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October 2017 Admission

Application for International Baccalaureate Students [The Discovery Program for Global Learners]

Admissions Guide

Okayama University

[Application Period] International Baccalaureate (October enrollment)

Monday, January 16 – Friday, January 20, 2017

Table of Contents

Page

1 Admission Capacity ---------------------------------------------------------------- 1

2 Application Eligibility ---------------------------------------------------------------- 1

3 Applicants with Disabilities ---------------------------------------------------------------- 1

4 Application Process ---------------------------------------------------------------- 1

5 Notice of Application Received ---------------------------------------------------------------- 4

6 Selection of Applicants ---------------------------------------------------------------- 5

7 Announcement of Successful Applicants (with Conditional Offers) ---------------------------------------------------------------- 5

8 Enrollment Process ---------------------------------------------------------------- 6

9 Notes on Completing Application Form ---------------------------------------------------------------- 7

10 Disclosure of Examination Information ---------------------------------------------------------------- 8

11 Policy for acceptance of admitted students ---------------------------------------------------------------- 9

12 Campus Life ---------------------------------------------------------------- 11

13 Maps and Directions ---------------------------------------------------------------- 16

Go to the Discovery Program for Global Learners Home Page:

http://discovery.okayama-u.ac.jp/.

Click on "PROSPECTIVE STUDENTS”, select "Admission”, then "How to Apply”

and finally "International Baccalaureate Admission”.

http://discovery.okayama-u.ac.jp/en/prospective_students/admission/how_to_apply/ib-admissions/

Note: All deadlines times and dates listed for submission of application materials follow Japan Standard Time (JST).

< The Discovery Program for Global Learners > The Discovery Program aims to nurture inspiring young leaders who can contribute to global sustainability and international collaboration. The program seeks to admit a select number of degree-seeking students from both inside and outside Japan. The flexible curriculum of the Discovery Program offers a group of highly motivated students the unique opportunity to study a broad range of disciplines, including natural sciences, social sciences, and humanities. This interdisciplinary academic perspective will encourage students to be broad-minded, learn from one another, and gain an invaluable set of cross-cultural problem-solving skills. They will simultaneously develop in-depth knowledge, cultivate the ability to think critically, and establish a future-oriented practical approach to their desired areas of expertise. The program welcomes students with an entrepreneurial spirit, an innovative mind, and a strong will to commit themselves to inter-cultural and inter-disciplinary collaboration. The ultimate goal of the Discovery Program is to foster the development of essential skills and abilities in order to enable students to take an active and meaningful role on the global stage. The Discovery Program for Global Learners Home Page： http://discovery.okayama-u.ac.jp/

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1 Admission Capacity

Okayama University will accept October 2017 applicants as follows. Faculty/Department/Course Number of Students

Discovery Program for Global Learners Open

2 Application Eligibility

Applicants must satisfy or be expected to satisfy by September 30, 2017, all of the following requirements:

(1) Must have earned an International Baccalaureate Diploma (IB Full Diploma) from the International Baccalaureate, a foundation based on the Swiss Civil Code, between October 2015 and September 2017, and must be at least 18 years of age by September 30, 2017.

(2) Must have taken one subject from group 1 to 6 at a higher level, with a grade of 4 or higher for IB Full Diploma qualification.

(3) Must have a strong desire to study in our Discovery Program for Global Learners at Okayama University and should be able to make a commitment to enroll in the course if accepted.

3 Applicants with Disabilities

Prior to application, applicants with disabilities should contact the office below regarding special accommodations

for coursework.

Deadline: Friday, January 6, 2017

Procedures:

Complete the Preliminary Consultation Form attached to this Admissions Guide and submit it along with a doctor’s note and a copy of your disability certificate (if issued) for consultation.

Submit to:

Admission Division, Student Affairs Department, Okayama University 2-1-1 Tsushima-naka, Kita-ku, Okayama 700-8530, JAPAN Tel: (086) 251-7192, 7193, or 7194 (domestic call) / +81-86-251-7194 (international call)

Please contact the Admission Division well in advance of the deadline to ensure appropriate arrangements for specific accommodations.

4 Application Process (1) Submission of Application Materials

The application form may be submitted online, with supporting documents sent by email. Start the application procedure via the university’s Online Application Page (http://e-apply.jp/e/okayama-u/). Submit the application form, photo and credit card payment for the application fee online, and send items #4, 5, 7, and 8 listed below by email to the Admissions Division, Discovery Program for Global Learners. Email: [email protected] For additional online application procedures, see the enclosed Okayama University Online Application Guide for 2017, or visit the online application page. Documents to be submitted online: ① Application Form ② Photo (to be uploaded to the application form and entrance exam ticket) ③ Application Fee (after remittance of payment, “payment received” will appear in the “Confirmation of

payment received” column on the application form (①). Documents to be submitted by email: ④ A copy of the International Baccalaureate Diploma ⑤ Personal Statement ⑥ Letter of Evaluation ⑦ Official test scores of English Proficiency (if applicable) ⑧ Proof of Japanese proficiency (if applicable)

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Admissions Division, Discovery Program for Global Learners

Email: [email protected]

Tel: (086) 251-7915 (domestic call) / +81-86-251-7915 (international call)

2-1-1 Tsushima-naka, Kita-ku, Okayama 700-8530, JAPAN

※Please convert all documents to encrypted PDF or Zip file and send as an email attachment.

After receiving a confirmation email from the university, send a reply including your name and the file password. Only the Letter of Evaluation should be sent separately via email by the principal, guidance counselor, or course instructor. This should also be sent as an encrypted file following the procedures above. The university may take steps to verify whether the Letter of Evaluation was created and submitted by the evaluator.

(2) Application Period

*JST: Japan Standard Time

(3) Mailing Address for Submission of Application Materials

(4) Notes on Application

Once received, application materials will not be returned for any reason. Incomplete application materials or those with inadequate payment of application fee will not be accepted. Be aware that your admission may be canceled at any time, even after enrollment, if you make a false

statement on your application form or other materials. Using a certificate with your former last (or first) name is acceptable. However, in such a case, attach a

document stating the date you changed your name, and both current and former last (or first) names. If you pass the entrance examination of any department of a national university, including early-phase

entrance examination, mid-phase entrance examination, late-phase entrance examination, entrance examination by recommendation, and AO entrance examination, (excluding entrance examination conducted by a unique schedule by prefectural and municipal universities (please see the website of the Japan Association of Municipal and Prefectural Colleges and Universities: http://www.kodaikyo.org/nyushi)), and if you have already proceeded with the enrollment process at any university prior to the deadline of enrollment at Okayama University (August 31, 2017), you cannot enroll as a student in this course, even if you have been accepted.

