APPLICATION MATERIALS CHECKLIST

Please fill out the checklist and enclose it in your application packet.

Required Documents

□ Printed Application Form as you registered Online Application

(with a 3.5cm X 4.5cm size photo attached)

□ Letter of Consent and Letter of Verification

□ Official transcript(s) : high school(s)

□ One copy of high school diploma or certificate of (expected) graduation

□ Copies of passports & ID cards of applicant and applicant’s parents

□ One copy of applicant’s birth certificate

□ Foreigners residing in Korea: The applicant’s & the parents’ certification of Alien

Registration
□ Foreigners with Korean ethnicity: One copy of certificate of family relationship &

confirmation certificate of renunciation of Korean citizenship

Supplementary Documents

□ Official test scores ( □ Check here if they are sent separately)

□ Academic honors, awards or prizes

□ Extracurricular or volunteer activities

□ Work experience
 Application Form
General Information

Personal Data (Please type or print neatly)

Full Name
(as in your passport)
Photo (3.5cm X 4.5cm)
(Last/Family)

(First/Given) (Middle)

Gender  Male  Female

__________ /__________ /_________

Date of Birth
month day year Country of Birth

Citizenship Passport Number

Entry Term  Spring (March)  Fall Semester (September) Email

Division  Underwood Please make your division choice carefully.

(choose one)  Humanities, Arts, and Social Sciences
Majors can be selected only within a division.
 Integrated Science and Engineering

Home Phone ( ) Cell Phone

Number Number
Country / Area Code

Permanent Home Address

(Number and Street) (City or Town)

(Province or State) (Country) (Zip/Postal Code)

Sponsor
(Name) (Relation) (Occupation)

(Address) (Phone No.)

Emergency Contact
in Korea (if any) (Name) (Relation) (Occupation)

(Address) (Phone No.)

Family Information
Father Mother
(Last/Family) (First/Given) (Middle) (Last/Family) (First/Given) (Middle)

Date of Birth ______ /______ /_____ Date of Birth ______ /______ /_____
month day year month day year
Living?  Yes  No (Date deceased ) Living?  Yes  No (Date deceased )
Citizenship . Citizenship .

Home address if different from yours Home address if different from yours

Cell Phone Cell Phone

Email Email

Survey:

I would like to have an interview:  on-campus, for I reside in Korea  phone, for I reside outside of Korea
My tuition source is:  student’s personal funds  sponsor’s support (relation: )  scholarship (: )
How did you find out about UIC?  college fair / info-session  friends / relatives  newspaper / advertisement
 guidance counselor  website  other (: )

By signing here, I certify that the information that I have provided on this form is true and accurate to the best of my
knowledge and I fully understand that knowingly and willfully falsifying or concealing a material fact or using any false
document in the submission of this form may result in the withdrawal of my admission and entrance to Yonsei
University and may even lead to severe penalties.

Applicant’s Name (Print or Type) __________________________________________________________________

Applicant’s Signature ___________________________________________ Date ____________________________

Educational History

1. Current School Name: ___________________________________________

2. High School Name: _____________________________________________
3. Province/Country of High School indicated above: _____________________
4. (Expected) Graduation Date of High School (mm/dd/yy): ____/____/_____
5. Dates of Attendance:
Enter the names of all schools you have attended, beginning with primary school. Write down the dates and check mark the boxes
corresponding to the school year and semester you have attended these schools.

Dates School Year / Semester

attended Primary Middle High
Name of School
(mm/dd/yy - 1 2 3 4 5 6 7 8 9 10 11 12 13
mm/dd/yy) 1 2 1 2 1 2 1 2 1 2 1 2 1 2 1 2 1 2 1 2 1 2 1 2 1 2

 Dates attended should be identical with the dates on your academic transcripts.
 Do not include preschool and university education.
 You can round up the dates as 1 month if the number of dates of attending exceeds 15 days. If less, round down.

