BQ orAa Dl)C v A BAa TAO

BQ orAa Dl)C v A BAa TAO
D.~I HQC THAI NGUYEN
CQNG HOA xA HQI CHiT NGHiA VI'¢T NAM
DQc l~p - T\f do - H~nh phiic
s6:33 t-IBHTN-HTQT
vIv thong
baa hoc bong cua Chinh phu
HanQu6c
Thai Nguyen, ngay 03 thdng 3 ndm 2015
Kinh giri: - Cac co sa giao due thanh vien
- Cac don vi tnrc thuoc
Tren co
sa hop
tac gitra Dai hQCThai Nguyen va Dai hoc Keimyung, Han Quoc,
tnrong Dai hoc Keimyung thong bao v~ chuang trinh hoc bong cua Chinh phu Han Quoc
nam hoc 2015 hoc tai Dai hoc Keimyung danh cho can be>,giang vien, sinh vien cua Dai
hoc Thai Nguyen theo cac nganh hoc sau:
- Khoa hoc xa he>iva nhan van (Luat, Du lich, Quan li giao due, Tam li hoc,
Thu vien, K~ toan ... );
- Khoa hoc tir nhien (Sinh hoc, Sire khoe cong d6ng, Moi tnrong, Dinh dirong,
Y Duoc ... );
- K1 sir (Ki~n true, May tinh ... );
- Van h6a nghe thuat (Am nhac, Thi~t k~... ).
Giam d6c Dai hoc Thai Nguyen d~ nghi cac don vi trien khai rong rai toi toan th€
can be>,giang vien quan tam va chuan bi h6 sa theo huang d~n (tai lieu dinh kern); d6ng
thai cac img vien lien h~ voi Ban Hop tac quoc t~ d€ c6 thu gioi thieu cua Giam d6c Dai
hoc Thai Nguyen.
MQi thong tin chi ti~t xin lien h~ Chuyen vien T? Nguyet Trang, email:
[email protected],
di~n thoai 0280 3851690.
Tran trong earn an.!.
No'i
-
/
1l!t~Il:
Nhu tren;
Website;
LUll VT, HTQT.
~~~~~GIAM
DOC
BANHTQT
REGISTRATION NUMBER
..
"'.
(Check List for Application Documents)
.°
,
0
~ *]1 ~
(Institute
~~;q(Confirmer)
1)
*Do not write in this area.
of Application):
:
~ (Signature)
Name of Applicant: ;uCg
•.•.
iv-'-'e"'n1'-!fi.,...lr""stc-'-n,."a"'-m"'eL)
2)
Country
3)
Desired Degree Program :
----'-Cf:"'a""m.....,ilcz.y/"'las""-'-t
....,na"'m.."e><.l.)
:
_
00 Master's
(*Please tick (-1) in the appropriate
Do Doctoral
o Research
box.)
Application
Submission(Y IN)
Documents
Check List
Yes
1. Personal data (Attachment
2. Self Introduction
#2)
.\
3.
Proposal(Attachment
~. Pledge (Attachment
(Attachment
6. Personal Medical Assessment
8. Official Transcript
(Attachment
of graduation
#4)
of graduation
of previously
#6)
from undergraduate
from undergraduate
9. Diploma or certificate
10. Official transcript
'1
.~
#3)
#5)
7. Diploma or certificate
institution
institution
from graduate
attended
graduate
institution
institution(s)
11. Certificate of Employment
12. Certificate of TOPIK score (original copy), if applicable
13. Certificate of TOEFL or IELTS score (original copy), if applicable
14. Published papers, if applicable
15. Awards, if applicable
16. Copy of passport
Certificate
17.
certificate,
Certificate
18.
Adoption
(possible to submit after selection)
of citizenship
of applicant
ex) the applicant's
Passport copy or Certificate
of Loss of Korean citizenship
Documents
1
/
TJ
#3)
4. Letter of Recommendation(1)
No
I
#1)
(Attachment
Study Plan (Attachment
Research
_
(only for overseas
of nationality
and his/her Parents' Birth
expatriation,
etc.
(only for former Korean Citizenship
Korean adoptees)
holders)
Attachment # 1
Gj'"
~t.J1.!flett1l"Q:}«~T.i!};AJ 3':~)
Al~At%
2}-~
(Only for Applicants (including research scholars) who apply for this program via a Designated University)
Korean Government Scholarship Program (KGSP) Application Form for Graduate Study
*Please tick
eJ ) a box that applies to you.
1. ~~]I;gf
o ;?; LH
1.
