Application Form
For International Applicants
April/September 2019 Enrollment
Admissions for Japanese/Domestic Applicants
Admissions Ofice (Domestic)
TEL : +81-977-78-1120
Hours : Monday - Friday, 9:00 - 17:30 (Japan Time)
FAX : +81-977-78-1199 Email : apumate@apu.ac.jp URL : http://www.apumate.net
Admissions for International Applicants
Admissions Ofice (International)
TEL : +81-977-78-1119
Hours : Monday - Friday, 9:00 - 17:30 (Japan Time) Closed Tuesdays 9:30 - 11:30
FAX : +81-977-78-1121 Email : welcome@apu.ac.jp URL : https://admissions.apu.ac.jp Contact
No
No
No
No
No
Yes
Yes
Yes
Yes
Yes
Please conirm your appropriate admissions category using the chart below.
Acceptance to APU will be revoked if any false information or forgeries are found within the submitted documents, even after enrollment. *1 If one of your parents has Japanese nationality, it is possible that you also have Japanese nationality; please conirm whether you have
Japanese nationality before applying. If is discovered that a successful applicant has Japanese nationality, their APU Tuition Reduction Scholarship offer will be withdrawn and their acceptance to APU may possibly be revoked.
For those in the process of renouncing their Japanese nationality, please contact the Admissions Ofice before applying.
*2 If you are a US armed forces personnel, family member, or civilian affected by the US-Japan Status of Forces Agreement (SOFA), please contact the Admissions Ofice before application.
*3 Those who will obtain a student visa before enrollment are eligible to apply for the APU Tuition Reduction Scholarship at the time of application.
*4 If you currently possess a status of residence other than a student visa but intend on changing it to a student visa before enrollment in APU, please submit a Letter of Intent to Switch to Student Residency Status and inform APU of your decision via email.
*5 If you hold a visa other than a student visa, please consult the Admissions Ofice to determine how you should apply.
*6 APU offers support in obtaining a student visa if admitted applicants do not possess Japanese nationality or permanent Japanese residency, and have completed all required procedures before enrollment.
Admissions for
Japanese/Domestic
Applicants
Admissions for
International Applicants
Residing in Japan
Admissions for
International Applicants
Residing Outside Japan
Do you possess Japanese nationality?(including Japanese dual nationality*1)
Not including short-term stays, do you have any status of residence in Japan?
Do you have permanent
residency in Japan?
Do you currently have a student visa? *4
Will you be able to attend the interview
in Japan on the dates mentioned in the
Undergraduate Application Handbook for International Applicants Residing in Japan?
Please contact the Admissions
Ofice before applying.
*
2*
5*
3Application handbooks and application forms are can be downloaded from the admissions website (https://admissions.apu.ac.jp).
Documents Method of Submission 「O」= Can be submitted online 「P」= Send by post 「F」= Fillable PDF forms can be downloaded from the admissions website.
In some cases, applicants can choose between 「O」 or 「P」, but we recommend applicants to choose「O」
Please refer to the Admissions Handbook for detailed information.
Please hand-write the application forms in black or blue ink. The use of pencils and erasable pens (such as FriXion gel pens) is prohibited. Application forms written in pencil or erasable pen will not be accepted.
It is not necessary to print out and mail documents that can be submitted online. We treat the online version of those documents as the original copy. O
Can be submitted online Send by postP
1.Undergraduate Application Form p.1〜3 「F」(Please sign on page 3 of the application form) □ □
2.Application Essay p.5, 6 「F」 □ □
3.Certiicate of Eligibility / Resident Status Questionnaire p.7 「F」 □ □
4.Application fee payment
・Credit card: Must register on the APU Online Application System through the admissions website □ □
4.Application fee payment
・Bank transfer: Send in proof of payment □
5.Academic transcripts for most recent 3 years Original or Certiied Document
(If you are currently in high school, please submit the most recent academic transcripts for 2 years or more
that have been issued within the last 2 months) Original or Certiied Document □
6.Mandatory or standardized national test results to enter university /
standardized test result certiicates (only for those who have taken them) Original or Certiied Document *For students who have taken the SAT, ACT or GCE (Sri Lanka) examinations, your score report must be
forwarded directly to APU from the test center.
□
7.Letter of Recommendation p9, 10 「F」 Original ONLY □
8.Passport copy (if available) □
9.Two identical photographs (4 cm × 3 cm or 1.57 inches × 1.18 inches) □
10.Copy of Alien Registration Card / Residence Card (Applicants who already have a valid Japanese resident status ONLY) □
11.Checklist (This form: When you submit your documents, please make sure to put this checklist on the top.) □
B
Language Proiciency Test Scores
1. English-basis students: TOEFL iBT® Test /TOEFL® PBT Test / IELTS / TOEIC® L&R Test / The EIKEN Test in
Practical
English Proiciency / PTE Academic / Cambridge English Language Assessment □
2.Japanese-basis students: JLPT/ EJU Japanese (not including the writing section) □
Please complete the necessary procedures and ill out the examination date and your test score in the "Language Proiciency / Test Scores" section on page 3 before putting a check in the box.