(5) Required Materials for Application

If any of the required documents are written in languages other than English or Japanese, the corresponding English translation, checked by an English speaker, must be attached.

Required Application Materials

Remarks

①Application Form for Admission

Complete the Application form via the online application system. The Application form must be filled out by the applicant. Refer to section 9 “Notes on Completing Application Form.”

②Photograph Submit your photograph via the online application system. Your photograph must be 4cm high x 3cm wide, showing a front view of your entire face and upper body (without a hat), and have been taken within the last 3 months.

Monday, January 16 to Friday, January 20, 2017

Application materials must arrive by 17:00 (JST) on January 20, 2017.

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Remarks

③Application Fee

¥17,000 JPY (Additional bank fees will apply.)

Payment may be remitted either by credit card using the online application system, or at a convenience store. (After remittance of payment, “payment received” will appear in the “Confirmation of payment received” column on the application form. For online application procedures, see the enclosed Okayama University Online Application Guide for 2017, or visit the Online Application Page. Exemption of Examination Fees for Victims of the April 2016 Kumamoto Earthquake In order to ensure that victims of the Kumamoto Earthquake who have been adversely affected economically have the opportunity to pursue higher education, Okayama University has instituted a special policy to exempt these applicants from examination fees. ※ For details on how to apply, go to the university homepage at http://www.okayama-u.ac.jp (Japanese only), select Admissions (入試), and then Entrance Fee Exam Exemptions for Applicants who are Victims of the Kumamoto Earthquake (熊本地震により被災した入学志願者に対する入学検定料の免除について).

④A copy of International Baccalaureate Diploma

<IB Diploma holders, November 2015 or May 2016 examination session>

Submit (a) a copy of your International Baccalaureate Diploma and (b) an official certificate of your IB exam results in six subjects, issued by the International Baccalaureate Office.

<IB Diploma candidates, November 2016 examination session>

Register for an International Baccalaureate Information System (IBIS) account at the time of taking the November 2016 IB exams so that the University can access your IB exam results from the IBIS website.

Submit (a) a copy of your International Baccalaureate Diploma and (b) an official certificate of your IB exam results in six subjects*, issued by the International Baccalaureate Office by Wednesday, March 8, 2017.

If you cannot submit both (a) and (b) above by the deadline, please contact and consult with the Admissions Division, Discovery Program for Global Learners provided in section (3) on page 2 by 17:00 (JST), Wednesday, March 8, 2017.

* For applicants with an IB diploma, please instruct the International Baccalaureate Office to send an official certificate of transcripts for most recent IB Exam Results in Six Subjects directly to Okayama University. <IB Diploma Candidates, May 2017 examination session>

Submit an official transcript for your expected International Baccalaureate Diploma and anticipated IB exam scores in six subjects, endorsed by the principal or a guidance counselor at your school.

If you receive a conditional acceptance on Wednesday, March 22, 2017, register for an International Baccalaureate Information System (IBIS) account at the time of taking the May 2017 IB exams so that the University can access your IB exam results from the IBIS website.

If you receive a conditional acceptance on Wednesday, March 22, 2017, take the May 2017 IB exams and submit (a) a copy of your International Baccalaureate Diploma and (b) an official certificate of your IB exam results in six subjects ＊ , issued by the International Baccalaureate Office by Thursday, August 31, 2017.

If you cannot submit both (a) and (b) above by the deadline, please contact and consult with the Admissions Division, Discovery Program for Global Learners provided in section (3) on page 2 by 17:00 (JST), Thursday, August 31, 2017.

* For applicants with an IB diploma, please instruct the International Baccalaureate Office to send an official certificate of transcripts for most recent IB Exam Results in Six Subjects directly to Okayama University.

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Remarks

⑤Personal Statement

A personal statement is required. This document may be handwritten by the applicant in Japanese or English, or may be done on a personal computer. Refer to the attached “Notes on Completing Personal Statement.”

* The form can be downloaded from the following website: http://www.okayama-u.ac.jp/tp/admission/bosyuyoko.html

⑥Letter of Evaluation

A Letter of Evaluation is required. This document must be written by the principal, guidance counselor, or course instructor, in Japanese or English. This form does not need to be completed by hand. (A computer is also acceptable.) However, be sure the writer signs his or her name or affixes a seal at the bottom of the page. Refer to the attached “Notes on Completing the Letter of Evaluation.

* The form can be downloaded from the following website: http://www.okayama-u.ac.jp/tp/admission/bosyuyoko.html

* Only the Letter of Evaluation should be sent separately via email by the principal, guidance counselor, or course instructor. The university may take steps to verify whether the Letter of Evaluation was created and submitted by the evaluator.

⑦Official Test Scores for English Proficiency

(if applicable)

A copy of the official test score received no more than two years previously is required. The original certificate must be submitted at the time of enrollment. If applicants have received their two most recent years of formal education at an institution in which English is the main language of instruction, they need not submit it. ・ TOEFL iBT, PBT ・ IELTS ・ TOEIC

⑧Proof of Japanese proficiency

(if applicable)

If available, submission of the Japanese Language Proficiency Test results or transcript for subject “Japanese A”, “Japanese B” or “Japanese ab initio” in the IB Full Diploma qualification program is highly encouraged.

(6) Use of Personal Information

Application materials and personal information therein will be used for the purposes of the selection of the applicants for admission.

Personal information may also be used as survey research material for the purpose of improving the selection process and university education. However, when publishing the results of the survey research, personal information will be processed so that individuals cannot be identified.

Moreover, the following personal information may be used for purposes and systems other than the selection of applicants. ・Personal information of individual applicants, including name, birth date, gender, application eligibility, and

faculties/schools and departments applied to, will be used by the University’s student affairs system. For successful applicants who apply for admission fee exemption or postponement, or tuition fee exemption, application material may be used for assessment of academic skills.

・Successful applicants’ names, birth dates and genders will be used in the University’s tuition fee credit management system and tuition fee exemption administrative management system.

・Successful applicants who apply for female-only residence hall housing will be identified based on

application material.

5 Notice of Application Received (1) After the receipt of the application materials, notice of application status will be sent to the applicant via the online

application system. Please retain a copy for your records.

If you do not receive notice of your application status by Wednesday, February 15, 2017, please contact the

Admissions Division, Discovery Program for Global Learners provided in section (3) on page 2.

