Chiba Institute of Technology Graduate School

18 

Loading....

Loading....

Loading....

Loading....

Loading....

Full text

(1)

 

 

 

Academic Year 2016 

Chiba Institute of Technology 

Graduate School 

Spring Enrollment: September Examination 

and March Examination 

International Student Admission Examination 

 

Application Guidelines

 

Graduate School of Engineering

Graduate School of Information and Computer Science

Graduate School of Social Systems Science

Master’s Program 

● 

Doctoral Program

(2)

Graduate Schools and Programs

Chiba Institute of Technology Graduate School

Graduate School

Master’s Program

Doctoral Program

Graduate School of Engineering Mechanical Science and Engineering Engineering Electrical, Electronics and Computer  Engineering Life and Environmental Sciences Architecture and Civil Engineering Design Advanced Robotics Graduate School of Information and  Computer Science Information and Computer Science Graduate School of Social Systems  Science Management Science

(3)

Master’s Program

Application Guidelines 

 

1

 Program Recruitment Capacity

Graduate School of Engineering

Graduate School of Information and Computer Science

Mechanical Science and Engineering

80

Information and Computer Science

70

Electrical, Electronics, and Computer Engineering

70

Life and Environmental Sciences

80

Graduate School of Social Systems Science

Architecture and Civil Engineering

80

Management Science

40

Design

40

Advanced Robotics

30

Total

490

2

Application Qualifications (applicants must meet one of the following criteria):

1) Individuals who have graduated from a university or expect to graduate from a university by March 31, 2016.

2) Individuals who have been awarded or expect to be awarded an undergraduate degree by March 31, 2016, pursuant to the stipulations of the School Education Act, Article 104, Clause 4.

3) Individuals who have completed or expect to complete 16 years of school education in a foreign country by March 31, 2016.

4) Individuals who have completed or expect to complete 16 years of school education by taking correspondence courses offered by a foreign school in Japan, by March 31, 2016.

5) Individuals who have completed a program recognized by the Ministry of Education, Culture, Sports, Science and Technology (MEXT) at an educational institution in Japan that is affiliated with the education system of a foreign country, and that has a university program in that foreign country (only if those who complete the program are treated as having completed 16 years of school education in that foreign country), or who expect to complete such a program by March 31, 2016.

6) Individuals who have completed a specialized program at a specialized training college (only those with a standard term of four years or longer, and that meet other standards established by MEXT) recognized by MEXT on or after the date determined by MEXT, or who expect to complete such a program by March 31, 2016.

7) Individuals recognized by MEXT.

8) Individuals who have been enrolled in a university for three or more years as of March 31, 2016, and who have been deemed by this Graduate School to have earned a prescribed number of credits and excellent grades.

9) Individuals who were enrolled in another graduate school pursuant to the stipulations of the School Education Act, Article 102, Clause 2, and who have been deemed to have academic ability suitable for receiving a graduate school education at this Graduate School.

10) Individuals who are recognized by this Graduate School as possessing academic skills equivalent to or greater than those of a university graduate based on an individual application qualification review, and who will be 22 years of age or older by March 31, 2016.

Note: Individuals applying based on criteria 8–10 will be required to undergo a preliminary qualification review, and should contact the Admissions Office for more information before applying. (See p. 12 for information on the preliminary qualification review.)

(4)

Master’s Program

3

Admission Examination Schedule

Type of Examination Submission Application

Period Academic Program

Date of Examination Date of Notification of Acceptance Enrollment Deadline Spring Enrollment: September Examination International Student Admission Examination Aug.3 (Mon.) to Aug.21(Fri.) (must be received by this date) Mechanical Science and Engineering Electrical, Electronics and Computer Engineering Life and Environmental Sciences Architecture and Civil Engineering Design Advanced Robotics Information and Computer Science Management Science

Sept. 1 (Tue.) Sept. 3 (Thu.)

Dec. 10 (Thu.) (All documents must be received, or at least postmarked, by this date.) Spring Enrollment: March Examination International Student Admission Examination Feb.15 (Mon.) to Feb. 26 (Fri.) (must be received by this date) Mechanical Science and Engineering Electrical, Electronics and Computer Engineering Life and Environmental Sciences Architecture and Civil Engineering Design Advanced Robotics Information and Computer Science Management Science

Mar. 10(Thu.) Mar. 12 (Sat.)