International applicants residing in Japan MUST submit an oficial English or Japanese language test score.
C
Language Proiciency Forms
English Proiciency Evaluation p.11 / 日本語能力認定書 p.12 「F」 □
International applicants residing in Japan may not use this form.
D
Additional Documents for Submission (If Applicable)
1.APU Tuition Reduction Scholarship Application p.13 「F」 □ □
2.Extracurricular Activities Report p.15, 16 「F」 □ □
3.Document(s) to prove participation in extracurricular activities □
4.Certiication of scholarships received from organizations other than APU □
E
Transfer Student Application
1.Transfer Student Academic Status p.17 「F」 □ □
2.List of classes currently attending □
3.Credit requirements for graduation
(e.g. student handbook or school website that provides the relevant information) □
4. Higher institution (e.g. university) graduation certiicate (in the case of graduates) or certiicate ofscheduled graduation
(in the case of applicants currently undertaking programs other than bachelor’s) Original or Certiied Document □
If you have already graduated from a higher educational institution (e.g. university), item 2 and 3 are not required.
* Certiied Document
A certiied document is one that has been marked with a stamp or seal by the issuing institution (preferred) or a notary public asbeing equivalent to the original. Detailed information about how to get a document certiied can be found on the admissions website (https://admissions.apu.ac.jp).
A
Required Application for All Applicants
Application Document Checklist
Name Nationality
I. Application Categories
II. Application Document Checklist
* When you submit your documents please make sure to put the checklist on the top. Please mark the method of submission you chose with a checkmark .
First Year Student Application
(i) Applicants who possess language proiciency test scores □ A + B （ + D ）
(ii) Applicants who do not possess language proiciency test scores □ A + C （ + D ）
(iii) Applicants who are native speakers of English or Japanese □ A only（ + D ）
(iv) Applicants residing in Japan □ A + B （ + D ）
Transfer Student Application
(v) Current university students or university graduates who wish to apply to APU as a
second year or third year transfer student are required to submit additional documents. □
A + E
General Notes
Please type or hand-write the application forms in black or blue ink.
The use of pencils and erasable pens (such as FriXion gel pens) is prohibited. Application forms written in pencil or erasable pen will not be accepted.
For questions with a □ , please mark your choice with a checkmark . You may only choose one box per question.
Family Name / Given Name(s) in English
Please write your family name and given name(s) in English separately as printed in or will be printed in your passport.
Please write your email address accurately. (Please write in English clearly.)
*There have been instances where APU was not able to send emails to QQ.com email accounts, so please provide an email address from another email service.
Current Address
Please write legibly.
Please write in English if you are applying from outside Japan and in Japanese if you are applying from within Japan. You must also include your phone number.
Mailing Address
Please ill in this information only in the case that the address listed as your current address is different to the address at which you wish to receive your admission result and other information (current school and company, etc.). If your mailing address is the same as your current address, please check the appropriate box. You must also include a reachable phone number. Please write in English if you are applying from outside Japan and in Japanese if you are applying from within Japan.
APU Tuition Reduction Scholarship
Only applicants who do not possess Japanese nationality and will obtain a student visa before enrollment are eligible to apply for the APU Tuition Reduction Scholarship.
Submitted Documents
APU will not return any of the submitted certiicates (regardless of the certiicate type). Therefore, please submit certiied documents for original certiicates that cannot be reissued. Please note that submitted certiicates will be discarded under APU’s Document Preservation Regulation.
Extracurricular Activities Report
Applicants who have participated in cultural/traditional performances, sports competitions, student council, volunteer work, language learning activities and other events are asked to list these activities on the Extracurricular Activities Report. Please only include activities from high school level grade 10 or above (or equivalent of high school level grade 10 or above). Only the oficial form designated by APU will be considered for assessment. Portfolios, CDs, DVDs, etc. created by the applicant will not be considered proof of extracurricular activities so please do not submit them. These items will not be returned to you even if you do submit them.
Only regional, national and international extracurricular activities will be considered for assessment. Activities organized within the school other than student council leadership positions, Model UN, etc. will not be considered, so please do not list them.
Reapplying
Admitted applicants will not be allowed to reapply to the same college for the same enrollment period (April 2019 or September 2019 enrollment period). If an admitted applicant does reapply, a new interview will not be performed and results will not be given. The application fee will also not be returned.
Notes for Completing the Undergraduate Application Form
Acceptance to APU will be revoked if any false information or forgeries are found within the submitted documents, even after enrollment.
*Please ill in 1 to 5 as shown on or will be shown on your passport.
1. Family Name in English : 2. Given Name(s) in English :
3. Name in Chinese Characters (if applicable):
4. Date of Birth : Year Month Date 5. Gender : □ Male □ Female
6. Nationality :
7. Do you or your parents possess any form of Japanese nationality? □ Yes □ No
*If you hold Japanese citizenship at the time you apply (including Japanese dual nationality), instead of completing this application, you will need to apply via the "Admissions for Japanese/Domestic Applicants."