(2) Store this information in a safe place, since it will be required for admission and enrollment processes, and for requesting disclosure of examination information.

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6 Selection of Applicants Selection Process

Applicants will be assessed based on submitted application materials (transcripts/certificates, personal

statement, and Letter of Evaluation).

（Allocation of Scores）

Documentary Examination Total Transcripts and

Certificates Personal Statement Letter of Evaluation

200 200

7 Announcement of Successful Applicants (including Conditional Offers)

(1) Announcement of Successful Applicants

<IB Diploma holders for November 2015 or May 2016 examination sessions and IB Diploma candidates for November 2016 examination session> Application numbers of successful applicants will be posted on a designated bulletin board (see page 19) and a letter of acceptance will be sent to successful applicants on the same day. (Details of the enrollment process will be provided in the Enrollment Guide sent separately to successful applicants in late July 2017)

[Notes] Register for an International Baccalaureate Information System (IBIS) account at the time of taking the November 2016 IB exams so that the University can access your IB exam results from the IBIS website. Submit (a) a copy of your International Baccalaureate Diploma and (b) an official certificate of your IB exam results in six subjects*, issued by the International Baccalaureate Office by Wednesday, March 8, 2017.

If you cannot submit both (a) and (b) above by the deadline, please contact and consult with the Admissions Division, Discovery Program for Global Learners provided in section (3) on page 2 by 17:00 (JST), Wednesday, March 8, 2017.


(2) Announcement of Successful Applicants Receiving Conditional Offers

<IB Diploma Candidates for May 2017 examination session> Application numbers of successful applicants receiving conditional offers will be posted on a designated bulletin board (see page 19) and a letter of conditional acceptance will be sent to applicants receiving conditional offers on the same day. (Details of the enrollment process will be provided in the Enrollment Guide sent separately to successful applicants receiving conditional offers in late July 2017.)

[Notes] If you receive a conditional acceptance, register for an International Baccalaureate Information System (IBIS) account at the time of taking the May 2017 IB exams so that the University can access your IB exam results from the IBIS website.

Scheduled for 13:00 (JST) on Sunday, March 22, 2017

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Submit (a) a copy of your International Baccalaureate Diploma and (b) an official certificate of your IB exam results in six subjects*, issued by the International Baccalaureate Office by Thursday, August 31, 2017.

If you cannot submit both (a) and (b) above by the deadline, please contact and consult with the Admissions Division, Discovery Program for Global Learners provided in section (3) on page 2 by 17:00 (JST), Thursday, August 31, 2017.


Following posting on the bulletin board, application numbers of successful applicants/successful applicants

receiving conditional offers will be posted on the University’s website (http://www.okayama-u.ac.jp). Please note that it may take some time to access the website due to heavy traffic immediately after the announcement of the results.

Application numbers of successful applicants/applicants receiving conditional offers will remain on the website from Wednesday, March 22 through Tuesday, March 28, 2017.

The University will not respond to any inquiries regarding applications by telephone or other forms of communication.

8 Enrollment Process For successful applicants, read the following instructions carefully and complete the enrollment process.

(1) Deadline for Enrollment Your materials must arrive via mail by: 17:00 (JST), Thursday, August 31, 2017

(2) Enrollment Process Details of the enrollment process will be provided in the Enrollment Guide separately sent to successful applicants and applicants receiving conditional offers in late July 2017.

(3) Required Materials for Enrollment Process Okayama University Notice of Application Received Admission Fee 282,000 JPY (estimated amount) Notes:

If the admission fee is revised at the time of enrollment, the new admission fee will be applied. An original certificate that shows English language proficiency test scores (where applicable) Other materials designated by the University.

(4) Notes If you do not complete the enrollment process by the deadline provided in section (1) above,

you will be considered to have declined your admission. Simply remitting the admission fee does not complete the whole process of enrollment. If you wish to apply for admission fee exemption or postponement, refer to section 12 “Campus Life” on

page 11. If you were accepted to the Discovery Program for Global Learners but do not wish to proceed with

the enrollment process, or if you completed the enrollment process but wish to decline your admission for special reasons, you must submit a Notice of Refusal of Admission to the President of Okayama University by Friday, September 29, 2017. (The notice must state that you were accepted to the Discovery Program for Global Learners and include your application number on your Notice of Application Received, the date the notice was written, the reason for declining the admission, and your signature and/or seal.) You will be allowed to decline your admission only when your refusal of admission is approved.

A successful applicant cannot be accepted by other national universities or their faculties/schools, unless his/her refusal of admission is approved.

Send a Notice of Refusal of Admission for IB Students to: Admission Division, Student Affairs

Department, Okayama University 2-1-1 Tsushima-naka, Kita-ku, Okayama 700-8530, JAPAN

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9 Notes on Completing Application Form

Complete the Application form via the online application system. The Application form must be filled out by the applicant. Refer to “Application Sample.”

①

Write your name clearly in standard style. If you are a foreign resident in Japan whose name is written in Chinese characters and who also uses an alias (common name) in Japan, write the name that you will use after enrollment.

②

Please provide contact information where you can be easily reached by the University. I include your telephone number (mobile phone number is fine) and email address (PC or mobile device). If there is any change to your contact information, please notify the Admission Division, Student Affairs Department of the change in writing.

Applicant’s Name

Mailing Address

決裁済

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“Confirmation of Application Payment Received” Column

③

Provide additional contact information if different from the above Mailing Address. If you have an additional telephone number, mobile phone number, and/or email address (PC or mobile device) that you have not provided in your Mailing Address above, please add this information here.

④

Write the name of the school you graduated or will graduate from, and the date and year when you graduated or will graduate.

⑤

Check one of the following options: IB Diploma holder (former IB Full Diploma) who took the November 2015 or May 2016 examination; IB Diploma Candidate who has taken the November 2016 examination; or IB Diploma Candidate who will take the May 2017 examination.

⑥

Submit your photograph via the online application system. Your photograph must be 4cm high x 3cm wide, showing a front view of your entire face and upper body (without a hat), and must have been taken within the last 3 months.

⑦

After remittance of payment for the application fee, “payment received” will appear in the “Confirmation of payment received” column on the online application form.

10 Disclosure of Application Information

If you wish to request disclosure of your October 2017 application information, please submit the Disclosure

of Application form attached to this Admissions Guide to the following contact. We will disclose the information to

you within the period between Friday, December 1 to Friday, December 22, 2017 (excluding Saturdays, Sundays

and national holidays).