Mar.22 (Tue.) (All documents must be received, or at least postmarked, by this date.) Notes:

(1) The March examination may not be offered for some academic programs.

(2) All of the examinations will be held at the Chiba Institute of Technology’s Tsudanuma Campus. (3) Applications will be accepted

Weekdays Saturday (Feb. 20 only)

Aug.3 (Mon.) to Aug.21(Fri.) 10 a.m. to 4 p.m.

Feb.15 (Mon.) to Feb. 26 (Fri.) 9 a.m. to 4 p.m. 9 to 11 a.m. The office will be closed on weekends in August and from August 10 to 14 for summer holiday.

(5)

Master’s Program

International Student Admission Examination

(1) Application Qualifications

Applicants must be citizens of a country other than Japan(exclusive Japanese permanent residency holders), meet one of the application qualifications on p. 3, and have the consent of their prospective academic advisor.

(2) Application Documents

1) Application Form: Obtained after registration for online application

2) Examination Admission Form/Photograph Form: Obtained after registration for online application

3) Letter of recommendation from a department head of the student’s home school or their academic advisor (in Japanese or English): Any format

4) Prospective academic advisor confirmation slip: University-prescribed form (Form 1) 5) Transcript from last school attended: one (1) original copy

6) Certificate of graduation or certificate of expected graduation from last school attended: one (1) original copy

7) Photograph: two (2) original copies of a photograph taken within three months prior to application, 4 cm high x 3 cm wide, affixed to the Application Form and Photograph Form

8) Copy of passport: Copies of pages (A4 size) showing the holder’s name, date of birth, photograph, issuing institution, and expiration date (not required of international students already enrolled in this university)

9) Copy of the applicant’s resident card or certificate of alien registration (both front and back sides): Only required of those who have been in Japan for three months or longer

10) Additional documents:

Life and Environmental Sciences • Research plan

Using about 2,000 characters on an A4-sized sheet of paper, describe the research topic you want to investigate (as well as your ambitions) upon your enrollment (in Japanese only, and in general should be made using wordprocessing software).

Architecture and Civil Engineering

Describe your post-enrollment ambitions on an A4-sized sheet of paper (one page) in the format prescribed by this program (see pp. 7 and 8). (May be in Japanese or English, and in general should be made using word-processing software.)

Design

• Research plan

Describe the background, purpose, methods, schedule and anticipated results of the research you want to pursue at this university in approximately 2,000 characters on A4-sized paper. Be sure to have your prospective academic advisor confirm the contents of your plan before you submit it.

Advanced Robotics • Research plan

Using about 2,000 characters on an A4-sized sheet of paper, clearly explain your research background, purpose, methods, schedule, and anticipated results. Figures and tables may be used if needed. (May be in Japanese or English.)

Information and Computer Science and Management Science • Research plan

Using about 2,000 characters on an A4-sized sheet of paper, describe the research topic you want to study (as well as your ambitions) upon your enrollment. (May be in Japanese or English, and in general should be made using word-processing software.)

11) International Student Confirmation Form: University-prescribed form (Form 2); please make sure to attach your 1) certificate of completion or certificate of expected completion, 2) academic transcript and 3) certificate of attendance records from a Japanese-language school or the like.

Notes:

• Prospective academic advisor confirmation slip is provided at the end of these guidelines.

• Documents submitted in any language other than Japanese or English should be accompanied by a translated version verified by a public institution (e.g., an embassy or consulate) or a Japanese-language school, and have the institution’s official signature or seal on it.

(6)

Master’s Program

(3) Examination Type and Schedule

September

Examination March Examination Program

Mechanical Science and Engineering; Electrical, Electronics and Computer Engineering; Life and Environmental Sciences; Design; Information and Computer Science; Management Science

Sept. 1 (Tue.) Mar. 10 (Thu.) Type Oral examination (Japanese) Time Starts at 1:00 p.m.

