< Form 1 > Application Form General Information Personal Data (Please type or print neatly) Photo (3.5cm X 4.5cm) Full Name (as in your passport) (Last/Family) (First/Given) (Middle) Gender Date of Birth Male Female __________ /__________ /_________ month day Citizenship year Country of Birth Passport Number Email Home Phone Number ( ) Cell Phone Number Country / Area Code Permanent Home Address (Number and Street) Emergency Contact in Korea (if any) (City or Town) (Province or State) (Country) (Zip/Postal Code) (Name) (Relation) (Occupation) (Address) (Phone No.) Family Information Father Mother (Last/Family) (First/Given) (Middle) ______ /______ /_____ Date of Birth Living? deceased Citizenship month Yes day No (Date ) . year (Last/Family) (Middle) Date of Birth Living? deceased Citizenship (First/Given) ______ /______ /_____ month No Yes day (Date ) year . Home address if different from yours Home address if different from yours Cell Phone Cell Phone Email Email 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. Undergraduate School Name: ___________________________________________ 2. Province/Country of Undergraduate School indicated above: _____________________ 3. (Expected) Graduation Date of Undergraduate School (mm/dd/yy): ____/____/_____ 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: (Recommended for applicants whose native language is not English.) □ I will take the TOEFL: Date / . / . (yyyy /mm) Composite Score Date (yyyy / mm) □ / Critical Reading □ Date □ I have taken the SAT 1 Test: . I will take the SAT 1 Test: Date (yyyy / mm) Writing Math □ I have taken the AP/IB/SAT Subject Test: / . . I will take the AP/IB/SAT Subject Test: (yyyy / mm) Type & Subject Date / . Date / . Date / . Date / . Score (yyyy / mm) Type & Subject Score (yyyy / mm) Type & Subject Score (yyyy / mm) Type & Subject Score (yyyy / mm) □ □ I have taken the ACT: . / I will take the ACT: Date (yyyy / mm) Eng Eng/Wr □ Math Read Date I have taken other standardized exams. / Sci Composite . ((yyyy / mm) Name of exam . Subject // Subject // □ I have taken other standardized exams. Subject Score Subject Score Score . Score . Name of exam Subject // Subject // . Subject Score Subject Score Score . Score .
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