6. Special Circumstances
Dates of
Type of Circumstance occurrence Explanation of Circumstance
(mm/yy – mm/yy)

 Specify the periods and the reasons if you have experienced any of the following:
- Have attended more than 2 institutions at the same time
- Skipped certain grade(s)
- Had leave of absence
- Do not have official grades for a certain semester(s) or year(s)
Academics
Average Grade (as written on the transcript):

Class Rank / Class Size /

GPA / Scale / Weighted?  Yes  No

Test Information
If you are submitting any official exam results, please fill in the exam scores below.

□ I have taken the TOEFL: □ I will take the TOEFL: Date / .

(Recommended for applicants whose native language is not English.) (yyyy /mm)
Composite Score Date / .
(yyyy / mm)

□ I have taken the SAT 1 Test: □ I will take the SAT 1 Test: Date / .
(yyyy / mm)
Reading & Writing Math

□ I have taken the AP/IB/SAT Subject Test: □ I will take the AP/IB/SAT Subject Test: Date / .
(yyyy / mm)

Type & Subject Score Date / .

(yyyy / mm)

Type & Subject Score Date / .

(yyyy / mm)

Type & Subject Score Date / .

(yyyy / mm)

Type & Subject Score Date / .

(yyyy / mm)

Type & Subject Score Date / .

(yyyy / mm)

Type & Subject Score Date / .

(yyyy / mm)

Type & Subject Score Date / .

(yyyy / mm)

□ I have taken the ACT: □ I will take the ACT: Date / .

(yyyy / mm)

Eng Math Read Sci Composite Eng/Wr Date / .

((yyyy / mm)

□ I have taken the GCE A-Level: □ I will take the GCE A-Level: Date / .
( (yyyy / mm)

Subject Score // Subject Score .

Subject Score // Subject Score .

□ I have taken other standardized exams. Name of exam .

Subject Score // Subject Score .

Subject Score // Subject Score .

Letter of Consent

Applicant's Name (Print or Type)

Date of Birth（mm/dd/yy）
Sex (Male or Female)
Name of High School (Campus)
School Phone Number

School Address

Period of Enrollment
(mm/dd/yy ~ mm/dd/yy）
Date of Graduation □ / Transfer □

By applying to Underwood International College, an undergraduate program at Yonsei University, I hereby authorize the
administrator of Yonsei University to confer with others for inquiry and verification on my credentials and qualifications. I
release Yonsei University and administrators of Yonsei University who act in good faith and without malice from any and
all liability on obtaining and verifying my credentials and qualifications.

I consent to the disclosure of my credentials, qualifications, and all information that may be required for an evaluation of
my credentials and qualifications to the administrator of Yonsei University. I hereby release any such persons from any and
all liability on providing such information.

Applicant’s Signature ___________________________________________ Date ____________________________

Letter of Verification (This section must be filled out by a teacher or a registrar at your high school)

Verification Tick & Remark

Applicant’s Basic Information Correct □
(Name, Date of Birth, Sex, School Name) Incorrect □ ( )
Correct □
Period of Enrollment
Incorrect □ ( )
Correct □
Date of Graduation □ / Transfer □
Incorrect □ ( )
Correct □
Descriptions in High School Transcript(s)
Incorrect □ ( )
Certified by (Name & Position):

Signature:

Affiliation:

Tel:

Fax:

Email:

Date:
 List of Supplementary Documents

1. List any honors, awards, and qualifications that are not recorded on the transcripts, if any.
2. Provide all the copies of honors, awards, recognition, certification, etc. listed below with a seal affixed by your high school
or issued institution, if any.

Academic Honors and Awards

Grade
Date (mm/yy) Title Rank (if any) Issued by
Level

Extra Curricular or Volunteer Activities Certificates

Grade Positions held, honors won

Date (mm/yy) Activity Issued by
Level or letters earned

Work Experience

Grade Approximate dates of Approximate no. of

Job Description Employer (Name of organization)
Level Employment hours spent per week