September

Examination March Examination Program Advanced Robotics

Sept. 1 (Tue.) Mar. 10 (Thu.) Type Oral examination (Japanese or English) Time Starts at 1:00 p.m.

September

Examination March Examination Program Architecture and Civil Engineering

Sept. 1 (Tue.) Mar. 10 (Thu.) Type

Oral examination (As a rule, conducted in Japanese; however, administered in English as necessary)

Time Starts at 1:00 p.m.

Notes:

(7)

1. Overall structure

Cover: Indicate your name in the lower area. Body: Use the settings indicated below.

2. Page settings

1)No. of characters and rows

No. of characters, rows 48 rows, 50 characters each

Font Body text titles, figure titles: MS Gothic

Body text: MS Mincho

Font size Body text titles: 11 pt. Figure titles: 10.5 pt. Body text: 10.5 pt.

Columns 1

2)Margins

Top, bottom, left, right 20, 20, 20, 15 (mm)

Binding 0 mm

3)Paper

Size and format A4, portrait 4)Other

Word-processing software Microsoft Word is the standard

Page numbers Centered at the bottom of the page MS Mincho, 10.5 pt.

3. Body text layout and structure

See the next page (however, figures and tables in the body should be separated from the body by a blank line both above and

below). Provisions regarding the use of section titles are also provided on the next page.

4. Text styles for numbers and English

(1) Any katakana used should be full-width characters.

(2) Single numbers and English characters should be full width. If there are two or more characters, they should be half width. (3) Units should be half width. Ex: m, mm, L/s, m/s, Pa, etc.

(4) Numbers in figures and tables should be half width.

(5) Footnotes used within the body text should be superscripted to 1/4.

5. Numbers and titles for figures and tables

(1) Figures : Under the figure, use this format: Figure 1.1.1-1

(2) Tables: Above the table, use this format: Table 1.1.1-1

Format for Additional Documents for the Architecture

and Civil Engineering Program

Continue to next page Title: 10.5 pt.

Space

No.: Half width

Section (paragraph): Half width

Title: 10.5 pt. Space

No.: Half width

(8)

The basic body layout is shown below. (Boxes indicate spaces, asterisks * indicate text.)

MS Gothic (11 pt.)

MS Gothic (11 pt.)

MS Gothic (10.5 pt.)

MS Gothic (10.5 pt.)

MS Mincho (10.5 pt.)

MS Mincho (10.5 pt.)

MS Gothic (11 pt.)

MS Mincho (10.5 pt.)

MS Gothic (11 pt.)

MS Mincho (10.5 pt.)

MS Gothic (11 pt.)

MS Mincho (10.5 pt.)

(Blank line)

Chapter 1

Table

Figure

(9)

Doctoral Program

Application Guidelines 

 

1

Program Recruitment Capacity

Graduate School of Engineering

Graduate School of Social Systems Science

Engineering

24

Management Science

2

Graduate School of Information and Computer Science

Information and Computer Science

4

Total

30

2

Application Qualifications (applicants must meet one of the following criteria):

1) Individuals who hold a master’s degree or professional degree, or who expect to receive such a degree by March 31, 2016. 2) Individuals who have been awarded a degree equivalent to a master’s degree or professional degree in a foreign country, or

who expect to be awarded such a degree by March 31, 2016.

3) Individuals who have taken correspondence courses in Japan offered by a school in a foreign country and have been awarded a degree equivalent to a master’s degree or professional degree, or who expect to be awarded such a degree by March 31, 2016.

4) Individuals who have completed a program recognized by MEXT at an educational institution that is affiliated with the education system of a foreign country, and that has a graduate school program in that foreign country, and who have been awarded a degree equivalent to a master’s degree or professional degree, or who expect to be awarded such a degree by March 31, 2016.

5) Individuals recognized by MEXT.

6) Individuals who are recognized by this Graduate School as possessing academic skills equivalent to or greater than those of a master’s degree holder based on an individual application qualification review, and who will be 24 years of age or older by March 31, 2016.

Note: Individuals applying based on criteria 6 will be required to undergo a preliminary qualification review, and should contact the Admissions Office for more information before applying. (See p. 12 for information on the preliminary qualification review.)

