Application Form General Information

< 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
.