Contact Information:

Admission Division, Student Affairs Department, Okayama University (1st floor, University Union)


Tel: (086) 251-7192, 7193, or 7194 (domestic call) / +81-86-251-7194 (international call)

Warnings about Measles and Influenza Measles is an infection caused by the measles virus. Initial symptoms include fever, cough and runny nose,

similar to those of a cold, and additional symptoms include rash and high fever. Complications may occur and

include inflammation of the brain, which could be severe. In recent years in Japan, many young people in their

teens and 20s have contracted the disease, triggering a wave of closures of schools and universities. This has

become a social issue, and from April 2008, all students in the first year of junior high school (at the age of 12 or

13) and in the third year of high school (at the age of 17 or 18) must receive a measles vaccination (free of charge)

for five-year periods. Other people who do not fall into these categories are recommended to have an antibody test

at a medical institution and, if necessary, to receive a measles vaccination.

Measles and influenza are highly infectious diseases and the vaccinations are effective at preventing the

diseases. Applicants are encouraged to keep themselves in good health by washing their hands and gargling

regularly and to be cautious about infection from these viruses.

Address

Education

IB Assessment

Photo

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11 Policy for acceptance of admitted students Please refer to the following website: http://www.okayama-u.ac.jp/tp/profile/undergraduate.html

[Okayama University Diploma Policy - Policy for awarding degrees] The Diploma Policy of Okayama University sets the following goals for its students to attain by the time they

graduate so that they can develop the intellect and knowledge they have acquired, and pass them on to future generations. Education combined with a sense of humanity

Our students will take an interest in diverse issues surrounding nature and society, as well as acquire powers of logical thinking, judgment, and creativity, which will enable them to resolve issues responsibly. Moreover, we want them to learn from their forefathers and be guided by a true sense of humanity and morality. Specialization with a purpose

Our students will not only acquire professional expertise and technical skills in response to contemporary needs, but also be aware of their relationship with nature and society, so as to make their utmost contribution to society. Effective information processing

Our students will not only acquire the ability to collect, analyze, and correctly use information on their own whenever necessary, but will also be capable of disseminating the information effectively. Ability to meet the challenges in contemporary society

Our students will acquire international awareness and language skills needed for globalization, as well as communication skills required for life in society. Students will also be capable of acting responsibly in all forums, from international to local settings, while developing harmonious relationships with others. Lifelong pursuit of self-realization

Through their regular course of study as well as extra-curricular activities, such as sports, the arts and culture,

students will be able to pursue lifelong self-development. In this way, students will take the initiative to act

autonomously while in pursuit of happiness in their lives.

[Okayama University Curriculum Policy - Policy for organizing and implementing curriculum]

Okayama University offers liberal arts education and professional education programs for its students to attain

the goals set in its Diploma Policy (i.e. education combined with a sense of humanity, specialization with a purpose,

effective information processing, ability to meet the challenges in contemporary society, and lifelong pursuit of

self-realization) and to develop their skills to respond to global society. Liberal arts education programs will be taken

by students in all faculties/schools. The curriculum is set to require students to study subjects from a wide range of

academic fields without giving too much emphasis on their expertise. Professional education programs consist of

courses and classes specific to students’ faculties/schools and departments. The curriculum is set to require

students to study subjects according to the educational purposes of their faculties/schools and departments. The

University provides students with a systematized and balanced curriculum of these liberal arts education and

professional education programs.

[Okayama University Policy for acceptance of admitted students - Policy for accepting applicants for admission] Educational Goals and Characteristics

Okayama University is open to society and is committed to providing high-quality education and conducting leading research. We play a central role in achievement to “create sophisticated intelligence and ensure succession of knowledge.”

By providing students with a systematized and balanced curriculum of liberal arts education and professional education programs, we help students to attain the goals set in our Diploma Policy (i.e. education combined with a

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sense of humanity, specialization with a purpose, effective information processing, ability to meet the challenges in contemporary society, and lifelong pursuit of self-realization) and to develop their skills to respond to global society.

Admission Requirements

Okayama University accepts students, from both within and outside of Japan, who meet the eligibility standards and have the basic academic skills required to study at the University, who have a strong desire to attain the goals set in the University’s Diploma Policy, and who aim to contribute to the global community, through various selection methods.

Basic Selection Criteria

Please refer to the Policy for acceptance of admitted students of the Discovery Program for Global Learners.

[Discovery Program for Global Learners Policy for acceptance of admitted students]

Program Overview

The Discovery Program for Global Learners is based on collaboration and mutual learning between students who have diverse backgrounds, such as international students and returnee students who gather together from many countries of the world, and graduates of high schools in Japan. The program places emphasis on practical learning such as that experienced in internships and fieldwork. Students acquire specialized knowledge through taking courses that are suited to their future goals without the restraints of faculty or departmental divisions. The university offers courses through which students can discover which areas they wish to explore, forging their own learning paths toward the future. While cooperating with others from different cultures and study backgrounds, students acquire the global and practical discernment to enable them to act skillfully in problem-solving situations.

Students are encouraged to acquire specialist knowledge and skills through a unique program of courses of their own choice. At the advanced stage of their learning, all students undertake a Senior Project, further developing the abilities to analyze gathered information in a multifaceted and creative manner and transmit precise information effectively. They grapple with an individual research theme, which they decide for themselves under the guidance of an advising professor. Essentially, the Discovery Program helps students to gain the ability to initiate action for social innovation from the local to the global level, thereby developing young leaders who are capable of contributing to the sustainable development of global society.

Profiles of Exemplary Candidates

1. Students who show interest in diverse cultures and societies and have a desire to play an active role on the global stage.

2. Students who are willing to actively study a broad range of fields, including foreign languages, on their own initiative.

3. Students who are able to communicate with others well and are prepared to tackle complex issues by cooperating with their peers.

In order to actively participate in the program, applicants will need to have the three abilities mentioned below:

・Sufficient English ability to take part in problem-solving activities in collaboration with other students from multicultural backgrounds.

・The ability to formulate personal opinions and communicate their views accurately to others.

・The basic knowledge and study skills required for successful learning in their selected field.

Basic Selection Criteria

・Admission by Recommendation (for International Baccalaureate Students)

Based on application materials submitted (Official Transcripts or Certificates, Personal Statement and Letter of

Evaluation), applicants will be assessed for basic academic skills, objective and motivation to learn, and

communication skills in English.

If the official language of instruction at the school of the applicant is other than English, results of externally

administered English proficiency tests will be required to assess the applicant’s English proficiency.