(Institute of Recommendation)
CH 2,f
~~.g.~
o
(Korean
University)
(Type of Recommendation)
gJ \:!.!"~~(General)
3. AI~ J1t~
o 6:l
(Degree Course of Application)
J.J J1t~
(Master's)
0
!;:!{ N J1t~
(Doctoral)
0
~F?·llf~
(Research)
4. £:l gt JlI ~ (Desired Field of Study)
e.!~ N:2.I JlI ~ (Humanities and Social Sciences)
o Afe!~ 2,f JlI ~ (Natural Sciences and Technology)
o 011xii ~ JlI ~ (Arts and Physical Education)
5. e!;?;0le!* e!~IAf (TOPIK5.g.
6.g. ~:;Af) E2,f ~e.!
o
(Only for TOPIK LevelS and Level 6 holders)
*TOPIK LevelS and 6 holders must start their studying from Sep 1,2015)
o DSep 1,2015
~ ~ Ng (Personal Data)
Please read theform carefully. All applicants must complete all sections only bv tvpine.
01 ~(Given name) :
~'6!
o Male
~(Family name) :
(Full Name)
o Female
* Name should be spelled the same as in the passport and in English.
I
Id(yyyy)
~Id~~
(Date of Birth)
~Jf
(Country)
()j~
(Passport)
~(mm)
-.-.
e!~x-l
i1~of2:l
=--, -.
(Information
concerning applicant's
most recent education)
)
I
(Citizenship)
(Date of expiry)
(Date ofIssue)
(Contact Information)
*only applicant's own
(Photo 3*4)
o Married
LfOI(Age:
::;:lA~
I
(Number)
~(dd)
o Single
Address:
Tel. (
)
E-mail:
i1 §~ gj (Oll~)2{
6Hg~Jf/.s:.AI
(Country/City)
jj}
(Name of previously
attended Univ.)
~~
2{~
(Academic Degree recently
awarded)
0
Bachelor
i1§~~{:::~Ail~
(Title of graduation
dissertation, if available)
1
o Master
(Academic Major)
OJ o,!::~
-,=-,
(Language
Proficiency)
Published papers, if
available(one or two)
~Oj~<S1
OTOEFL
OIELTS
Score:
(English Proficiency)
Korean Language
Proficiency
(onlv TOPIK)
Level: 01 02 03 04 05 06
Score:
Awards, ifavailable
(one or two)
CH0'
D'1
-,=
(Name ofUniv.)
[email protected]~~CH~
(Applying University)
""
-, 2;l
-,
JIll-
(Academic
Career)
(Period)
';I-d~
-,-r=
(Faculty)
2,'".:w.~
(Name ofUniv.)
~:ilf~
~~
(Department)
(Academic Major)
[email protected]~Jf
Ci~fEO~
(Country)
(Academic Major)
~~2{Sf1
(Diploma
or Degree)
0
A; A;
=-,
(Transc
ripts)
*01*
~Jle!
JI All
(only
terms
attended)
1st year
School
Year
2nd year
5th year
4thyear
3'd year
~l!
]J;j
Term
1.
2
3
1
2
3
1
2
3
1
2
3
1
2
3
Bachel-
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
or
Master
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
JI
ll-
~~ ~g e1=?~~
(Occupation or
Research Career)
JI
~
D'1
=
(Institution or
company)
(Period)
~
~t!~*
A;
=0
(GPA)
(converted
score)
~
1100
AI
•
I
HNl
~
(Position)
C,Cf01
OOt::::l-r
Cl
(Operation or Duty)
0
:ilfJi e1:~ OilAl ~
Ji -r
A ...L.,CC!::
JI
ll-
-, A;
-,
(Purpose of Stay)
.52
(Period)
xjl¥f [email protected]
Ji "T"
A ...L.
CC!::
'xjl¥f~~Jm
AI Q1
(City or
Region)
(Organization
Concerned)
(Previous Visits to
Korea)
~~~
*011
(Previous Scholarship
Awards Received from
Korean institutions)
AI ~ ~
AI~JI~~
ta(yyyy)
Applicant's
* 011
JIl!-
Q!l (Amount)
(US$/year)
(Sponsor)
(Period)
(
/
)
0
(
/
)
0
~(mm)
~(dd)
(signature)
Name:
* GPA(Grade POint Average) must be converted on a maximum scale of 100 points (converted POints) * See Attachment
* Fill out both the records of Bachelor's & Master's in the case of those applying for Doctoral programs
2
.#7
---*
.~
Attachment #2
~ JI :1:JH (SelfIntroduction)
tvoe or print clearlv within J oaee usine black ink. (in Korean or in Enelish) (*10 points)
o Your course of life, your view of life, study background, your hopes & wishes, etc
o Your education and work experience, etc., in relation to the KGSP program
o Your motivations for applying for this program
o Reason for study in Korea
* Please
I
3
Attachment #3
2,'-gj)jl~
* Please
(Study Plan)
type or print clearly within 1 page using black ink. (*10points)
Goal of study &
Study Plan/"
Future Plan
after Study
I
0
Goal of study, title or subject of research, and detailed study plan
I
0
Future plan in Korea or another country after study in Korea
4
.>;
Attachment #3
e!::r:il} AU
(Research Pro posal)
* Please type or print clearly within 1 page using black ink. (*10 points)
l!cq Ij!!OI ¥~~
~~ ~AIOjI ~11OltJAI.2.
