AJOU UNIVERSITY ADMISSION APPLICATION FOR KOICA SCHOLARSHIP STUDENTS

FOR ENER
ENERGY SCIENCE AND POLICY APPLICANTS

INSTRUCTIONS: Please read carefully the enclosed Admission Information for KOICA International Students prior to completing
this form. Submit the application form along with other required documents as instructed for the KOICA Scholarship Program.

Please note that Ajou University’s KOICA scholarship program provides one major: Energy Science and Policy, and students WILL

NOT be able to change their major after arrival to Korea.

Please type as clearly as possible for your fine application process.

PLEASE TYPE OR PRINT IN INK

Family name ____________________ First ________________ Middle __________________________________

Country of Birth ____________________________ County of Citizenship _________________________________

Passport No. _______________________________

PERMANENT MAILING ADDRESS: CORRESPONDENCE WILL BE MAILED TO THIS ADDRESS.

Street & Number ________________ City ___________ State ___________ Zip Code _________ Country _____________

Home Phone ____________________ Mobile _________________________ E-mail ______________________________

Phone number for Phone Interview 1) ______- ______ - ______________ 2) ______- ______ - _______________
Country Area Number Country Area Number

Birthdates (use numbers) Month/Day/Year ________ / ____ ____ / ____ ____ ____ Gender □ Female □ Male

LEVEL OF ENTRANCE □ Master’s Degree Program

Anticipated term of entrance □ Fall-September (year.2021)

Field of Study □ Masters in Energy Science and Policy

ACCOMMODATION: You will reside in the designated accommodation (dormitory-double occupancy) during your stay in Korea.
□ Dormitory (Double Occupancy On-Campus dormitory)

□ Religion: _________________________________

□ Roommate Preference (Please write down briefly):___________________________________________

____________________________________________________________________________________

If you have taken or plan to take any of the following tests, indicate the date(s) below. Refer to the admissions brochure for specific

information regarding test score requirements. Please note that scores MUST be verified by submission of score reports from the

testing agency.

□ TOEFL ___________________________________ □ IELTS ________________________________________

Date, registration number & score Date, registration number & score
□ TOEIC ___________________________________ □ TEPS ___________________________________

Date, registration number & score Date, registration number & score

□ Other English Proficiency Test Score _______________________________________________

Name of Test, Date, registration number & score

EDUCATION HISTORY
List each institution beyond secondary school that you have attended before entering the Ajou University. Failure to declare is

attendance at another institution could invalidate your admission and any credits or degrees earned. Mail official credentials to the

GSIS. If there is a possibility that any credentials (transcripts, test scores, etc.) might arrive under a name different from the name

given above, please provide name(s):

 Do you have a bachelor’s degree? □ YES □ NO

Date of Attendance List all Degrees and Dates Grading Result

Name and Location of From To Earned Expected

Institution Attended Your Full Conver-
Month Year Month Year Degree Date Degree Date
Score Mark sion

/100

/100

/100

/100

EMPLOYMENT HISTORY
If your time since leaving your country is not completely accounted for (except for vacation) by the institutions listed above, indicate

how you have spent your time prior to planned date of entrance at the Ajou University.

From To
Work Experience City & State
Month Year Month Year

REFERENCES
References: List below two references. Have these individuals send letters of recommendation directly to the GSIS

Contact Information
Name Position Department/Institution
Tel Fax Email

* All available contact information should be listed as clearly as possible for verification if needed. When filling out contact

information, please include country and area code.

EXTRACURRICULAR ACTIVITIES
(List specific activities related to sports, arts, theatre, music etc. with number of years of participation)

______________________________________________________________________________________________________
______________________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

STATEMENT OF PURPOSE
On a separate sheet of paper, please write an essay in response to the following questions.

The essay is an important part of your application and will be reviewed by the Admission Committee before a final decision is

made. Through your words and ideas, we will be able to learn more about you and your motivation to study at AJOU GSIS.

1. Why are you interested in the AJOU GSIS program, and how did you reach this decision?

2. Describe the current energy mix and major factors shaping the current energy policy in your home country.

3. Provide an overview of your life experiences and future career path after graduation.

4. What do you think is the most challenging agenda to deal with to facilitate the economic development of your home

country?

Application Check List

1. Document Checklist
2. KOICA Application Form
3. Ajou Application Form
I will
4. Personal Statement and Study Plan (Statement of Purpose)
5. Recommendation Letters (Two letters)
6. Curriculum Vitae
7. Degree/Diploma (Original copy of Korean Embassy Notarization/Apostille)
8. Transcripts (Original copy of Korean Embassy Notarization/Apostille)
9. Verification of Academic Record
10. English Proficiency Test
11. Certificate of Employment
12. Copy of Passport
13. Birth Certificate or Household residence
14. Doctor’s Opinion Paper (medical)

abide by the University’s regulations concerning application deadlines and admission requirements. I certify that the information

given in this application is complete and accurate and I understand that false or fraudulent statements within this application or

residence statement may result in denial of admission, disciplinary action and invalidation of credits or degrees earned at the

University. I hereby aware that AJOU GSIS cannot give back any documents once I have submitted them. If admitted, I hereby

agree to abide by the policies of the AJOU GSIS and the rules and regulations of the university. Should any of the information I

have given change prior to my entry to the university, I shall notify the AJOU GSIS immediately.

Applicant’s Signature _______________________________ Date _____________________________________