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12 Campus Life

(1) Admission and Tuition Fees

Category Amount Remarks

Admission

Fee

282,000 JPY (estimated)

① The admission fee should be paid at the time of the enrollment process. (See page 6.)

② If you wish to apply for exemption or postponement of the admission fee, refer to “Admission Fee Exemption or Postponement” in section (2) below.

Tuition Fee

Amount for 2nd (Fall) Semester

(October to March) 267,900 JPY (estimated)

Amount for 1st (Spring)

Semester (April to September) 267,900 JPY (estimated)

Annual Amount 535,800 JPY (estimated)

① If the tuition fee is revised at the time of admission or while enrolled in the course, the new tuition fee will be applied.

② The tuition fee for the 2nd (fall) semester 2017

should be paid after October 2017. Details of the payment procedure will be provided in the Enrollment Guide at the time of the enrollment process.

③ If you wish to apply for exemption of the tuition fee, refer to “Exemption from Tuition” in section (3) below.

(2) Admission Fee Exemption or Postponement

If you are entitled to apply for an exemption or postponement, upon your request, all or half of your admission fee may be exempted or your payment may be postponed depending on budget limitations. If you wish to apply for fee exemption or postponement, please follow the procedures outlined below.

If you or your family’s primary financial supporter was a victim of the Tohoku Earthquake that occurred in 2011 or the Kumamoto Earthquake that occurred in 2016, consult with the contact provided in section below.

① Admission Fee Exemption Requirements If you are identified as a student who has extreme difficulty paying your admission fee due to the special circumstances listed below, during the period between October 2016 and September 2017, you may apply for exemption from your admission fee:

(A) the death of the financial provider who is mainly responsible for your tuition (“Financial Provider”) (B) you or your Financial Provider has been adversely affected by damage caused by a disaster, such as

wind or flood

② Admission Fee Postponement Requirements If you are identified as a student who has difficulty paying the admission fee by the due date due to financial reasons and have demonstrated outstanding academic performance, or a student who has difficulty paying the admission fee by the due date due to the special circumstances listed in section above, you can apply for postponement of payment of your matriculation fee. (Please note that the admission fee cannot be reduced.)

③ Admission Fee Exemption or Postponement Requirements Confirmation If you apply for admission fee exemption or postponement, please check with the contact provided in section below by telephone prior to the enrollment process, and then complete the application forms. Applications submitted without advance contact will not be accepted. For family finance criteria and academic performance criteria, refer to the University’s website.

④ Application Process Download the application guidance notes and designated application forms from the following website,

prepare required documents and complete the application form: http://www.okayama-u.ac.jp/tp/life/seikatu_a1.html If you cannot download the files, please get in touch with the contact provided in section below for the application forms.

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(A) Required Documents a) Designated Application Forms: admission fee exemption application form (or admission fee

postponement application form), evaluation of family situation form, declaration of income status form, and receipt form of admission fee exemption or postponement application form

b) FY2017 certificate of annual income (for 2016 annual income) (issued by the mayor of the city, ward, town or village) Submit annual income certificates of all family members in the household including the

applicant. c) Documents relating to 2016 annual income (e.g. a copy of tax withholding statement, a copy of final

return form, documents that describe extra income, such as retirement allowance and insurance money. Follow the application guidance notes and submit applicable documents for family members

who have income. If you cannot submit such documents at the time of application, submit them later.

d) Documents relating to special deduction Follow the application guidance notes and submit applicable documents.

e) In the case of application due to death of Finance Provider: proof of death (either a certificate of removal from family register, certificate of death, or copy of the burial authorization)

f) In the case of application due to damage caused by a disaster, such as wind or flood: victim certificate issued by the mayor of the city, ward, town or village (which describes the damage)

g) Return envelope for the results of the application (Nagagata #3 (235mm x 120mm in size)) Write your name, address and postal code on the envelope and affix postage of 92 yen.

Please note that the submission of other documents may be required as necessary.

(B) Submission of Application Documents Fee exemption or postponement application documents must be submitted together with enrollment documentation by the deadline of the enrollment process for successful applicants.

⑤ Contact Information: Coordinator for Admission and Tuition Exemption, Student Support Section, Department of Student Services, Okayama University. (General Education Building A, 2nd floor, Window 7). 2-1-1 Tsushima-naka, Kita-ku, Okayama 700-8530, JAPAN Tel：086-251-7211 (domestic call) / +81-86-251-7211 (international call) Office hours: 8:30 - 17:00 (JST) (Monday through Friday, except holidays)

If you are confirmed to have met the requirements of or above in the process described in section , and if you request application guidance notes and designated application forms via mail, please send i) and ii) below to the contact at the address provided above in section . Please write “Request for Matriculation Fee Exemption (or Postponement) Application Guide and Forms” in red ink on the envelope. i) A sheet of paper with the following: the type of application guide and forms, the application number on

your Notice of Application Received, your name, the name of the faculty/school you are applying for, and your contact information, including your telephone number.

ii) Return envelope (Kakugata #2 (332mm x 240mm in size)) Write your name, address and postal code on the envelope and affix express postage of 485 yen.

⑥ Notes a) If you pay the admission fee, you cannot apply for admission fee exemption or postponement. b) If you apply for admission fee exemption or postponement, you will be given a grace period for the

payment of admission fee until a determination is made on your application. If you pay the admission fee, it cannot be refunded for any reason.

c) If your exemption application is rejected or approved for exemption of half the amount, or if your postponement application is rejected, the applicable amount of your admission fee must be paid within 14 days of the determination on your application.

d) If your postponement application is approved, the applicable amount of your admission fee must be paid by the postponement date.

13

e) Unless your application is approved for full exemption, you will be expelled if you fail to pay the applicable amount of your admission fee within the designated time limit.

f) If the information in your application is different from what was confirmed at the time of confirmation, and if it turns out that you do not meet the requirements, then you will be required to pay your admission fee.

(3) Exemption from Tuition

Upon your request, all or half of your tuition fee may be exempted depending on budget limitations. If you

wish to apply for exemption from the tuition fee for 2017 2nd (fall) semester, refer to the Enrollment Guide (sent

to successful applicants after the announcement of results) for more information about the exemption

application and dates.

A student who has difficulty paying the tuition fee due to financial reasons and has demonstrated outstanding

academic performance, or a student who has difficulty paying the tuition fee due to the death of his/her Financial

Provider or because he/she or his/her Financial Provider is suffering from damage caused by a disaster, such as

wind or a flood, can apply for a tuition fee exemption during the period between October 2016 and September 2017.

