Check List

 1. Application Form including the Statement of Purpose, Personal Interview Form, Questionnaire for International Students and Student Heal History.

 2. Two Recommendation Letters (PLS use the GV Interview Form)
(One from the academic advisor, the other from the director of International Programs or Study Abroad Office)

 3. An Official Transcript of Academic Records

 4. A Letter from a Physician Showing Your Medical Condition

 5. A Copy of Medical Insurance 

 6. A Copy of Accident Insurance

 7. The physical test results for Hepa-B and Tuberculosis:

   a. The date of test should be no older than 1 year

   b. It should clearly state the presence (or the lack) of antibodies for Hepa-B and the normality (or not) for Tuberculosis

   c. For our purpose, it is pointless if the test result sheets show historical records only

 

 8. A Copy of the fist page of a passport

 

 9. The Two Additional Photos sized 3.5cm(width)*4.5cm(height)

 PLS TYPE OR WRITE IN CAPITAL WHEN YOU FILL OUT THESE FORMS.










 International Student

GLOBAL VILLAGE PROGRAM
APPLICATION FORM

Study Abroad in Korea
Yonsei University at Wonju

photo

 









Applicant is applying for admission for (check one)

 

Spring semester, 10   ¡à              

Spring semester, 11  ¡à

Fall semester, 10   ¡à

Fall semester, 11  ¡à

Spring & Fall semester, 10  ¡à

Spring & Fall semester, 11  ¡à

 

  I. PERSONAL INFORMATION

 

1. Name in Full   (           )  

                                                                                                                                                                                          

(Ms. Mrs. Mr.)                     Family                        First Name                        Middle Name   

 

2.  Sex                              Male     ¡à         Female   ¡à

 

3. Date of Birth                                                                                                                                       

Month,  Day,  Year 

 

4. Nationality                                                                          

 

5. Permanent Addres

 

 Tel.                                                                                                Fax                                                             

 

   Email                                                                                               


6. Mailing Address

 

Tel.                                                                                               Fax                                                             

 

7. Emergency contact person

 

Name in full                                                                                            Relationship to you                                                

 

    Address                                                                                                                                                                            

 

                                                                                                                                                                                              

 

 Tel.                                                                                        Email                                                                                        

 

II. ACADEMIC INFORMATION

 

1. Institution you are currently attending: 

 

2. Present year of study :                                                                Major :                                                                        

 

3. Degree Sought                                                                           G.P.A :                                                     

 

(Bachelor¡¯s  ¡à  , Master¡¯s   ¡à )

 

 

III. STATEMENT OF PURPOSE


  In the space provided, write a brief self-introduction and a statement on why you want to study abroad in Korea. (Limit to one  
  page double-spaced.)

 

 

Date :                                                                                        Signature :                                                                         

 






















































































































 

 

STATEMENT OF THE PURPOSE

































































 

QUESTIONNAIRE FOR INTERNATIONAL STUDENTS 
Global Village Entry for Spring 2007

 

 

Name (                                                                             )   Home University (                                                                       )

 

Major (                                                                            )    Dorm Room Number (                                                               )

 

This questionnaire is to help you to stay more comfortably and safely. Your response does not affect your status as an exchange student.  Please respond to the following questions frankly. We will not reveal your personal matters to others.

 1. Are there any types of food you do not eat? (pork, chicken, dairy product, etc.)

 2.  Do you have any allergy or illness we should know? 

 3. Do you have any medicine you should take while staying in Korea?

 4. Do you have any valuable belongings that you must ask us to keep safe for you?

 5. Do you have any relatives or friends in Korea?

  (If yes, please provide the person's information.)

 Name (                                                                  )

 Phone Numver : Home (                                                        ) Work (                                                                  )

 Address (                                                                                                                                                                            )
 Name (                                                                  )

Phone Numver : Home (                                                         ) Work (                                                                  )

Address (                                                                                                                                                                               )

 6. Is there anything that we should know about you?

 (                                                                                                                                                                                             )

























 

 

Global Village program

Yonsei University at Wonju

Personal Interview Form

 

 

 

Student¡¯s Name _______________________________ Partner campus______________________ Cum.GPA ______

 

Check term of study: Spring 200___  Fall 200 ___  Major _________________________________________________

 

**************************************************************************************************

                                                                                                         Excellent      Good    Average    Poor      Unknown

X                  Consideration for and interest in others and their views.   ____         ____       ____        ____        ____

X                   Ability to adjust to and cope with new situations              ____         ____       ____        ____        ____

         (food, inconveniences, language, etc.) and a new culture

X                   Intellectual curiosity and imagination                               ____         ____       ____        ____        ____

