『Young-Han Kim Global Leader Scholarship』 Application Form

Application No.										Coloured photograph with white background (3 X 4 cm)
Name				Student ID
Department					Course:
Area of Interest
Grade	Total GPA: /4.3		Credits earned in the preceding semester (Undergraduate)
Contact Information	H․P					Dormitory			Room#
	E-mail
Summary of On/Off Campus Activities
I hereby would like to apply for the 「Young-Han Kim Global Leader Scholarship」. Attachment : 1. A copy of Transcript 2. A copy of Personal Details Report 3. A copy of Personal Statement 4. A copy of On/Off-Campus Activities 5. A copy of Academic Advisor’s Recommendation Letter 6. A copy of Department Chair’s (Chief Major Professor) Recommendation Letter (MS/PhD students only) Date: 20 . . . Applicant (signature)

Personal Details Report

Name			(Chinese) (English)
Year/Date of Birth								Gender	Female․Male
Home Address								Tel. (Home)
Family Members	Relation		Name				Age	Occupation (place of employment)				Note
Education	Year of Graduation				Name of the School					Note
Major Achievements/ Awards	Duration				Major Achievements / Awards					Organization/Institution
Height				Weight				Health Condition
Specialty				Hobby				Future Hope
Personality

On/Off-Campus Activities

Applicant’s Name :                 (signature)

1. Title of the typical activity
2. Activities in detail
3. Future plans
4. Evaluation on the activities (Advisor’s opinion)

Date: 20    .     .     .

Advisor :            (signature)

Department Chair’s (Chief Major Professor) Recommendation Letter

Applicant’s Name :

I hereby recommend the above student for consideration as a candidate for 「Young-Han Kim Global Leader Scholarship」.

Date: 20    .     .     .

Department Chair (Chief Major Professor)

Name :                      (signature)

Academic Advisor’s Recommendation Letter

Applicant’s Name :

I hereby recommend the above student for consideration as a candidate for 「Young-Han Kim Global Leader Scholarship」.

Date: 20    .     .     .

Department(Major)

Name :              (signature)

Personal Statement

※ Describe according to the selection standard

.

Date: 20    .     .     .

Applicant :                (signature)