Application for the Evening Program, the Korean Language Institute 韓国語学堂入学願書Applicant is applying for admission for(check one): 希望申請学期(V)印下。Evening Program 課程 Spring ( ) Summer ( ) Fall ( ) Winter ( ) 200_. Identification1. Name in Full 氏名(口一字):Family Name 苗字 Given Name 名前 2. Name in Korean 韓国名3. Sex 性 4. Date of Birth 生年月日: Month 月Day 日 Year 年5. Nationality 国籍 6. Permanent Address 日本住所 (口一字)Tel.Fax E-mail : 7. Mailing AddressTel.Fax 8. Visa Status 種類9. Passport No. 旅券番号 10. Occupation 職業(具体的).Previous study of the Korean language 韓国語学習歴韓国語学習歴 1. When How long 期間Where 2. Fluency in Korean (Check one) 韓国語実力程度: If you choose “none”, you will be automatically placed into level 1 (level for beginner). Therefore, you do not need to take the placement test.(None 可可) (Poor 可可) (Good ) (Excellent 優優).Academic background 学歴学歴 Name of institution 学校名Major 専攻 Attendance(from-to) 在学期間Degree or Diploma 学位.How long do you intend to study at KLI? 本語学堂学習予定期間。本語学堂学習予定期間。 From To .Sponsor(Korean citizen) 身元保証人身元保証人 Name in full 氏名Relationship to you 関係 Address 住所 Tel.FaxPhotograph 写真 (3cmX4cm).Essay Write an essay in English or Japanese about your purpose in studying Korean and your future plans(study, job, etc)本韓国語学堂韓国語学習目的将来計画、具体的日本語又英語書。Signature 著名:Date 作成日 : Please complete this application form and mail it toTheThe KoreanKorean LanguageLanguage InstituteInstitute TheThe InstituteInstitute ofof LanguageLanguage ResearchResearch andand Education,Education, YonseiYonsei UniversityUniversity 134134 Shinchon-dong,Shinchon-dong, Seodaemoon-gu,Seodaemoon-gu, SeoulSeoul 120-749,120-749, KoreaKorea Tel.Tel. 82-2)82-2) 2123-34642123-3464 5 5 Fax.82-2)393-4599Fax.82-2)393-4599 E-mail:E-mail: yskliyonsei.ac.kryskliyonsei.ac.kr WebsiteWebsite : : http:/www.yskli.comhttp:/www.yskli.com