X                   Common sense and good judgment                                 ____         ____       ____        ____        ____

X                   Emotional stability                                                          ____         ____       ____        ____        ____

X                   Sense of responsibility                                                    ____         ____       ____        ____        ____

X                   Willingness to contribute to group activities                      ____         ____       ____        ____        ____

X                   Personal time management                                             ____         ____       ____        ____        ____

 

Comment briefly on your impression of the student¡¯s suitability for participation in Yonsei University¡¯s Global Village Program.  Consider such matters as motivation, understanding of program academic and community living expectations, ability to make a positive contribution to the Global Village community, previous contact with international students, leadership and volunteer/work experience, and ability to adapt to new situations and cultures.  Please continue on a separate page, if more space is needed.

 

Comments:

 

 

 

 





 

Recommendation for study abroad:  ___ Highly Recommended    ___Recommended    ___ Not Recommended

 

Signatures of interview team members:

 

 

Name/Position



 

Name/Position                                                                                                                        Date

 

 

 

 

 





















































































































































 

STUDENT HEALTH HISTORY

Global Village Program ? Yonsei University at Wonju, Korea

 

 Confidential for Health Service Staff (                                                                                                                                                     )

 Name                                                                             Last                            First                            Middle

     

 (                                                                                                          )

 Permanent Address    City                                                       State                           Zip

 

                                                                                                                    

  (                                                                                          )

 

 Emergency Contact    Name                          Telephone

 

                                                                                                              

 

 

 Gender:                  M  (                  )    F (                    )

 

 

Have you had or do you have any of the following:

                                      Yes        No










 1.  Eye disorders    
 2.  Ears/Nose/Throat disorder                   
 3.  Migraine headaches    
 4.  Seizures/Epilepsy             
 5.  Thyroid disease    
 6.  Heart disease/murmur/rheumatic fever              
 7.  High blood pressure    
 8.  Asthma/chronic respiratory  disorders                    
 9.  Hayfever/Sinus disorder    
 10.  Stomach/intestinal disorder    
 11.  Anorexia/bulimia/other  eating disorder           
 12.  Kidney/bladder disorder    
 13.  Liver/gallbladder/spleen    
 14.  Diabetes       
 15.  Joint/muscle disorder    
 16.  Skin disorder                 
 17.  Reproductive organs disorders    
 18..  Blood disorder/Mono    
 19.  Cancer/other malignancies           
 20.  Emotional problem/depression    
 21.  Childhood/communicable diseases/Chicken Pox                    
 22.  Other (                                                        )    
                                                                 

                 

Have you ever had surgery?

No       Yes                       Why?  (                                                                        ) 
Have you ever been hospitalized?

No       Yes         Why? (                                                                                        )
Are you taking any medications, vitamins, etc.?

No       Yes       (include birth control pills & over the counter drugs)

 

Name of drug(s) (                                                                                        )

 

 

 

Rev 4/4/2001

Social Security # (                                                          )        SID# (                                                               )

                                                                                                                                                                                                                                                  

 

 

Date of Birth (                                                              )

                                                                                                                                                                                                                                                             

 

 


Weight (                               )        Height (                                       )

                                                                                                                                                                                                                                                          

Do you have a physical, learning or emotional disability that you want the Health Service to be aware of?

 

No       Yes                       Explain:

 

                                                                                                                                                                                                                                                               

Please list all the dates of the following immunizations:

1. DPT or DT and tetanus booster (Td)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2. Oral polio vaccine (OPV) or polio injection

 

 

 

 

 

 

 

 

 

 

 

 

3. Measles, mumps, rubella (MMR) and boosters

 

 

 

 

 

 

 

 

4. Hepatitis B

 

 

 

 

 

 

5. Date of last tuberculosis skin test or x-ray and result

 ________________________________________________

6. BCG    _______________

7. Others _______________                                                                                                                                                                                                                

Family Health History (any person related by blood)

No        Yes                                                             Member

                          Cancer                                           _______                  
                          Diabetes/ Thyroid                         ________

                          Heart Disease                                ________

                          Respiratory Disorders                  ________     
                         Stomach Disorders                         ________
                          Stroke                                            ________

                          Tuberculosis (Active)                   ________

                          Alcohol/Drug abuse                      ________

                          Sudden, Unexpected  Death, before age 60    ________                                        

                         Other                                                         .        


                                                                                                                                   

Any known allergies or adverse reaction to any drugs, antibiotic, food, etc.?

 

No       Yes         List allergies:

 

  

________________________________________________   

Student Signature, Date