8. Native Language : □ English □ Japanese □ Other than English/Japanese
9. Email: :
(Please write clearly, as this email will be used as the primary contact.) Skype ID:
*For 10 and 11, ill in this information in English if you are applying from outside Japan and in Japanese if you are applying from inside Japan.
10. Current Address 1 : (Within 35 characters) Current Address 2 : (Within 35 characters) Current Address 3 : (Within 35 characters) City : State: Country: Postal Code:
Phone: Mobile : 11. Mailing Address: □Same as above
*Important documents, such as your screening result, will be sent to this mailing address. Please ill in this information accurately.
Mailing Address 1 : (Within 35 characters) Mailing Address 2 : (Within 35 characters) Mailing Address 3 : (Within 35 characters) City : State: Country: Postal Code:
Phone: Mobile :
12. Emergency Contact
Relationship with Applicant: □ Father □ Mother □ Other (Please specify) Family Name: Given Name(s):
Phone: Email:
Languages he/she can speak: □ English □ Japanese □ Other (Please specify)
International Students
Undergraduate Application Form
I. Applicant Information
II. Undergraduate Program of Study and Other Information
Please afix a photograph (4 cm X 3 cm)
or (1.57 in X 1.18 in) taken within the last
3 months against a plain background. No cap or hat is
allowed.
Please check only one box per question.
1. Semester of Enrollment : □ Spring (April) □ Fall (September)
2. College : □ College of Asia Paciic Studies (APS) □ College of International Management (APM)
3. Enrollment Status : □ First Year Student □ Second Year Transfer* □ Third Year Transfer*
*Applicants can only apply for second and third year transfer after passing a prescreening process.
4. Language Basis : □ English □ Japanese
5. Type of Application : □ Residing Outside Japan □ Residing in Japan
6. Scholarship : Do you wish to apply for the APU Tuition Reduction Scholarship? □ Yes □ No
Only applicants who do not possess Japanese nationality and will obtain a student visa before enrollment
are eligible to apply for the APU Tuition Reduction Scholarship.
□ Applied for scholarship offered by other organizations (Organizations: )
7. Interview Location : Please conirm the date and interview location in the Undergraduate Application Handbook.
* Please ill in only if you reside in China. □ Shanghai □ Wuhan □ Shijiazhuang □ Chongqing
* Please ill in only if you reside in India. □ New Delhi □ Chennai
* Please ill in only if you reside in Viet Nam. □ Hanoi □ Ho Chi Minh
FOR UNIVERSITY USE 大学使用欄
受付日 ／ ／
受験番号 □ Online Interview
FOR UNIVERSITY USE 大学使用欄
□ 新入生 □ 編入生 □ 転入生 □推薦 □一般
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In chronological order, please list all schools in English that you have attended from elementary school level to the last or current school you are attending. (Nursery, kindergarten and language schools are not to be included.) Please write the school name in English (if the school is located in Japan, in Japanese). Note that irst year student applicants must complete(or be scheduled to complete) 12 years of education according to the standard curriculum established under Japan's education law or an equivalent school education.
* Please consult with the Admissions ofice before applying if you are from a country or region where the standard length of education is 11 years. Please ill in your education history as written in the example below.
School name (City/country)Location
Year and month of entrance and completion
Current status Program duration (years) Enrollment
YYYY/MM GraduationYYYY/MM (Elementary
Education) Elementary School
AAAA Elementary School Ottawa, Canada 2004/03 2010/02 6
(Secondary Education)
Lower Secondary
School
BBB Middle School CCC Junior High School
Boston, USA Montreal, Canada 2010/03 2012/09 2012/07 2013/02 1.5 1.5 Upper Secondary School
DDD High School EEE High School
Montreal, Canada Ottawa, Canada 2013/03 2015/03 2015/03 2016/02 □Graduated □Currently attending □Other: 2 1 (Higher Education) Undergraduate Level □Graduated □Currently attending □Other:
Years of oficial education before enrollment at APU (total) 12
School name (City/country)Location
Year and month of entrance and completion
Current status Programduration (years) Enrollment
YYYY/MM GraduationYYYY/MM (Elementary Education) Elementary School (Secondary Education) Lower Secondary School Upper Secondary School □ □ □ □Graduated □Currently attending □Other: (Higher Education) Undergraduate Level □Graduated □Currently attending □Other:
Years of oficial education before enrollment at APU (total)
Note: If the blank spaces above are not suficient for the information required, please attach a separate sheet. If you are applying as a transfer student and are currently enrolled in college, university or other institution of higher education, you must submit a document stating the number of credits required for graduation from your institution. If you have already graduated, you must submit your graduation certiicate/diploma. If you have completed or are planning to complete a 12-year standard education curriculum in less than 11 years, please describe the details below.
The institution name where you completed (or are scheduled to complete) 12 years of oficial education:
Date of Completion: (Year) (Month)
If you will not complete 12 years of education by the time of enrollment at APU (due to skipping a grade or for another reason), please include an explanation on a separate sheet (there is no speciic format for this).
If you have attended other schools, e.g. language schools or specialized institutions, please ill in the information below.