(10)

Guidelines Relevant to

Both the Master’s and Doctoral Programs

3

 Admission Examination Schedule

 

Type of Examination Application Submission Period Program Date of Examination Date of Notification of Acceptance Enrollment Deadline Spring Enrollment: September Examination International Student Admission Examination Aug.3 (Mon.) to Aug.21(Fri.) (must be received by this date) Engineering Information and Computer Science Management Science

Sept. 1 (Tue.) Sept. 3 (Thu.)

Dec. 10 (Thu.) (All documents must be received, or at least postmarked, by this date.) Spring Enrollment: March Examination International Student Admission Examination Feb.15 (Mon.) to Feb. 26 (Fri.) (must be received by this date) Engineering Information and Computer Science Management Science

Mar. 10 (Thu.) Mar. 12 (Sat.)

Mar.22 (Tue.) (All documents must be received, or at least postmarked, by this date.) Notes:

(1) All of the examinations will be held at the Chiba Institute of Technology’s Tsudanuma Campus. (2) Applications will be accepted

Weekdays Saturday (Feb. 20 only)

Aug.3 (Mon.) to Aug.21(Fri.) 10 a.m. to 4 p.m.

Feb.15 (Mon.) to Feb. 26 (Fri.) 9 a.m. to 4 p.m. 9 to 11 a.m. The office will be closed on weekends in August and from August 10 to 14 for summer holiday.

(11)

Guidelines Relevant to

Both the Master’s and Doctoral Programs

International Student Admission Examination

(1) Application Qualifications

Applicants must be citizens of a country other than Japan(exclusive Japanese permanent residency holders), meet one of the application qualifications on p. 3, and have the consent of their prospective academic advisor.

(2) Application Documents

1) Application Form: Obtained after registration for online application

2) Examination Admission Form/Photograph Form: Obtained after registration for online application

3) Letter of recommendation from a department head at the student’s home school or their academic advisor (in Japanese or English): Any format

4) Prospective academic advisor confirmation slip: University-prescribed form (Form 1) 5) Transcript from last school attended: one (1) original copy

6) Certificate of course completion or certificate of expected course completion from last school attended: one (1) original copy

7) Photograph: two (2) original copies of a photograph taken within three months prior to application, 4 cm high x 3 cm wide, affixed to the Application Form and Photograph Form

8) Copy of passport: Copies of pages showing the holder’s name, birth date, photograph, issuing institution, and expiration date (A4 size); not required of international students already enrolled in this university

9) Copy of the applicant’s resident card or certificate of alien registration (both front and back sides): Only required of those who have been in Japan for three months or longer

10) Research plan for the doctoral program

11) International Student Confirmation Form: University-prescribed form (Form 2); please make sure to attach your 1) certificate of completion or certificate of expected completion, 2) academic transcript and 3) certificate of attendance records from a Japanese-language school or the like.

Notes:

• Prospective academic advisor confirmation slip is provided at the end of these guidelines.

• Documents submitted in any language other than Japanese or English should be accompanied by a translated version verified by a public institution (e.g., an embassy or consulate) or a Japanese-language school, and have the institution’s official signature or seal on it.

(3) Examination Type and Schedule

September Admission

Exam March Admission Exam Academic Program Engineering, Information and Computer Science Sept. 1 (Tue.) Mar. 10 (Thu.) Type Time Oral examination (Japanese or English) Starts at 10:00 a.m. September Admission

Exam March Admission Exam Academic Program Management Science

Sept. 1 (Tue.) Mar. 10 (Thu.) Type

Oral examination (Japanese or English) and other examinations (e.g., a presentation)

(The presentation would include the applicant’s research background, purpose, methods, and anticipated results.)

Time Starts at 10:00 a.m.

Note: Be sure to arrive at least 10 minutes before the examination starts.

(12)

Guidelines Relevant to

Both the Master’s and Doctoral Programs

1

Preliminary Qualification Review

Master’s program applicants applying under qualifications 8–10 on p. 3 and doctoral program applicants applying under qualification 6 on p. 9 must undergo a preliminary qualification review before applying. If you are subject to this review, be sure to contact the Admissions Office before the end of the application submission period.

