REFERENCES

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 ___________________________________

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

*Please DO NOT write P.O. Box postal address since DHL or express mail cannot deliver important document

REQUESTED LEVEL OF ENTRANCE (select one):

□ Master’s Degree Program

Anticipated term of entrance □ spring-March (year.20__ ) □ Fall-September (year 20__ )

Field of Study:

□ International Business □ International Trade

□ International Development and Cooperation □ NGO Studies □ Korean Studies

* Korean studies does not accept new students temporarily

ACCOMMODATION

□ Dormitory (2-beds room) □ Dormitory (4-beds room) □ off the campus

* Please note that students who cancel dormitory without any notification to the GSIS office will be asked to pay for a penalty fee(25% of dorm fee)

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

□ 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):

Name and Location of Institution Attended	Date of Attendance	List all Degrees and Dates
From	To	Earned	Expected
Month	Year	Month	Year	Degree	Date	Degree	Date

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.

Work Experience	City & State	From	To
Month	Year	Month	Year

REFERENCES

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

Name	Position	Department/Institution	Contact Information
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.

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