자기소개 (Self Introduction)

* Please type or print clearly within 1 page using black ink. (in Korean or in English) (*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

Attachment #3

학업계획 (Study Plan)

* Please type or print clearly within 1 page using black ink. (*10 points)

Goal of study & Study Plan	o Goal of study, title or subject of research, and detailed study plan
Future Plan after Study		o Future plan in Korea or another country after study in Korea

Attachment #4

Letter of Recommendation

To the applicant: Please fill in your name and the other required information below. In turn, deliver or email this form to the person who will write this letter. NOTE: Request your recommender to seal his or her letter of recommendation in an official envelope and sign across the back flap upon completion. Recommendation letters that are not sealed and signed will not be accepted.

Confidential

Name of Applicant: (given name) (family name)

Nationality :

Desired Degree Program :  □ Master’s □ Doctoral

Desired Major :

To the recommender : The person named above has applied for the ‘Korean Government Scholarship Program’. We ask for your assistance, and would appreciate your frank and candid appraisal of the applicant.

* Please type or print clearly using black ink.

1. How long have you known the applicant and in what relationship?

Please assess the applicant's qualities in the evaluation table given below. Rate the applicant compared to other classmates who are/were in the same school year with him/her.

Classification	Truly Exceptional	Excellent	Very Good	Good	Below Average	N/A
	Top 2%	Top 10%	Top 25%	Middle 50%	Lower 25%
Academic Achievement
Future Academic Potential
Integrity
Responsibility/Independence
Creativity/Originality
Communication Skills
Interpersonal skills
Leadership

2. What do you consider to be the applicant’s strengths?

3. What do you consider to be the applicant’s weaknesses?

4. 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

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.

Attachment #5

“Korean Government Scholarship Program for Graduate Study”

Pledge (서약서) As an applicant for the 2012 “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 student 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 students are not permitted to transfer schools for the entire duration of scholarship after confirming their host institution. (yyyy). (mm). (dd). Applicant’s Name : (signature)

Attachment #6

PERSONAL MEDICAL ASSESSMENT

Applicants are not required to undergo an authorized medical exam before passing the 2^nd Selection with NIIED; however, all successful candidates must take a comprehensive medical exam after the 2^nd Selection (including an HIV and TBPE drug test**) 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 ethyl ester) drug tests are for evaluating past usage of stimulant drugs.

Gender:		HEIGHT		cm	WEIGHT				kg
When and for what reason did you last consult a physician? (Please explain in the adjacent space.)
QUESTION					YES	NO	IF YES, PLEASE EXPLAIN
② 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)?
③ 1. allergies? 2. high blood pressure? 3. diabetes? 4. any type of Hepatitis?
④ 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.)
⑤ Have you ever been addicted to alcohol?
⑥ Have you ever abused any narcotic, stimulant, hallucinogen or other substance (whether legal or prohibited)?
⑦ If necessary, are you prepared to undergo physical tests to verify the answers given in response to questions ⑥ and ⑦ above?
⑧ Have you been hospitalized in the last two (2) years?
⑨ Have you had any serious injury, ailment or sickness in the last five (5) years?
⑩ Do you have any visual or hearing impairments?
⑪ Do you have any physical disabilities?
⑫ Do you have any cognitive/mental disabilities?
⑬ Are you taking any prescribed medication?
⑭ Are you on a special diet?
⑮ On average, how many standard servings of alcohol do you consume each week?:

Attachment #7