If you or your family’s main financial supporter was a victim of the Tohoku Earthquake that occurred in 2011

or the Kumamoto Earthquake that occurred in 2016, contact and consult with the contact provided in section (2) -

above. If you apply for a tuition fee exemption, you will be given a grace period for payment of the tuition fee until a

determination is made on your application. If your exemption application is rejected or approved for exemption of half the amount, the applicable amount

of your tuition fee must be paid by the date designated by the University.

(4) Dormitory for Female Students Outline of Dormitory for Female Students

(If you hold a foreign nationality, you can apply for dormitory accommodation only if you are a female student who is or will be living in Japan.)

Capacity Duration Fees Address Other

108 people Regular course term Rent: 6-2 Tsushima-Kuwanoki- Reinforced concrete,

For FY 2017, 4,300 JPY per month (estimated) cho, Kita-ku, Okayama five-story building

about 20 new Common service charge: 700-0084, JAPAN (Built in 1981)

female students 5,500 JPY per month (estimated) Tel: 086-251-7202 Private rooms

are scheduled to Other expenses, such as (domestic call) (Facilities in each room:

be admitted. electricity, gas and water, should Tel: +81-86-251-7202 bed, desk, chair,

be separately paid by each (international call) bookshelf, locker, etc.)

student.

Request for Guidelines for Residence Hall Application Female students who would like to request dormitory accommodation can apply for the dormitory only when the University accepts applications for the dormitory in October. When available, detailed information about the dormitory accommodation for female students will be provided on our website (http://www.okayama-u.ac.jp/tp/life/seikatu_d3.html). Download the guidelines for dormitory accommodation from the website and proceed with the application. (The information is available around July every year.) If you cannot use the internet, contact the following office.

Student Support Division, Student Affairs Department, Okayama University 2-1-1 Tsushima-naka, Kita-ku, Okayama 700-8530, JAPAN Tel: 086-251-7185 (domestic call) / +81-86-251-7185 (international call)

14

(5) International House

Successful applicants who wish to apply for dormitory accommodation (international and Japanese students) will be admitted on a priority basis. If the number of priority residents exceeds the number of vacancies, the residents will be selected by lottery.

Successful applicants (and applicants receiving conditional offers) will be asked whether they have requested dormitory accommodation.

Capacity Type Duration Fees Address Other

18 people

For FY 2017, a

small number of

male and female

students are

scheduled to be

admitted.

Single

international

students and

Japanese

students

1 year Monthly rent

(estimated)

20,000 JPY

(including the cost

of internet

access)

Other expenses,

such as electricity,

gas and water,

should be

separately paid by

each student.

3-1-1 Tsushima-naka,

Kita-ku, Okayama

700-0082, JAPAN

Reinforced concrete, three-story building

Private rooms

(Facilities in each room: kitchen with IH

cooking heater, modular bath, toilet,

closet, bed, air conditioner, microwave,

refrigerator, electric water boiler, desk,

chair, desk lamp, bookshelf, TV, TV

stand, curtains, clothes pole, and internet

connection)

(6) Process for Obtaining Student VISA

To study in Japan, international students are required to obtain a Student VISA. To obtain a VISA, refer to the following website: Applying for your VISA: http://ouic.okayama-u.ac.jp/japanese/interstudents/students_prospective/2-01acquisition_procedure_of_visa.ht ml

(7) Living in an Apartment

For students who wish to find an apartment, Okayama University COOP offers assistance.

For more information, contact the following:

Okayama University COOP Email: [email protected] Tel: 0120-633-006 (domestic call) / +81-86-256-4113 (international call) Finding an Apartment for New Students: http://vsign.jp/okadai/rent

(8) Facilities for student’s daily life

On Tsushima Campus, there are three cooperative (Co-op) facilities: Muscat Union, Peach Union and Pione Union. There are bookstores, convenient stores and cafeterias in the facilities.

On Shikata Campus, there is a convenience store and a cafeteria in the Alumni Memorial Building of the Medical School.

15

(9) Financial Aid Programs

① Discovery Scholarship All successful applicants, on the condition that they will hold STUDENT (Ryugaku) or DEPENDENT

(Kazokutaizai) VISAS, are eligible for the Discovery Scholarship of 40,000 JPY per month. They can receive this amount as a grant for four years after enrollment provided that they remain in good academic standing.

② Financial Aid Programs by Local Public and Private Entities Major programs include those listed below. Some of them may not be provided every year. If you wish to apply for financial aid, check bulletin boards to see if they are available. Note that application periods may differ from program to program.

Name of Financial Aid Program/Foundation

Monthly Amount (FY2016) Period of Loan/Grant Loan/Grant

Local Public Entity

Okayama City Scholarship Program

21,000 JPY Regular Course Term Loan

Kurashiki City Scholarship Program


The Nagasaki Scholarship Foundation


Yamaguchi Prefecture Hitozukuri Foundation


Private Entity

Nakamura Sekizen-kai Foundation

30,000 JPY Regular Course Term Grant

Kashiyama Scholarship Foundation

40,000 JPY Regular Course Term Grant

③ Financial Aid by Japan Student Service Organization (JASSO) If you are recognized as a student who is academically competent and in good health, but in financial

hardship, upon your request, the following loans may be provided. For application periods, please contact the Financial Aid Section of the Student Support Division.

Types of Financial Aid

Monthly Amount of Loan (FY2016)

Period of Loan Remarks

Type I Financial Aid

Students living at home

45,000 JPY Students living away from home

51,000 JPY Irrespective of living situation

30,000 JPY

Regular Course Term

Free of interest

Type II Financial Aid

30,000 JPY 50,000 JPY 80,000 JPY

100,000 JPY 120,000 JPY

Recipient may select from among the

options provided above.

Regular Course Term

Recipient may select either fixed interest rate or variable interest rate. (Either way, the ceiling is 3% and free of interest while in school.)

(10) Other In addition to the above listed programs, reduction in tuition fees may be applicable based on requirements set by the University. Other special measures, such as granting scholarships, may be available in the future.

16

13 Maps and Directions (1) Campus Area Map

17

(2) Tsushima Campus Map

Directions to Tsushima Campus: (1) Take Okaden Bus Route 47 (bound for Okayama-rikadaigaku, Okayama University of Science) from JR

Okayama Station West Gate Bus Terminal boarding area No. 22 to Okadai-iriguchi or Okadai-nishimon bus stop (about 10 minutes).