Application submission period:

September Entrance Exam: Must be submitted between July 6 (Mon.) and 17 (Fri.), 2015 March Entrance Exam: Must be submitted between January 12 (Tue.) and 22 (Fri.), 2016

Submission location:Tsudanuma Campus, Admissions Office Application Materials:

1) Application Qualification Review Request Form: University-prescribed form (Form 3)

2) Certificate of graduation and a transcript from the last school attended (issued within the past three months, as a rule)

3) Master’s program: Documentation verifying that the applicant has academic ability equivalent to that of a university graduate (documentation verifying the applicant’s work history, training history, research history, or other practical experience, and performance)

Doctoral program: Documentation verifying that the applicant has academic ability equivalent to that of a master’s degree holder (documentation verifying the applicant’s performance, including job description, outline of performance and experience, works created, presentations and essays, and patents).

Note: Documents submitted in any language other than Japanese or English should be accompanied by a translated version

verified by a public institution (e.g., an embassy or consulate) or a Japanese-language school, and have the institution’s official signature or seal on it.

Review Method: Document review Review Fee: Free

Review Results:

•Results for the September admission exam will be sent to the applicant on July 28 (Tue.). •Results for the March admission exam will be sent to the applicant on February 8 (Mon.).

2

Application Fee: 30,000 JPY

3

Application Methods

 

(1) Register your application information

For information about registering your application information and the application procedure, refer to the online application guide on the following webpage.

http://webentry.it-chiba.ac.jp/guide/it-chiba-g

Note: If a family member or acquaintance is making the payment on behalf of the applicant, be sure to enter the information of

the applicant.

(2) Pay your application fee

1) After you apply online, pay the application fee at a convenience store (Lawson, FamilyMart, 7-Eleven, Circle K Sunkus, Three F, Ministop, Daily Yamazaki, or Seicomart), using Pay-easy (at any JP Bank or bank ATM with a Pay-easy mark or through Pay-easy-compatible net banking), or using a credit card (Visa, MasterCard, JCB, American Express or Diners Club) within the application submission period.

2) When you pay the application fee, you will also have to pay a transaction fee in addition to the application fee. 3) You cannot pay the application fee in person at a financial institution.

4) You cannot pay the application fee in person at the university.

5) After an application fee has been paid, you will be allowed to print your application form.

6) You can make payments at convenience stores any time within store hours, including Saturdays, Sundays, and holidays. However, please note that applications are only accepted on the online application site until 4 p.m. on the last day of the application submission period.

(13)

Guidelines Relevant to

Both the Master’s and Doctoral Programs

(3) Submit your application documents

• Before you seal the envelope, make sure that the envelope includes all the necessary documents.

• Prepare an envelope sized 240 mm × 332 mm (an envelope that the designated A4 size forms will fit in without folding), affix an address sticker on the front of the envelope, and put the complete set of application documents in the envelope.

• Bring the complete set of application documents to the university. (The documents must arrive by the deadline.)

• Your examination admission number will be determined when your application documents are received by the Admissions Office. Bring the Examination Admission Form/Photograph Form with your examination admission number written on it on the day of the examination. Do not separate the Examination Admission Form and Photograph Form.

• Even if the application fee payment is completed within the application submission period, if the postmark on the application materials you send by mail is dated after the end of the application submission period, you will not be able to take the admission examination.

Admissions Office, Chiba Institute of Technology

2-17-1 Tsudanuma, Narashino-shi, Chiba Prefecture 275-0016; Tel: 047-478-0222

4

Examination Venue

 

Tsudanuma Campus: 2-17-1 Tsudanuma, Narashino-shi, Chiba Prefecture In front of Tsudanuma Station (south exit) on the JR Sobu Line

You will receive a list of venues for the written and oral examinations when you submit your application in person to the Admissions Office. If you submit your application via postal mail, a copy of this list will be sent along with the Examination Admission Form/Photograph Form.

5

Notification of Acceptance

1) Mailing of Notifications of Acceptance

 

Acceptance notifications and documents related to enrollment will be mailed to successful applicants at the same time they are posted on campus. Please be aware that notifications will not be sent to unsuccessful candidates.