Institution Name City/Country Started (yy/mm) Completed (yy/mm) Course/Award
Public School Private School Home School
REQUIRED
SAMPL
E
V. Language Proiciency / Test Scores
If you will submit an oficial Japanese or English language proiciency exam result or a standardized test result, please ill in the test date and test score and follow all necessary submission guidelines. When submitting original certiicates or certiied documents for proof of language proiciency, please only submit test scores that satisfy the eligibility requirements as written in the Undergraduate Application Handbook.
If there is any missing information or the necessary submission guidelines have not been followed, the results from your exam cannot be accepted.
◦Period of Validity:
2019 April Enrollment: Only scores of examinations taken on or after June 1, 2016 will be accepted.
2019 September Enrollment: Only scores of examinations taken on or after September 1, 2016 will be accepted. ◦International applicants residing in Japan MUST submit an oficial English or Japanese test score.
Test Name Test Date (Year, Month) Test Score Submission Guidelines
Language Proiciency
1 TOEFL iBT®
Test ① ② In the column to the right, ill out the Registration Number.On the test center's website, request to have the score
report sent directly to APU. Institution Code : 2791
③ In the column to the right, fill out the date when you requested to have the score report sent from the test center.
①Registration Number:
( )
③Score Report Request Date:
( )
2 TOEFL®
PBT Test
①Registration Number:
( )
③Score Report Request Date:
( )
3 IELTS In the column to the right, fill out the Test Report Form (TRF) Number and submit a copy of the original certiicate. *It is not required to submit the original certiicate to APU.
Test Report Form (TRF) Number:
( )
4 PTE Academic
①In the column to the right, ill out the Registration ID.
② On the issuing institution's website (http://pearsonpte.com/), request to have the score report sent directly to APU.
③ In the column to the right, ill out the date when you requested to have the score report sent from the issuing institution.
①Registration ID:
( )
③Score Report Request Date:
( )
5 Cambridge English Language Assessment
① In the column to the right, ill out the ID Number and the Secret Number.
② Send a copy of the result statement together with the application form.
①ID Number:
( )
①Secret Number:
( )
6 TOEIC® L&R Test Submit the test reports by either method ① or ②.
①Send the original certiicate together with the application form.
*Sending copies (including certiied documents) is not permitted.
②Have the score report sent directly to APU from the issuing institution.
・APU cannot return any submitted documents. Please directly request the appropriate issuing institution to reissue your results by following their instructions and then submit those reissued results to APU.
・Depending on your country of residence and the issuing institution, the method of reissuance will differ. Please contact the institution directly for more details.
・Applicants who reside in China, Indonesia, Korea, Taiwan, Thailand and Viet Nam that are still confused after contacting their issuing institution should contact their local APU office for further clarification. Applicants who reside in other countries can contact the Admissions Ofice for further help.
7 The EIKEN Test in Practical English Proiciency
8 JLPT N1
9 JLPT N2
10 EJU - Japanese
Standardized Test Scores
11 SAT
① Have the score report forwarded directly to APU from the test center.
Institution Code : 2791
② In the column to the right, fill out the date when you requested to have the score report sent from the test center.
②Score Report Request Date:
( )
12 ACT
① Have the score report forwarded directly to APU from the test center.
Institution Code : 5475
② In the column to the right, fill out the date when you requested to have the score report sent from the test center.
②Score Report Request Date:
( )
13 GCE (Sri Lanka)
① Have the score report forwarded directly to APU from the test center.
② In the column to the right, fill out the date when you requested to have the score report sent from the test center.
*It is not required to submit the original certiicate to APU.
②Score Report Request Date:
( )
14 Other Standardized Tests( ) Submission of an original certiicate or certiied document is required. If a test score cannot be written in the column to the left, it can be left blank.
・I certify that all information on this application and on all the required documents are complete and accurate to the best of my knowledge.
・ I conirm that I am an applicant for the "Admissions for International Applicants" because I do not hold Japanese nationality at the time of my application submission.
・I understand that any falsehoods found in the information I provide will invalidate my application and may result in my dismissal if I am admitted to APU. ・I agree to the “Personal Information Policy” included at the end of this application.
Signature (required)
Date
* We strongly recommend you keep a copy of all submitted materials for your record.
REQUIRED
IV. Application Fee
A non-refundable application fee is compulsory for the application. Applications will not be evaluated without the application fee.Cash payments will not be accepted.
It is preferred that you pay the application fee by credit card. You may pay by bank transfer (international or domestic). Payment methods for the application fee are as follows:
□ Credit Card APU Online Application System Login ID:
Please answer the following four essay questions using legible characters in your own words. Both handwritten and typed versions will be accepted. We recommend using the designated illable PDF form available for download on the admissions website (https://admissions.apu. ac.jp). The length of each essay should be between 100-150 words. Please include the word count at the end of each answer.
1. Explain in detail what you aim to learn within your college of choice (APM / APS), and how it relates to your future goals.
( / 150 words) 2. Discuss a topic that is relevant to your preferred area of study (e.g. world economy, business strategy, international relations,
crosscultural understanding, social issues in your country, etc.). Please state your opinion on this topic.
