth Email addressYear/Month/Day

Nationality(ies) NativeLanguage(s)

Name of School(s) Location(City, State/Province & Country)

Dates of Attendance(from Year/Month to Year/Month)

Duration(Year) inschool

Language ofInstruction

（Example)　　 ABC Elementary School Tokyo, Japan Sep.2001 - Jun.2007 6 years English



Duration(Year) inschool


What is your English score? (e.g. TOEFL, IELTS, TOEIC, Pearson PTE, CambridgeEnglish test or EIKEN)



Year(Grade) in

school


Website address of the high school you graduated from (or are expectedto graduate from) if available

If yes, what is the name of the examination or the program?

Have you taken a national examination or completed a college-bound program which qualifies youto enter a four-year university in the country your high school curriculum is based? YES NO

Year / Month(April or September)

Number of credits required for graduation from currentuniversity

Length of the program atcurrent/former university

□ 2-year　　 □　3-year□ 4-year

Month/Year

2) Attach copies of documents that prove your qualification if available. (e.g. transcript, certificate, etc.)1) Email this form to the E-Track Office.([email protected])



Year(Grade) in

schoolName of Program

When do you want to enroll in TIU?

Degree obtained (Associate, Bachelor, Master etc.)

(Expected) Date of Graduation from current/formeruniversity

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