2) Online Results

For five days starting on the date of notification of acceptance, applicants can check their examination results online (in Japanese only). You can use a computer or cell phone/smartphone to see if you passed. https://www.go-hi.jp/cit/ (PC and mobile site) Any connection charges incurred to check this data are borne by the user. The university shall not bear any responsibility for any problems that arise related to incorrect operations or misreading of the online data.

Hours September Examination Sept. 3 (Thu.) 6:00 p.m. to Sept. 7 (Mon.) end of day March Examination Mar. 12 (Sat.) 6:00 p.m. to Mar. 16 (Wed.) end of day

3) Important Notes

• The examination results will not be posted on a bulletin board.

• If you confirm that you have passed the examination online but do not receive a notification of acceptance within four to five days, please contact the Admissions Office right away.

• Successful applicants should expect to receive information on student liability insurance from a university affiliate, the Chiba Institute of Technology Service.

• Results will not be given in response to telephone inquiries.

6

Enrollment Procedures

 

To complete their enrollment, applicants must pay their student fees and miscellaneous dues and submit their enrollment documents by the enrollment deadline. For details, see the Enrollment Instructions enclosed with the notification of results.

(14)

Guidelines Relevant to

Both the Master’s and Doctoral Programs

7

Tuition and Fees

 

Student fees and miscellaneous dues have not yet been set for the 2016 academic year, but the fees for the 2015 academic year are shown here for reference.

Information Relevant to Both the Master’s and Doctoral Programs

Item

Graduates of Chiba Institute of Technology (including those who expect to graduate)

Graduates of other universities (including those

who expect to graduate)

Student fees Admission fee 0 JPY 200,000 JPY

Tuition 800,000 JPY 800,000 JPY

Miscellaneous dues

Student mutual aid

association Membership feeAnnual dues 2,500 JPY0 JPY 2,000 JPY2,500 JPY

PPA Membership fee 0 JPY 10,000 JPY

Annual dues 10,000 JPY 10,000 JPY

Alumni association lifetime membership 0 JPY 20,000 JPY

Total 812,500 JPY 1,044,500 JPY

Notes:

• In the second year and beyond, tuition will increase annually by 30,000 JPY. • Student fees are not taxable pursuant to the Consumption Tax Act. .

• Tuition, student mutual aid association annual dues, PPA annual dues, and the alumni association lifetime membership fee can be paid in two installments, one in the first semester and one in the second semester. The second installment (the second-semester payment) should be paid after enrollment (the middle of September).

8

Declining an Offer of Admission

 

If circumstances require a student to decline an offer of admission after having completed the enrollment procedures, all fees other than the admission fee will be refunded if the student completes the admission rejection procedures by Thursday, March 31, 2016. For details, please see the Enrollment Instructions enclosed with your notification of results.

9

Scholarship Programs

 

1) Loans

We have established a program that grants loans to prospective graduate school students (Japanese citizens) to cover their student fees. (However, students who have received a loan from this university or from another program may not be eligible to apply for this loan, depending on their total debt load.) An annual administrative processing fee of 1 percent a year needs to be reimbursed along with repayment.

2) Teaching Assistant

The teaching assistant program was established to help graduate students gain teaching experience and pay their expenses. 3) We facilitate scholarship programs offered by the Japan Student Services Organization (JASSO), other public organizations,

private companies, etc.

10

Important Notes

 

Students are not required to submit a health report, but everyone should undergo the health examinations that the university offers to them after enrollment.

If you have a physical disability and require special considerations when taking the entrance examination, be sure to contact the Admissions Office before applying. Individuals who are concerned that a serious illness or injury could hinder their ability to take the entrance examination should likewise consult the Admissions Office.

11

Personal Information Management

 

Personal information collected during the application process, such as your name and address, will only be used to send out materials and surveys related to your enrollment and to collect statistical data. Personal information shall be carefully managed. We will provide information such as your address to the Chiba Institute of Technology Service, a university affiliate, so that they can send insurance information to you.