( / 150 words)
Application Essay
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3. Describe a personal challenge you faced or a situation that you found to be particularly difficult. How did you overcome this obstacle, and what did you gain from the experience?
( / 150 words)
4. Explain about an interest you have pursued outside your academic classes (either independently or through a student organization, volunteering, part-time work, sport, playing a musical instrument, etc.). What knowledge or skills have you gained as a result?
Certiicate of Eligibility / Resident Status Questionnaire
I. Applicant Information
II. Immigration-Related Issues
Applicant’s Name:
1. Family name: Given name(s):
2. Current Status: □ Student Name of School:
□ Employed (Excluding part-time jobs) Name of Company:
Occupation:
□ Other (Please specify):
You must ill in the following information. If you have entered Japan previously and you applied for a “Certiicate of Eligibility for Status
of Residence,” please ill in this information even if your application was not accepted or you did not enter Japan. You must submit photocopies of all passport pages with immigration stamps showing your arrivals and departures into Japan.
3. Have you entered Japan previously? □ No □ Yes, number of times:
If your answer to Question 3 is “Yes,” please ill in the following information only for your most recent entry to Japan:
Date of Entry: (yy/mm/dd) Date of Departure: (yy/mm/dd)
4. Have you ever applied for a “Certiicate of Eligibility for Status of Residence” in Japan?
□ No □ Yes, number of times:
If your answer to Question 4 is “Yes,” please ill in the following information only for your most recent application for a “Certiicate of
Eligibility for Status of Residence”:
Application Date: (yy/mm/dd) Place of Application:
Applied Status: □ Pre-College □ Student □ Dependent □ Temporary □ Long-term resident □ Other
*If you hold special permanent residence / permanent resident status in Japan, you need to apply via the "Admissions for Japanese/Domestic Applicants."
Issued/Denied: □ Denied □ Date of Issue: (yy/mm/dd)
FOR UNIVERSITY USE 大学使用欄
受験番号 会 場 名
III. Financial Information
5. Relationship with Financial Sponsor □ Father □ Mother □ Other (Please specify):
Please ill in the following information about your inancial sponsor.
Family Name : Occupation:
Given Name(s) : Company Name:
Home Address : Job Title:
Home Phone : Company Address: (city/country)
Letter of Recommendation
／ 推 薦 書
Please ask an instructor from the last school/institute you attended (including language schools, etc.) or employer/supervisor from the company you worked at or did internships for (excluding part-time jobs) to write this recommendation letter. This must be a person who has known you for at least a year or more.
最終出身学校の教員（語学学校等も可）もしくは勤務先・インターンシップ先（アルバイトは除く）の上司・雇用主などで、志願者を最低１ 年以上知っている人物に記入を依頼してください。
Applicant's Name 志願者氏名
Family Name 姓: Given Name(s) 名:
＊Please make your recommendations as detailed as
possible.
＊ Please write your recommendation clearly in English or Japanese.
＊ You may then either return the recommendation letter in a
sealed envelope to the applicant, or mail it to us at: Ritsumeikan Asia Paciic University
Admissions Ofice (International)
1-1 Jumonjibaru, Beppu, Oita, 874-8577 Japan
＊できるだけ詳しく書いてください。
＊英語または日本語で明確に記入してください。
＊記入後は全ての書類を厳封し志願者に渡すか、アドミッション ズ・オフィスに直送してください。
書類送付先：立命館アジア太平洋大学 アドミッションズ・オフィス（国際）
〒874-8577 日本国大分県別府市十文字原1 丁目1 番
1. How does the applicant compare in the following areas with other students in general? Please check the appropriate box. 他の一般的な学生との比較において、本志願者をどのように評価されますか。あてはまると思われるレベルに を記入してください。
Truly
Exceptional 非常に優秀
Excellent
優秀 Very Goodとても良い
Good 良い
Below
Average 平均以下
Unable to
Assess 評価不可能
Academic Ability 学力
Analytical Ability 分析力
Originality / Creativity 独創性・創造性
Flexibility 柔軟性
Ability in Oral Expression 口頭表現能力
Ability in Written Expression 文章表現能力
Ability to Work with Others 協調性
Leadership 指導力
To the Applicant
志願者へ
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2．If possible, please indicate the approximate academic rank of the applicant by checking the appropriate box. 可能であれば、志願者の学業におけるおおよその順位のあてはまるレベルに をつけてください。
□Top 5％ □Top 10% □Top 25% □Middle 50% □Lower 25％
3．Please include any other comments about the applicant's character/personality that may not be relected on his/her academic transcripts. 志願者の成績証明書にあらわれない面、例えば特技や素質などをできるだけ詳しく記入してください。
４．Please ill in the following information as we may contact you directly if there are any unclear statements.
不明な点がある場合は、記入者に直接問い合わせることがありますので、以下にご記入ください。
①Name of Recommender 推薦者の氏名
②Occupation 職業
③Name of Institution 所属機関
④Job Title 役職
⑤Email メールアドレス
⑥Phone 電話番号
Signature 署名
Date 日付 （yy/mm/dd）（年/ 月/ 日） ①What talents or unique character traits does the applicant possess (including school-related or independent activities)?