(2) Take Okaden Bus Route 16 (bound for Tsudakadai-danchi or Handayama-haitsu), Route 26 (bound for Okayama-Iryo-senta Kokuritsu-byoin, Okayama Medical Center), Route 36 (bound for Karakou-guchi), or Route 86 (bound for Unten-menkyo-senta, Driving License Center) from JR Okayama Station East Gate Bus Terminal boarding area No. 7 to Okayama-daigaku-suji bus stop (about 10 minutes). Tsushima Campus is approximately a seven-minute walk from the bus stop.

(3) Approximately 10-minute walk from Hokaiin Station (JR Tsuyama Line)

* All bus travel times provided above are estimated based on normal traffic conditions.

Okayama University


To submit your application, complete all steps below.

Okayama University 2017Instructions for Online Application

Access the online application site

Access the application site directly at http://e-apply.jp/e/okayama-u/ Or, go through Discovery Program for Global Learners Home Page at

http://discovery.okayama-u.ac.jp/

Complete the Application Form

①Follow all screen prompts and instructions.②Choose a payment method for remitting the application fee.③Fill in all sections or choose from drop-down menus to complete all

required fields.Keep a record of all information required for submitting the applicationfee (customer number, confirmation number, and paymentperiod)

※To complete this online application, you will need an email address and a computerwith internet connection.

【Notes】●Once submitted, application material cannot be changed or altered. Please ensure that your application is complete before submitting.●If you find an error in your submission prior to remitting payment, return to Step 2 and repeat the process without making payment.

Remit payment for application fee.

※Additional processing fees may apply.

Confirm all documents

Submit your application

Fill in the Application

Access

Remit payment

Email

Confirmation

After remitting the application fee, use the link provided in the automated email reply (Application Services: Notice of Payment Received) to access and confirm your Online Application.

Email other required documents (A copy of International Baccalaureate Diploma, Personal Statement etc), ensuring they will arrive by the deadline.

【Paying at a convenience store】Make payment at a convenience store (Seven-Eleven, Lawson, Family Mart, Circle K, Sankus, Mini Stop, Daily Yamazaki, or Three F) using the application numbers provided in Step 2. Please note that these are provided separately from the application form.

【Paying via credit card】Have your credit card information available and follow the prompts on the screen to complete payment.

○ Application Form

○ Personal Statement

○ Letter of Evaluation

◎ Application Form

◎ Disclosure of Application Information

APPENDIX

(Okayama University Request Form for Application Information (for Applicant))

Okayama University Application Form for October 2017 Admission

(International Baccalaureate Admission)

* Do not fill in this field

* If your name cannot be written in Japanese, please write it in English.

IB Assessment

□ Obtained International Baccalaureate Certificate (full IB Diploma) in

November 2015 / May 2016

□ Took an exam in November 2016 □ Will take an exam in May 2017

Bank Transfer Receipt for

Entrance Exam Fee

If you transfer the

entrance exam fee from a

bank in Japan, please

attach the funds transfer

receipt here.

Course Choice Discovery Program for Global Learners

Application No

*

Contact Informtation

Postal Code

Phone

Email (PC)

Email (Mobile)

Mailing Address

Postal Code

Phone

Mobile

Email (PC)

Email (Mobile)

Photo

Attach the

applicant’s

photograph taken

within the last 3

months here

Height 4cm

Width 3cm

Name

Name in Katakana:

Male / Female

Last, First

Date of Birth (YYYY/MM/DD)

Education

Name of School

(Location (Country): )

Date of Graduation / Expected Date of Graduation (YYYY/MM/DD)

Sample

Guidelines for Personal Statement

Please complete “1. Reasons for Application”, “2. Personal Statement” and “3. Record of

Activities” of the Personal Statement in Japanese or English as follows:

1. Reasons for Application

Describe your reasons (interests, future course, motivations, etc.) for applying to the Discovery

Program for Global Learners in as much detail as possible.

State the specific area you wish to study at Okayama University (if you have more than one, please

indicate each) and the reasons; your expectations for the Discovery Program for Global Learners;

and what you intend to do at the University to shape your future.

2. Personal Statement

Explain how you are qualified for the Discovery Program for Global Learners. You may discuss

your personality, talents, special abilities, or life experiences.

3. Record of Activities

Describe curricular / extracurricular activities (including qualifications) you have been involved in.

(Please write in descending order with the most recent one first.)

Note: Activities include the following: school events, student council, school committee and club

activities; conventions, competitions, qualification tests, community events, volunteer

activities study abroad experience (besides school) and CAS (creativity, action, service)

activities.

Okayama University

International Baccalaureate Admission for October 2017

[Discovery Program for Global Learners]

Personal Statement

Name

Course Choice

Discovery Program for Global Learners

Note: The application may be handwritten by the applicant in black ink, or completed on a computer.

1. Reasons for

Application

Describe your reasons (interests, future course, motivations, etc.) for applying to the

Discovery Program for Global Learners in as much detail as possible.

State the specific area you wish to study at Okayama University (if you have more than one,

please indicate each) and the reasons; your expectations for the Discovery Program for

Global Learners; and what you intend to do at the University to shape your future.

2. Personal

Statement

How do your personality, strong points, and life experience make you a suitable candidate for the

Discovery Program for Global Learners at Okayama University?

3. Record of Activities

Describe curricular / extracurricular activities (including qualifications) you have

been involved in. (Write in descending order with the most recent one first.)

Year: (Age: ) Name of Activity (event, qualification, etc.)

Kind of Activity (roles and

responsibilities, awards, record,

achievements, etc.)

Note: Activities include the following: school events, student council, school committee and club activities; conventions,

competitions, qualification tests, community events, volunteer activities, study abroad experience (besides school) and

CAS (creativity, action, service) activities.

I hereby declare that the above statements are true. Name of Applicant:

Guidelines for Letter of Evaluation

Academic information including the character of the applicant described below must be provided by

the principal of the school that the applicant graduated from, a career counselor, or the teacher of the

Japanese language classes that the applicant took. The Evaluation field does not have to be

handwritten (a computer can be used); however, the evaluator must sign the evaluation form

him/herself. Comments should be written either in Japanese or English. (It is not necessary to translate

English comments into Japanese.)

For applications, please state the degree of recommendation (e.g. strongly recommended, moderately

recommended, etc.) and the class ranking of the applicant (e.g. top 10%/30%/50%, below average, etc.).

Academics

Describe the applicant’s academic strengths and weaknesses including ability to think creatively,

work independently, and manage time. Provide specific example when possible.

Personal

Describe the applicant’s personality including special talents, interests or accomplishments, as well as

interpersonal skills such as ability to communicate or work cooperatively with others.