(15)

(様式1) ①( Fo rm  1 ) ② Year___Mon th___Da y__ _ ③ Pr ospectiv e  ac ademic  advisor  co nf irm at io n  slip ④ Space  to  be  filled  by  Applic an t ⑤ Please  fill  in  each  it em ⑥ Applic an t’s  name ⑦ St uden t ID ⑧ Univ er sity  ・ Place  of  dut ies ⑨ Dep artm en t・ maj o r ⑩ Ac ademic  advisor ⑪ ※ 1  CIT  gr aduat e only ⑫ ※ 2  Please  fill  out  about  th e curr en t a ffilia tion.  (Un iv er sity ・ Place  of  dut ies,   Dep artm en t・ maj o r, Ac ademic  advisor)  If  th er e is  no  suit able  ans w er , do  not  fill  in. ⑬ Fill  each  it em,  or  cir cle  only  one  appr opriat e  place  lik e enclosing  please ⑭ Pr ef err ed  ac ademic  pr ogr am ⑮ Mas ter ’s  Pr ogr am ⑯ D o ct ro ra lP ro gra m ⑰ Pr ef err ed  ac ademic  maj o r ⑱ Pr ef err ed  re se arc h  field ⑲ En tr an ce  period ⑳ Spring  enr o llmen t ㉑ Fa ll enr o llmen t ㉒ Ty p e of  Ex amina tion ㉓ Ma y ㉔ Sep tember ㉕ Mar ch ㉖ Campus  scr eening  te st ㉗ Place  of  wo rk ㉘ In te rn at ion al  st uden t ㉙ Gener al ㉚ R ec o mm endat ion ㉛ Space  to  be  filled  by  pr ospect iv e ac ademic  adviser ㉜ In  Chiba  In st itu te  of  T echnology  gr aduat e school  en tr ance  ex am , if  yo u  accep t to  be  a   pr ospect iv e  ac ademic  advisor  when  th e applic an t abov e has  passed,  af te r fill ‐sealing th e it ems  below ,   please  pass  on  th e applic an ts. ㉝ Major  name ㉞ Te ac h er  name         St amp ① ② ③ ④ ⑤ ⑥ ⑦ ⑧ ⑨ ⑩ ⑪ ⑫ ⑬ ⑭ ⑮ ⑲ ⑳

201

⑯ ⑰ ⑱ ㉑ ㉒ ㉓ ㉔ ㉕ ㉖ ㉗ ㉘ ㉙ ㉚ ㉛ ㉝ ㉗ ㉗ ㉘ ㉘ ㉙ ㉜ ㉞

(16)

学校名 所在地 ( 国名 ) 金額 (単 位 :円 ) 期 間 年 月 ~ 年 月 年 月 ~ 年 月 年 月 ~ 年 月 支弁方法 日 付 受験者氏 名 上記の記載内 容 に相違な い こ と を 誓 い ま す。 本学大学院に在学する期間の学費 ・ 生活費の支弁方法を明記してください。 日本留学の目 的 、お よ び本学大学院を志望した理由を記載してください。 日本語学習歴について記入してください。 日本以外の国籍を有する方 は 、出願の時点から過去1年の間に在籍していた全ての日本語 学 校 ・ 専 門 学校等におけ る 、次の ( 1 ) か ら ( 3 ) の書類を提出してください 。 以下の質問に回答してください。 ( 1 ) 修了証 明 書(在学中の場合 は 、修了見 込証 明 書ま た は 在学 証明 書 ) ( 2 ) 成績証明 書 ( 3 ) 出席状況証明 書 計 ¥ ¥ ¥ ¥ ¥ ¥ 本人の貯 蓄 母国の 両 親 ま た は親 戚 ( 関 係 : ) 日本国内の経費支弁 者 ( 氏 名 : 関 係 : ) 政 府ま た は各種団体の奨学金 ( 名 称 : ) そ の 他 ( 詳 細 : ) (様式2)

平成

28

年度 千葉工業大学大学院 留学生確認

① Form 2

Only individuals with non-Japanese citiz

enship must submit this form

2016 Chiba Institute of Technology Graduate School International Student Confirmation Form

Individuals with non-Japanese citizenship should submit the following three documents

from all

of the Japanese-language schools or vocational

schools that they were enrolled in

during the year prior to applying to Chiba Institu

te of

Technology

.