志願者の得意分野や特技、他の者より優れている素質・特徴は何ですか（学内および学外における活動などを含む）。
③What area or ield do you feel the applicant needs to concentrate more on?
志願者が、今後努力しなければいけないと思う分野は何ですか。
English Proiciency Evaluation
International applicants residing in Japan cannot use this form.To the Applicant
Please write your comments about the applicant’s English abilities.
Excellent
TOEFL iBT® Test ≧ 100
Good
100 ＞ TOEFL iBT® Test ≧ 81
Average
81 ＞ TOEFL iBT® Test ≧ 61
Below Average
61 ＞ TOEFL iBT® Test
Speaking □ □ □ □
Listening □ □ □ □
Writing □ □ □ □
Reading □ □ □ □
Please ask your English teacher to write this evaluation. If possible, this teacher should have taught you for at least a year or more.
Applicant's Name
Family Name: Given Name(s):
＊Please make your evaluation as detailed as possible. ＊ Please write your evaluation clearly in English or Japanese.
＊ You may then either return this evaluation in a sealed envelope to the applicant or mail it to us at:
Ritsumeikan Asia Paciic University, Admissions Ofice (International), 1-1 Jumonjibaru, Beppu, Oita, 874-8577 Japan
To the Evaluator
Please ill in the following information as we may contact you directly if there are any unclear statements.
①Name of Evaluator
② Occupation
③ Name of Institution
④Job Title
⑤ Applicant's Length of Study with You
YY / MM ～ YY / MM ⑥ Email
⑦ Phone
Signature
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C
日本語能力認定書
＊
＊「日本国内に在住する国際学生を対象とした入学試験」での受験を希望する方は、使用できません。
志願者へ
志願者の言語能力についてご意見を聞かせてください。
優
JLPT N1 ≧ 144
良
144 ＞ JLPT N1 ≧ 100 JLPT N2 ≧ 135
可
100 ＞ JLPT N1 ≧ 90 135 ＞ JLPT N2 ≧ 100
不可
100 ＞ JLPT N2話す力 □ □ □ □
聞く力 □ □ □ □
書く力 □ □ □ □
読む力 □ □ □ □
あなたの日本語指導教員に渡してください。可能な限り、最低1年以上あなたを指導した教員に依頼してください。
志願者氏名
姓: 名:
＊できるだけ詳しく書いてください。
＊英語または日本語で明確に記入してください。
＊記入後は全ての書類を厳封し志願者に渡すか、アドミッションズ・オフィスに直送してください。 書類送付先：立命館アジア太平洋大学 アドミッションズ・オフィス（国際）
〒874-8577 日本国大分県別府市十文字原1 丁目1 番
認定者へ
不明な点がある場合は、記入者に直接問い合わせることがありますので、以下にご記入ください。
①認定者の氏名
②職業
③所属機関
④役職
⑤志願者を指導した期間 年 月 ～ 年 月 ⑥ Email
⑦電話番号
Only individuals who will obtain a student visa before enrollment are eligible to apply for the APU Tuition Reduction Scholarship at the time of application. Those who would like to apply for the APU Tuition Reduction Scholarship must answer the following two questions after having read the paragraph below.
APU Tuition Reduction Scholarship Application
Name Nationality
2. Please check the appropriate box for your annual household income situation.
A B C D E
Below 1,500,000JPY / Below 14,000USD
Between 1,500,000JPY and 3,000,000JPY / Between 14,000USD and
28,000USD
Between 3,000,000JPY and 4,500,000JPY / Between 28,000USD and
42,000USD
Between 4,500,000JPY and 6,000,000JPY / Between 42,000USD and
56,000USD
Above 6,000,000JPY / Above 56,000USD
□ □ □ □ □
This scholarship is made available by the financial contributions of domestic and international companies and individuals, together with the Japanese Ministry of Education, Culture, Sports, Science and Technology (MEXT), that support the ideals of APU, and its purpose is to help reduce the inancial burden for outstanding international students of lesser inancial means. Students awarded with this scholarship are expected to maintain a good academic record, complete the tasks assigned to them, and serve asrole models for their country and regions.
A review of academic performance and other criteria will be conducted each semester to determine whether or not recipients qualify for renewal of the APU Tuition Reduction Scholarship. Provided that the recipients maintain a good academic record, complete the tasks assigned to them on time and avoid any misconduct unbeitting of a scholarship recipient, the scholarship will remain valid until the standard number of credits required to graduate has been reached. In cases of inappropriate behavior or conduct that tarnished the reputation of the University, the scholarship will be revoked. Interested applicants are to submit their scholarship application upon understanding all of the above.
1. Please read the “APU 2030 Vision” on the backside of this page*, then respond to at least two of the following questions in approximately 150 words. 1. How can you continue your personal growth and development at APU? 2. How will you contribute to the APU community? 3. How will you change our world for the better?
*The “APU2030 Vision” can also be found at the following website: http://en.apu.ac.jp/home/about/content7/
( / 200 words)
IMPORTANT
If any of the information written here is proven to be false, eligibility for the APU Tuition Reduction Scholarship will be revoked. Submission of documents that prove household income, etc. will be required later on during the enrollment procedures.