Please add any other comments which might help the selection committee.

Gender

Male /

Female

Evaluation

School and Title: Name:

Email: Phone:

Evaluation Sheet

Name in Katakana

Name of Applicant

Course Choice


Date: (YYYY/MM/DD)

Evaluator

Date of Birth (YYYY/MM/DD)

Preliminary Consultation Form for Okayama University International Baccalaureate Admission

for October 2017 Admission

Date of Application (YYYY/MM/DD): / /

Applicant

Name

Name in

Katakana:

Name

(Male / Female)

Education

(School Location (Country): )

Name of School:

Date of Graduation / Potential Graduation

(YYYY/MM/DD):

Phone: ( ) -

Name of Teacher :

Date of

Birth

YYYY/MM/DD

Address

(Postal Code: )

Phone ( ) -

Course

Choice


Description of

Disability

Special

accommodation

required at

school

Parent /

Guardian of

Applicant

Name in

Katakana:

Name

Relation to

Applicant

Address

(Postal Code: )

Phone ( ) -

Note

(Accommodations at home and school from which the applicant graduated)

* 1. Please attach a physician's certificate.

2. If the applicant has a disability certificate, please attach a copy.

Disclosure of Application Information

(1) Information disclosed to applicants 1) Requestor

Only applicants can request disclosure. (If a legal representative makes a request, please contact the Admission

Division for separate application procedures.)

2) Disclosure period / method

Information will be disclosed in writing from 9:00 to 17:00, December 1, 2017, Friday, to December 22, 2017, Friday

(excluding Saturdays and Sundays). (Requests by mail will be accepted when they are postmarked during this

period.)

Requests will also be accepted in November.

3) Information to be disclosed

International Baccalaureate Admission for October 2017

4) Scope of disclosure

Exam Results of Requestor

Subject / Total scores of the National Center Test and examination by the University are disclosed. For essays and interviews, only total scores are shown.

Exam Results of Admitted Applicants

The results (the best / worst / average scores) of admitted applicants who took the same examination type as the requestor will be disclosed. Please note that if less than five applicants passed the exam, this information will not be disclosed.

5) Method of disclosure request

Bring or send the “Okayama University Exam Card” and “Okayama University Request Form for Application

Information (Form 1: for Applicant)” to the Admission Division.

[Notes for request by mail]

Enclose a reply envelope of Long No. 3 size (height 23.5 cm × width 12 cm) with postage of 402 yen, the cost of

simple registered mail, attached (write your postal code, address and name). If you request the below “Information

disclosed to general public” by the same mail, please make sure to contact the Admission Division prior to

applying as the envelope size and postage may differ.

The Exam Card submitted will be sent back to the requestor with the disclosed information.

(2) Information disclosed to general public 1) Disclosure period / method and information to be disclosed

Same as “Information disclosed to applicants” of (1).

2) Scope of disclosure

*1, 2, 3 and 4 are disclosed via the website of Okayama University

3) Method of disclosure request

Bring or send the “Okayama University Request Form for Application Information (Form 2: for General Public)”

to the Admission Division. When requesting by mail, enclose a reply envelope (write your postal code, address and

name on it). Contact the Admission Division prior to applying as the envelope size as postage for registered mailing

will differ depending on the content of disclosure.

Obtain the Okayama University Request Form for Application Information by any of the following ways:

(1) Download it from the Okayama University website (http://www.okayama-u.ac.jp)

(2) Write “Request for Okayama University Request Form for Application Information (Form 1 or 2)” in red on the

envelope, enclose a reply envelope of Long No. 3 size (height 23.5 cm × width 12 cm) with postage of 82 yen

(write the postal code, address and name of the applicant), and send it to the Admission Division.

(3) Receive it at the Admission Division counter.

[Contact us for requests and inquiries about disclosure of Application results] Admission Division, Student Affairs Department, Okayama University (1st floor of the University Union) 2-1-1 Tsushima-naka, Kita-ku, Okayama 700-8530, Japan Phone: +81-86-251-7192 to 7194

1. The number of applicants / initially admitted applicants / additionally admitted applicants

/ matriculates / admitted applicants who declined to enroll / males and females / enrolled students who have

recently graduated from high school

2. The number of vacancies (only when secondary recruitment is offered)

3. The number of applicants / admitted applicants by high school of graduation and prefecture

4. Information on admitted applicants

Form 1

/ / (YYYY/MM/DD)

Okayama University Request Form for Application Information (for Applicant)

President of Okayama University

Name Date of Birth / / (YYYY/MM/DD)

Address Postal Code: Phone ( ) -

I request disclosure of information on entrance examinations for 2017 admissions as follows:

Examination Type and

Okayama University

Entrance Exam No.

Examination Type Okayama University

Entrance Exam No.

1 General entrance exam (first dates)

2 General entrance exam (first dates): First screening by

National Center Test

3 General entrance exam (second dates)

4 Entrance exam for specialized/comprehensive high school

graduates

5 Entrance exam by commendation

6 Entrance exam for adults

7 Entrance exam for returnees

8 Special entrance exam for self-supporting international

students

9 Admission Office Entrance Exam (A.O. Entrance Exam)

10 International Baccalaureate Admission (A.O. Entrance

Exam) [April Admission]

11 International Baccalaureate Admission (A.O. Entrance

Exam) [October Admission]

Faculty/Department

Faculty:

Faculty:

Faculty:

Dept. (Program):

Dept. (Program):

Dept. (Program):

Major (Course):

Major (Course):

Major (Course):

* Please circle the number of the item you wish and complete the necessary information.

Note) 1. To confirm the identity of the requestor, submit the Okayama University Exam Card. If the card has been lost, disclosure may not be

accepted.

2. If less than five applicants passed the exam in a designated exam type, information about the results of admitted

applicants (the best / worst / average scores) may not be disclosed.

3. If a legal representative requests disclosure, the representative must present him/herself at the office (no mail request

accepted), provide his/her name, date of birth, address and telephone number in the above section and indicate the

circumstances and name of the applicant in the following section of this form, and submit it with the Okayama University

Exam Card, Certificate of Family Register, etc.

Do not fill out this section when the applicant is requesting disclosure

Status of Applicant (Please circle one) Name of Applicant (w/name in Katakana)

1. Minor (

YYYY

/

MM

/

DD

)

2.

Adult

[Do not fill in the below section]

Creation Date of Document Acceptance No. Identity Confirmation Method

(YYYY/MM/DD)

1. Application Form 2. Other ( )