POHANG UNIVERSITY OF SCIENCE AND TECHNOLOGY
Application Form for International Exchange
Your application will be processed once we receive all of the following documents.
REQUIRED DOCUMENTS
Application Form (Please type)
Transcript of Academic Records in English
Official Score of English Proficiency (for non-native English speakers)
One Recommendation Letter from Supervisor
Copy of passport
SEND ALL FORMS BY MAIL TO:
Exchange Program Coordinator
International Relations Office
Pohang University of Science and Technology (POSTECH)
San 31 Hyoja-dong, Nam-gu, Pohang, Republic of KOREA 790-784
Phone: 82(54)279-3683 Fax: 82(54)279-3590
E-mail:rubis5@[Link]: [Link]
PROGRAM STRUCTURE & DATES
Course taking: Fall 20___: September December Spring 20___ : March June
Research Program: _______________ - ________________
mm/dd/yy
mm/dd/yy
Course taking + Research Program: Fall 20___: September December Spring 20___ : March June
PERSONAL INFORMATION
Name _______________________________________________________________/________________________ Sex Male Female
Last,
First
In Chinese (if any)
Date of Birth ____________________________________________
mm/dd/yy
Country of Citizenship _________________________________________
City and Country of Birth __________________________________
Native Language ______________________________________________
Current Address __________________________________________________________________________________________________________
Street
City
State
Country
Zip/Postal code
Phone _________________________________ E-mail______________________________ Passport No.___________________________
Country code - Area code - Number
Permanent Address ________________________________________________________________________________________________________
(if different)
Street
City
State
Country
Zip/Postal code
Phone __________________________________________________
Country code - Area code - Number
APPLICATION INFORMATION
Fax ________________________________________________________
Country code - Area code - Number
Name of your current University ____________________________________________________________________________________________
1st Major __________________________ 2nd Major __________________________ Minor __________________________
Current Student Status
Undergraduate
Graduate - Master Degree
Doctorate Degree
Freshman Sophomore
1st Year 2nd Year
1st Year 2nd Year
Junior
Senior
3rd Year 4th Year
3rd Year 4th Year
Intended field of study at POSTECH _________________________________________ /________________________________________________
Specific Field
Department Name (and Name of Professor at POSTECH)
LANGUAGE PROFICIENCY
What language was used for instruction in your school(s)? _______________________________________________________________________
If not in English, please verify your proficiency in English by submitting an official score of one of the following exams.
TOEFL _______ /_______
IELTS _______ /_______
OTHER _______ /_______ /_______
Score Date
Score Date
Title Score Date
Please check the appropriate box below to indicate your level of Korean.
Advanced
Intermediate
Beginner
None
SIGNATURE
In signing this form, I certify that all information on this application is correct and complete. If it is not, I understand that cancellation of admission and
registration may result. I agree to abide by the rules, policies, and regulations of the Pohang University of Science and Technology.
Signature of Applicant __________________________________________________ /__________________________________________________
Signature
Date (mm/dd/yy)
Exchange Program Coordinator at Home University ________________________________
Name (Please type.)
E-mail ________________________________
Signature of Exchange Program Coordinator: _________________________________________ / _________________________________________
Signature
Date (mm/dd/yy)
STATEMENT OF PURPOSE
(Please type on given form or a separate sheet.)
APPLICATION FORM FOR INTERNATIONAL EXCHANGE
POHANG UNIVERSITY OF SCIENCE AND TECHNOLOGY
SIGNATURE
In signing this form, I certify that all information on this application is correct and complete. If it is not, I understand that cancellation of admission and
registration may result. I agree to abide by the rules, policies, and regulations of the Pohang University of Science and Technology.
Signature of Applicant __________________________________________________ /__________________________________________________
Signature
Date (mm/dd/yy)
APPLICATION FORM FOR INTERNATIONAL EXCHANGE