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APU Graduates possess the power to change our world.
In our global society of many different cultures and values, conflict and friction are bound to occur. APU strives to cultivate global citizens who will build a peaceful world by understanding and accepting cultural and historical differences. Fostering graduates with these abilities is at the core of APU's ideals of Freedom, Peace, and Humanity; International Mutual Understanding; and the Future Shape of the Asia Paciic Region.
APU Graduates will pursue freedom and peace with a deep respect for human dignity. By acting for the sake of both individuals and society, they can change the world.
Individuals who can change the world:
◦Cooperate and overcome conlict through dialogue for the beneit of society. ◦Tolerate cultural differences and unfamiliar challenges.
◦Create new values incorporating diverse perspectives and ideas. ◦Envision their own goals and continue to grow as lifelong learners.
To cultivate such individuals, APU will:
◦ Further utilize its preeminently multicultural campus to immerse students in a Global Learning Community that provides them with opportunities to grow.
◦Create a new Global Learning standard by pursuing internationally compatible education and research.
◦ Strengthen ties with its invaluable stakeholders, from the local community to alumni around the world, working together to design the University and its educational programs.
―Individuals who experience APU's unparalleled Global Learning Community will develop the power to change the world.
Extracurricular Activities Report
／ 活動実績報告書
Organization’s Name 団体名 From, to 所属期間 Your Position/Role 役職
A-1 年Y 月M～ 年Y 月M
A-2 年Y 月M～ 年Y 月M
A-3 年Y 月M～ 年Y 月M
(A) Fill in any student council activities in grade 10 or later (experience of participation in an executive position on the student council for more than 1 school year)
高校時代もしくはそれ以降の生徒会活動（１年以上の執行部での活動）
Attached document
number 資料番号
Year/month/day 開催年月日
Name of sponsor/
organizer 主催団体名
Name of tournament/
contest/ competition 大会等の名称
Name of event
種目名 Type of event大会の規模
Number of
participants/
groups 参加者・団体数
Rank,
etc. 順位等
B-1
□ International/海外 □ National/国内
□Regional/地域
B-2
□ International/海外 □ National/国内
□Regional/地域
B-3
□ International/海外 □ National/国内
□Regional/地域
(B) Fill in the results of tournaments/contests, etc. that you participated in. 大会・競技会・コンテスト等の実績
Name Nationality
Fill in details of your activities, qualifications, licenses, achievements, etc. from high school grade 10 and above (or equivalent of high school grade 10 and above). Please note that any activities, qualifications, licenses, achievements, etc. not
listed on this form will not be considered in your application's evaluation. If you need more space, please copy this form and use it to write additional information.
Attach copies (A4 or letter size) of awards or certiicates which prove the result/grade/score/etc. written on sections (B) to (E) below. However, for language proiciency test scores, you must submit the original score report or certified copy. Please also include a reference number written as B-1, B-2, C-1, etc. on each copy. For documents that are not written in English or Japanese,
attach an official translation. Please note that documents to
prove extracurricular activities attached to this form will not be considered in your application's evaluation if they do not have an oficial translation.
あなたの高校時代もしくはそれに相当する課程（Grade 10） 以降の活動実績について、その詳細を下欄に記入してください。
この報告書に記入されていないものは評価の対象となりません。
記入欄が不足する場合には、この様式をコピーし追記のうえ提 出しても構いません。
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D
Attached document’s number 資料番号Date of completion （yy/mm/dd）
取得年月日
Name of qualiication/
standardized test, etc. 資格・検定等の名称
Name of
issuing authority 認定機関の名称
Level of
attainment/score/results 取得段位・スコア・成績等
D-1
D-2
D-3
(D) Fill in your results of qualiications/standardized tests, etc. 資格・検定・段位・スコア等
Attached
document’s number 資料番号
From, to
滞在期間・滞在年数 Country/region/city滞在国・地域名
Reasons for residing abroad, name of school attended, type of activities involved in, etc.
滞在目的・理由、在籍学校名、滞在期間中の活動概要など
E-1
Y M 年 月
～ Y M 年 月
E-2
Y M 年 月
～ Y M 年 月
(E) Fill in any experience you have living or studying abroad, including experience living or studying in Japan (excluding travel or returning home to visit family).
海外滞在経験（旅行、帰省は除く） ＊日本での滞在経験、修学体験を含む。
(C) Fill in the details of any other activities (volunteer, Model UN, scholarship awards, internship, etc). that you would like to include in addition to those listed on the previous page.
その他の活動実績（ボランティア、模擬国連での活動、奨学金の受給経験、インターンシップなど）があれば記入してください。
Attached
document’s number 資料番号
Details of additional activities 活動の概要
From, to 期間 年Y/月M ～年Y/月M
C-1
C-2
C-3
C-4
Transfer Student Academic Status
編入学・転入学希望者学修状況記入書
Fill in the following information if you are applying as a second or third year transfer student.