[!]
<2!-=?-~Ail
Research Topic
[!]
<2!-=?-~~
Research Objectives
00 <2!-=?-LH%
Please submit additional
Detailed Research Plan
[!]
<2!-=?-'2ftgJ
[!]
<2!-=?-QI 71 [H B..J!~ Expected
[!]
<2!-=?-~ ~
Research Methodology
Results ofthe Research
Research Timetable
5
sheets ifmore space is needed.
Attachment
#4
Letter of Recommendation
To the applicant:
Please fill in your name and the other required information
who will write this letter. NOTE:
Request your recommender
sign across the back flap upon completion.
Recommendation
below. In turn, deliver or email this form to the person
to seal his or her letter of recommendation
in an official envelope and
letters that are not sealed and signed will not be accepted.
Confidential
Name of Applicant: l./Cg"'i.!.v""en"-"n"'am......."e:.L)
-.lC-"fa"'m"'I"'·lyJ....!'n""a"'m"'eCL)
_
Nationality:
_
Desired Degree Program:
D
0
Do Doctoral
Master's
Desired Major:
To the recommender:
assistance,
* Please
1.
The person named above has applied for the 'Korean
Government
Scholarship
Program'.
We ask for your
and would appreciate your frank and candid appraisal of the applicant.
type or print clearly using black ink.
How long have you known the applicant and in what relationship?
,
.Please assess the applicant's qualities in the evaluation
. t he same sc hool
vear Wit
wi h him/h
ar e/ were in
00 year
I
er.
Truly
Exceptional
Classification
Top 2%
table given below. Rate the applicant
Excellent
Very Good
Good
Below Average
Top 10%
Top 25%
Middle 50%
Lower 25%
Academic Achievement
Future Academic
Potential
Integrity
ResponsibilitylIndependence
Creativity/Originality
Communication
Interpersonal
Skills
skills
Leadership
I.
What do you consider to be the applicant's
compared to other classmates
strengths?
6
N/A
who
2.
What do you consider to be the applicant's weaknesses?
/
~
How well do you think the applicant has thought out plans for graduate study?
5.
Please comment on the applicant's performance record, potential, or personal qualities which you believe would be helpful in
considering the applicant's application for the proposed degree program.
Recommender's Name
---;
,Date
Recommender's Signature
_
-r-t-
_
Position or Title:
_
University (Institution):
_
Address:
_
(zip-code:
Tel:
_
Fax:
_
Please return this form sealed in an official envelope and signed across the back to the applicant. We greatly appreciate your
timeliness regarding this letter for your recommendee.
7
Attachment #5
"Korean
Government
Scholarship
Program
for Graduate
Study"
Pledge (A1 Q.j= A1)
As an applicant for the 2015 "Korean Government Scholarship Program (KGSP) for
Graduate Study", I pledge to abide by the following rules:
(1) To refrain from violation of university regulations and to fulfill my obligations as a
KGSP scholar to the best of my ability.
(2) To behave in a manner appropriate to Korean culture and society, and not to participate in
any form of political activity (such as organizing a political party, joining a political
party, attending political meetings, publishing political articles and declarations,
organizing or participating in demonstrations of a political nature, and so on).
(3) To accept responsibility for paying any debts incurred in Korea
(4) To agree with NIIED's decision concerning the graduate program and the Korean
language course
(5) To abide by all terms and regulations set by NIIED.
(6) To permit NIIED to use my personal information for the KGSP.
If I am proved to have violated any of the above or to have made a false statement in my
application documents, I shall accept any resolution or penalty made by NIIED, even when it
may/might result in suspension, revocation or withdrawal of my scholarship.
I was informed and fully understand that KGSP scholars are not permitted to transfer schools
for the entire duration of scholarship after confirming their host institution including Korean
language institution.
(yyyy).
(mm).
(dd).
