REGISTRATION NUMBER

FORM 1. Application form

*Do not write in this area.

 Please type or print in English. This form is two pages in length.

 Print this form after mailing it to the Office of admissions.

Admissions Type
 Check the appropriate box and indicate your desired program of study. You may apply to only one program.

 Master’s Program  Combined Master’s/Doctoral Program  Doctoral Program

Department (Major): _____________________________________________________________________________

Personal Information
English Name: _________________________ _________________________ _______________________
Family / Last (姓) First (名) Middle (if any)

Salutation:  Mr.  Ms.

Passport Number / Resident Registration Number: ____________________________ / _________________________

Nationality: Place of Birth:

Marital Status:  Single  Married

Date of Birth (DD/MM/YY): _____________________

[If Dual Nationality of Korean and other foreign citizenship : Nationality ______________________ Passport Number ______________________]

Mailing Address:
__________________________________________________________________________________

___________________________________________________________ E-mail: ____________________________

Telephone: _____________________________________________ Cell Phone: _________________________

 Language proficiency (Submission of proof document is required):

 TOPIK ( )  TOEFL/TEPS/IELTS ( ) Any other proof ( )

Family Information

 Father
Check one:  Father  Father deceased
Full Name: Nationality:
Date of Birth(DD/MM/YY):: Resident Registration No./Passport No.:
 Mother
Check one:  Mother  Mother deceased
Full Name: Nationality:
Date of Birth(DD/MM/YY): Resident Registration No./Passport No.:

- 1/2 -
 Campus dormitory residence :  Y,  N

- 2/2 -
 Academic Information
※ In chronological order, list the names and complete addresses (including zip code) of all the schools and institutions that you’ve attended. Indicate the (expected) Graduation date or the Last date of
Attendance for the current school.

Dates Attended (DD/MM/YY) CGPA

Name of School/Univ. School Location
(Expected) Graduation or Last Date of Attendance(DD/MM/YY) (only 4.0 or 100)

From:
High Schools
To:

Post-Secondary
From:
Studies
To:
(Undergraduate) (Major:

Post-Secondary
From:
Studies
To: (Major: )
(Graduate)

I declare that the information contained in this application is complete, accurate and true. I understand that any untrue , misleading or omitted information may result in my
disqualification from further consideration for admission and may cause for the rescinding of any offer of admission, or for discipline, dismissal, or revocation of degree if discovered at
a later date. I agree to abide by the rules and regulations in the Admission Guide for International Students and will take full responsibility for any problems arising from failing to
adhere to the same.

____________________________________________________________ _____________________________________________
Applicant’s Signature Date (DD/MM/YY)
 FORM 2. Statement of Purpose
Please type in English. The statement of purpose must be single spaced with no more than TWO pages, with the font Times New
Roman, size 10. (*10 points)

Goal of study &

o Goal of study, title or subject of research, and detailed study plan
Study Plan

Future Plan
o Future plan in Korea or another country after study in Korea
after Study
 FORM 3. Letter of Consent
※ Please fill out this form in English
SECTION 1 Applicant Information

Passport Name Surname Given Name Middle Name

漢子姓名 Desired Department

(Chinese & Japanese
Only)
Desired Major

SECTION 2 Academic Information

Name of Institution Graduated Type of Degree

Address of Institution Graduated

Department Major

Date of (Expected) Graduation (Month / Day / Year)

Period of Attendance From to Number of Registered Semesters

Website of Institution Graduated

SECTION 3 Institution Information to Request for the Release of Academic Information

Department to request for Release of Academic
Information
Name of the person in charge for Release of Academic
Information
Phone/Fax No. of the person in charge for Release of
Academic Information
E-mail Address of the person in charge for Release of
Academic Information

By making application for admission to Hallym University, I hereby authorize administrator or other persons to confer
with others to obtain and verify my credentials and qualifications as a provider.

I release any and all liability from all organizations or individuals who act in good faith and without malice to provide the
above information.

I consent to the release by any person to other institutions of all information that may be relevant to an evaluation of my
credentials and qualifications and hereby release any such person providing such information of any and all liability.

Signature of Applicant: ____________________ Date: ____________________