(1)

Certificate(s) of completion (if currently enrolled, a certificate of expected

completion or certificate of enrollm

ent) (2) Academic transcript(s) (3) Atte

ndance record certificate(s)

Please also provide the information requested below

.

Describe your Japanese-language school experience.

④ School Name ⑤ Location (Country) ⑥ Period ⑦ From Yr . ____ Mo. ____ to Yr . ____ Mo. ____ ⑧ From Yr . ____ Mo. ____ to Yr . ____ Mo. ____ ⑨ From Yr . ____ Mo. ____ to Yr . ____ Mo. ____ ⑩

Please explain your purpose for studying in Japan and the reasons you are applying to this

graduate school.

Please note all sources of funding availa

ble to you for paying your expenses (school fees

and living expenses) while

enrolle

d in this graduate school.

⑫ Source of Funds ⑬ Amount (Unit: yen) ⑭ Applic ant’ s savings ¥____________________ ⑮ Parents or relatives (Relationship to applicant: ) ¥____________________ ⑯

Financial supporter in Japan

Name: ) (Relationship to applic ant: ) ¥____________________ ⑰

Scholarships from the government or other or

ganizations (Name: ) ¥____________________ ⑱ Other (Details: ) ¥____________________ ⑲ Total ¥____________________ ⑳

I hereby affirm that the above information is true and correct.

㉑ Applic ant’ s Signature____________________ ㉒ Date__________

(17)

(様式3 -1)

平成

28

年度 千葉工業大学大学院

氏      名 フ リ ガ ナ 現  住  所 志 望 専 攻 名 志 望 課 程 名 専 攻 課 程 年 月 (西暦)    年   月 (西暦)    年   月 (西暦)    年   月 (西暦)    年   月 (西暦)    年   月 事     項 志 望 す る 研究分野名 学     歴 年 月 (西暦)    年   月 (西暦)    年   月 (西暦)    年   月 (西暦)    年   月 (西暦)    年   月 事     項 職     歴 修士 ・ 博士後期 どちらか○で囲むこと 生年月日 電話番号   (     ) 携帯番号   (     ) 19   年  月  日 〒

入学試験出願資格認定申請書

1 /2 2ページ目もあります ① Form 3-1 ② 2016 Chiba Institu te of

Technology Graduate School

Applic

ation Qualification Review Request Form

③ Furigana ④ Name ⑤ Date of birth ⑥ Y ear____Month____Day____ ⑦ Current address ⑧ T el: ⑨ Mobile : ⑩

Preferred academic program

Master

’s・

Doctoral Program

Please circle one.

Preferred academic major

Major

Preferred research field

⑯ Academic history ⑰ Date (W estern calendar) ⑱ Details ⑲ Y ear____ Month____ ⑳ W ork history ㉑

Continues on the second page

(18)

(様式3-1) ン セ リ ト リ キ 年 月 日 事 項 社会及び学会における活動 等 年 月 日 事 項 賞 罰

平成27年度 千葉工業大学大学院

入学試験出願資格認定申請

書 1/2

氏 名 フ リ ガ ナ 現 住 所 志 望 専 攻 名 専 攻 年 月 (西暦) 年 月 (西暦) 年 月 (西暦) 年 月 (西暦) 年 月 (西暦) 年 月 事 項 志 望 す る 研 究 分 野 学 歴 年 月 (西暦) 年 月 (西暦) 年 月 (西暦) 年 月 (西暦) 年 月 (西暦) 年 月 事 項 職 歴 研 究 分 野 名 生年月 日 電 話 番 号 ( ) 携 帯 番 号 ( ) 19 年 月 日 〒

秋入学

(様式3-2)

平成

28

年度 千葉工業大学大学院

入学試験出願資格認定申請

書 2/2

① Form 3-2 ② 2016 Chiba Institu te of

Technology Graduate School

Applic

ation Qualification Review Request Form

Social and academic association activitie

s ④ Date ⑤ Details ⑥

Rewards and punishments

Figure

Updating...

References

Updating...

Related subjects :