(signature)
Applicant's Name:
8
Attachment #6
PERSONAL MEDICAL ASSESSMENT
Applicants are not required to undergo an authorized medical exam before passing the 2nd Selection with NIIED; however, all
successful candidates must take a comprehensive medical exam when its' orientation (including an HIV and TBPE drug test**, etc)
in accordance with the requirements of the Korea Immigration Service and the KGSP. If the results show that the applicant is unfit to
study and live overseas more than 3 years, he/she may be disqualified.
**The TBPE (tetrabromophenolphthalein
Gender:
I
I
ethyl ester) drug tests are for evaluating past usage of stimulant drugs.
HEIGHT
I
cm
WEIGHT
I
kg
When and for what reason did you last consult a physician?
(Please explain in the adjacent space.)
QUESTION
o
YES
Have you ever had an infectious disease that posed a risk to
public health (such as, but not limited to, tuberculosis, HIV
and other STDs)?
1. allergies?
0
2. high blood pressure?
3. diabetes?
4. any type of Hepatitis?
o
Have you ever suffered from or been treated for depression,
anxiety, or any other mental or mood disorder? (If you have
received treatment, please explain and attach an official
medical report.)
o Have
o
you ever been addicted to alcohol?
Have you ever abused any narcotic, stimulant, hallucinogen or
other substance (whether legal or prohibited)?
o Ifnecessary,
are you prepared to undergo physical tests to verify
the answers given in response to questions 0 and 0 above?
o Have
you been hospitalized in the last two (2) years?
o
Have you had any serious injury, ailment or sickness in the last
five (5) years?
o
Do you have any visual or hearing impairments?
o
Do you have any physical disabilities?
o
Do you have any cognitive/mental disabilities?
o Are you taking
o Are you
any prescribed medication?
on a special diet?
o On average,
how many standard servings of alcohol do you consume each week?
.
9
NO
IF YES, PLEASE EXPLAIN
Attachment #7
GP A Conversion Table
4.0 Scale
I
4.3 Scale
,I
4.5 8<aI.
I
5.0 8<aI.
3.97 - 4.0
I
4.26 - 4.3
._
4.46 - 4.5
I
4.95 - 5.00
::: ~:~~---rl.!--~-.
::::~:::
I
::: ~
3.84-3.87
4.12-4.16
4.31-4.35
I
4.79-4.83
4.08 - 4.11
4.26 - 4.30
3.80 - 3.83
3.75 - 3.79
3.71 - 3.74
---------------,
3.67-3.70
I
I
I
I
I
.
4.03 - 4.07
,.
3.98 - 4.02
-------------
I
4.21 - 4.25
4.16 - 4.20
r----------~-
I
I
I
I
--1 ....~.~~.~?~?u..s.~!~
....
I
100
~:-F.-----:-:---------'
4.73 - 4.78
I
4.68 - 4.72
I
4.62 - 4.67
I
I
I
I
1f--
-I
97
96
9_5
94
J,--------- ----
3.93-3.97
4.11-4.15
I
4.57-4.61
I
93
I
----~I-------'
3.62 - 3.66
I
3.89-3_92
4.06-4.10
I
4.51-4.56
I
92
3.58 - 3.61
I
3.84 - 3.88
4.01 - 4.05
I
4.45 - 4.50
I
91
I
I
3.41 - 3.48
I 3.65 - 3.74
3.81 - 3.90
I 4.23 - 4.33 I
'------_·_-+----------+---------+-----------+1-----------
3.49 - 3.57
I
3.75 - 3.83
3.91 - 4.00
4.34 - 4.44
j
90
,-------+--------r-------+-------~-------II
3.32 - 3.40
3.56 - 3.64
3.71-3.80
3.24 - 3.31
3.46 - 3.55
3.61 - 3.70
3.15 - 3.23
I
3.37-3.45
3.51-3.60
3.07 - 3.14
I
3.27 - 3.36
3.41 - 3.50
I
89
4.12 - 4.22
88
4.01 - 4.11
87
I
I
3.90 - 4.00
86
3.79 - 3.89
85
I
3.68 - 3.78
I---------r-------------~----·-----r------~--------f
2.98 - 3.06
L
3.18-3.26
3.31-3.40
I-------~·
84
---~-----------~------------r-----------i
I
3.09 - 3.17
2.81 - 2.89
I
2.99 -3.08
3.11 - 3.20
3.45 - 356
82
2.72 -2.80
I
2.90 - 2_98
3.01-3.10
3.34 - 3.44
81
2.80 - 2.89
2.91 - 3.00
3.23 - 3.33
80
2.90 - 2.97
2.64 - 2.71
3.21 - 3.30
3.57 - 3.67
83
-·-f-------+-------~----------I
10
1