2回生編入学・転入学もしく3回生編入学・転入学希望の場合、必ず記入してください。
1. Educational History (after high school) / 高校卒業後の学歴について
Name of Institution
学校名 Entrance Date入学年月
Graduation Date
(expected) 卒業（予定）年月
Degree 取得学位
□University（Bachelor＇s Program）
大学（学士課程以上）
□Junior college
短期大学
□ Technical college
高等専門学校
2. Requirements for Graduation / 卒業要件について
（1） Fill in the following information if you are currently attending an institution of higher education. 現在高等教育機関に在学している場合は必ず記入してください。
① Number of credits required for graduation 卒業に必要な単位数：
② Number of credits already received 取得済みの単位数 ：
③ Number of credits currently being taken 履修中の単位数 ：
（2） If your program of study does not have assessment based on credits, please fill in the following information. もし、卒業要件に単位数での評価が無い場合、以下の質問に答えてください。
① Number of subjects required for graduation 卒業に必要な科目数 ：
② Number of subjects already completed 取得済みの科目数 ：
③ Number of subjects currently being taken 履修中の科目数 ：
④ Total number of classes required to complete one subject 一つの科目の全授業回数 ：
⑤Hours of class required per subject/Number of classes per week 一科目一回の授業時間 / 一週間の授業回数： /
3. Documents Proving Graduation Requirements / 卒業要件を示す書類の提出について
① Submit documents showing the list of classes you are currently taking and documents that show the graduation requirements for your current major (e.g. student handbook or school website that provides the relevant information). If your academic transcript shows this information, you are not required to submit these documents.
現在高等教育機関に在学している場合は、上記「2. 卒業要件について（1）」の内容を示す証明書類（または学生ハンドブックや大学のホ ームページより印刷したもの）を提出してください。提出される成績証明書にその内容が含まれている場合は、証明書類の提出は不要です。
② Students who have already graduated do not need to submit the above documents, but they MUST submit their graduation
certificate/diploma.
既に高等教育機関を卒業している場合は、「卒業証明書」を提出してください。
① Website (Name: )
③ Government Embassy
⑤ APU Information Session (at high school)
⑦ APU Overseas Ofice
⑨ Family Member/Friends
⑪ APU Student/Graduate (Name: )
⑬ Other ( )
② Newspaper/Magazine (Name: )
④ College Fair
⑥ APU Information Session (non-school venue)
⑧ APU Staff/Faculty Member
⑩ School Teacher/Counselor
⑫ APU Prospectus
3. Which of the following factors inluenced your decision to apply to APU? (Please choose only 1 option.)
More than 6 months ago 3 to 6 months ago 2 to 3 months ago About a month ago
Recently (less than a month)
① Website (Name: )
③ Government Embassy
⑤ APU Information Session (at high school)
⑦ APU Overseas Ofice
⑨ Family Member/Friends
⑪ APU Student/Graduate (Name: )
⑬ Other ( )
② Newspaper/Magazine (Name: )
④ College Fair
⑥ APU Information Session (non-school venue)
⑧ APU Staff/Faculty Member
⑩ School Teacher/Counselor
⑫ APU Prospectus
1. When did you start to think about applying to APU?
2. How did you obtain information about APU? (Multiple answers allowed.) manner and will be used to improve our admissions process.
FOR UNIVERSITY USE Thank you for answering this survey.
① International recognition
③ Curriculum
⑤ Language education
⑦ Tuition fees/scholarships
⑨ Cultural diversity
⑪ Teacher recommendation
② Reputation in home country
④ Strength of faculty/research
⑥ University location
⑧ Graduate employment rate
⑩ Parent encouragement
⑫ Other ( )
4. Which of the following criteria were the most inluential in your choice of university? (Up to 3 answers are allowed.)
Please check the boxes as shown below.
Not For Sale
E01 ＊ TOEIC®, TOEFL® are registered trademarks of Educational Testing Service (ETS). This publication is not endorsed orappreved by ETS.
＊ L&R is an abbreviation for LISTENING AND READING.
Personal Information Policy
Personal information collected from individuals during the admissions process will be handled in accordance with the following:
(1) Purpose of Use of Personal Information
i To carry out the admissions process, such as screening, etc. ii To notify results
iii To send enrollment-related documents
iv To complete the procedures to attain the Certiicate of Eligibility to issue a visa v To send the orientation guide for international students
vi To send information on pre-enrollment education
vii To send information on post-enrollment living matters (accommodation services, personal injury insurance, university co-op, etc.)
viii To send various questionnaires after admission (2) Management of Personal Information
Ritsumeikan Asia Paciic University will manage the personal information of application in compliance with relevant laws and regulations. Information will be managed securely to prevent loss, destruction or divulgence. (3) Outsourcing of Handling of Personal Information
Ritsumeikan Asia Paciic University may outsource part of the handling of the personal information of applicants when necessary, such as the receipt of applications or the data entry of personal details. In such cases, Ritsumeikan Asia Paciic University and the external organization will sign a contract regarding the appropriate management of personal information.
(4) Statistical Use of Personal Information
Ritsumeikan Asia Paciic University may use data extracted from applicants’ personal information to conduct various statistical analysis to be used for surveys and research relating to the admissions process.
