入力内容保存/読込

Hosei University Exchange Students from Overseas Program (ESOP) Application Form -1
< General information for Admission >

1 Your information
2 Confirm your info
3 Submit
ACAEMIC YEAR 2020
Should be typed with block letters.

Attention:
Save the form frequently
to prevent losing the input data accidentally!

If you have any questions, please contact " esop@ml.hosei.ac.jp ".

  
1. Your status 申請する在籍区分* required
2. Period of study at Hosei 本学での在籍期間* required
3. Applicants Name <in alphabet> 英語
 (Please type same as your passport)* required
Surname <Family name> Example: BOISSONADE

 

Forename <First / Given name> Example: GUSTAVE

 

Middle name(s) Example: EMILE


 *required only if it appears on your passport
 
4. Full name < in native language> 母国語
 (if applicable)

 
5. Full name < in Japanese(katakana)> カタカナ* required

Example: ボアソナード ギュスターヴ エミール
6. Email address Eメールアドレス * required

Verify email address 確認用
7. Date of birth 生年月日* required
 Month  Day 西暦  Year 
8. Age 年齢* required

Example: 22
9. Gender 性別* required
10. Nationality 国籍* required
If you have more than one, answer them all here.

Example: Japan
     Australia


 多重国籍の場合チェック。
11. Place of birth 出生国・地域* required

Example: Tokyo, Japan
(Area, Country)
12. Native language 母国語* required

Example: Japanese
13. Marital status 婚姻関係* required
14. Current address 現住所* required

Example:
2-17-1, Fujimi, Chiyoda-ku, Tokyo, 102-8160, Japan
*If you are in Japan, please write it in Japanese
 
15. Phone number 電話番号* required
Please make sure to enter your full telephone number, including the country code if you're outside the Japan.

Example: +81-3-3264-9402
16. Permanent/home address (if different from the above)
  本国住所

Example:
2-17-1, Fujimi, Chiyoda-ku, Tokyo, 102-8160, Japan
17. Permanent/home phone number (if different from the above) 本国電話番号
Please make sure to enter your full telephone number, including the country code if you're outside the Japan.

Example: +81-3-3264-9402

18. If there is anything we need to confirm from you about your application documents, which language is preferable for you to receive by email?
応募書類について確認事項がある場合はEmailで連絡します。その際にどちらの言語が好ましいですか?* required
19. Educational background : from elementary school
  学歴 (初等教育(小学校)から順次最終学歴まで)* required
*Please write `none` if you have any empty space remains.
    School or University(include graduate school)

1.      year  
2.      year  
3.      year  
4.      year  
5.      year  
6.      year  
Example: Hosei elementary (school) / 2002(the year you entered) / 6 (total year)
     Hosei middle (school) / 2008(the year you entered) / 3 (total year)
     Hosei high (school) / 2011(the year you entered) / 3 (total year)
     Hosei University / 2014(the year you entered) / 3 (total year)
20. Home institution (current status) 在籍大学(現在の状況)* required
1)Name of your home institution 在籍大学名 Example: Hosei University

    

 
2)Name of Faculty 在籍学部名 Example: Letters


 

3)Name of Department 在籍学科名 Example: Japanese Literature

 

4)Main area of study(Major) 専攻 Example: Japanese Studies

 

5)Current year of study 現学年
  

 Describe the details if the answer is "Other" from above
 上記で『その他』を選択した場合、下記に詳細を回答すること


 

6) 在籍大学の卒業見込み年月  Month 西暦  Year 
 Expected date of graduation(After you complete the exchange program at Hosei)
21. Personal Statement
1) Academic Achievements and Honors 学業における業績・表彰

Example:
 ・University Honor Role, Spring 2010
 ・Regents Scholarship, Academic Year 2009
 

2) School / Community Activities 学校・地域での活動

Example:
 ・Treasurer of the Botany Club, September 2009 to June 2010
 ・Community Worker in the Assist the Elderly Week April 1- 8 2010
 
22. Learning Experience of Japanese Language 日本語の学習歴* required
1)Duration of total period 合計月数
         Total  months(ヵ月)  
         Example:48
 


2)For reference, in the space allotted below, please note down the Japanese language texts you have used. 日本語学習時に使用した教材名と学習期間(月数)
23. Housing Arrangements 宿舎について
  please check the box if you have understood* required
* A curfew for the dormitory is 00:00 AM (midnight) to 6:30 AM.
* Meals can not be separated from the cost for the dormitory.
* Hosei University does not have any on-campus housings and costs may vary
 according to the yearly based revised contract between Hosei University and
 an external private organization.


 
 (1) Arrangements for accommodation provided by Hosei University
   法政が手配する宿舎
 (2) Your own accommodation arrangements, at your own responsibility
   自己手配

 
Please indicate, by checking the relevant alternative, whether you would like:

  

 
Only if you choose "(2)" from above, describe the address below.
上記で『(2)』を選択した場合、下記に住所を回答すること


 
24. Attach the "Certificate of grades at the university currently enrolled in. (Either in English or Japanese)"
在籍大学で発行された現在までの成績書類を添付してください* required
up to 10 MB.making a zip file or compressed files.
*This is one of the required documents.
*必須書類
 
25. Please attach "Language Proficiency Test Score"
  言語能力試験の公式スコアを添付してください
up to 10 MB.making a zip file or compressed files.
*English Proficiency Test score is only required from non-native English speakers
*Japanese Language Proficiency Test Score (If available)
*英語を母国語としない場合のみ 
*日本語試験の結果(可能であれば)
26. Attach your completed "Certificate of Health" of the designated format by Hosei.
法政大学指定書式の健康診断書を添付してください* required
up to 10 MB.making a zip file or compressed files.
*This must be signed by the doctor which examined and completed your medical report at medical institution.
*医療機関にて診断医による署名があることを確認すること。
 

※If there is any comment on the 'Medical conditions which may affect the student's academic performance' in your Cetificate of Health, please write the details in here so we can recognize it clearly.
※あなたの健康診断書の「学業上配慮すべき健康上の問題」に記載事項がある場合、法政大学が確認できるように詳細をこちらに記載下さい。
27. Attach the "Study Plan" of the designated format by Hosei. <TYPEABLE PDF FORM>
法政大学指定書式のStudy Planを添付してください<直接入力可>

The document must include your signature on it.
必ずサインを入れたものを提出してください。* required
up to 10 MB.making a zip file or compressed files.
*This is one of the required documents.
*必須書類
 
28. Attach the "Identity Photograph" あなたの証明写真を添付してください

*should be “head shot” passport-style
*4.5cm x 3.5cm, 640 x 480 pixel
*should be taken within the last 6 months
*copies using a xerox/copier machine or similar procedure are NOT acceptable
* required
up to 10 MB.making a zip file or compressed files.
Please refer to below link to satisfies all specifications.
http://www.immi-moj.go.jp/english/tetuduki/zairyuu/photo_info.html

*This is one of the required documents.
*必須書類
 
Any comments? メッセージ

 Continue with - Application Form 2- 

This application is not completed until next Application Form 2 is also completed.