Application Form

2023 Korean Homeland Education (K-HED)

※ How to fill out: □ Indicate your choice with a check (∨) mark.
Korean Date of Birth yyyy / mm / dd

Name Sex □ Male □ Female Photo

English
(as shown in your
Telephone Number 3.5 × 4.5 ㎝
passport)
(Include Country Code)

Country of Birth Mobile phone Number

Nationality Passport Number

Application for
□ Apply □ Do not apply Address
National Scholarship

Korean Language □ □ □
E-mail Address
Fluency Advanced Intermediate Beginner

Invitatio n
□ Understanding Korea □ Winter: 12. 12. 2023 ~ 1. 18. 2024 (6
Course weeks)
Type of Course

Online □ Winter: 12. 4 ~ 12. 29. 2023 (4

□ Online Course
weeks)

Duration Name of School

yyyy / mm ~ yyyy / mm Elementary School

yyyy / mm ~ yyyy / mm Middle School

Academic
Record
yyyy / mm ~ yyyy / mm High School

yyyy / mm ~ yyyy / mm University

yyyy / mm ~ yyyy / mm Graduate School

Name Relationship Telephone No. Descendant of Name of Patriot Relationship

Contact
Independence
Person in
Patriot
Korea
(If Applicable)

I apply for the 2022 K-HED program with my legal guardian's signature, and I certify that the information contained in this
application form is complete and accurate.

2023. . .
year Month Day

Applicant's Name Signature

Guardian's Name Signature

I recommend the above person to be admitted in the educational program of your institute.

2023. . .
Year Month Day

Korean Ambassador / Consul-General / Director of Korean Education Center

For the president of the National Institute for International Education

※ This application form may be photocopied and used in multiple copies.

※ If above mentioned information is not accurate, it may be sufficient cause for terminating your enrollment.
※ When applying for Online education, please leave the diplomatic office’s recommendation field empty.
 Study Plan for 2023 Korean Homeland Education
(K-HED)
Name Nationality

Country of
Residence
Date of Birth

[Invitation Education]
Course(s) Applied □ Understanding Korea Course ( □ Winter )
For [Online Education]
□ Online Education Course ( □ Winter )
University (desired) and major (if applicable): _____________ University ___________
Others Major
※ This information is required for applicants of the University Preparation Course
(Admission Focus Class).

① Motive and study plan

: Describe your understanding of Korea and motive for learning.

② Plans after completion of program

: Describe your plans for university or graduate school, job-seeking, contribution to society of overseas
Koreans, and improvement of the relationship between Korea and the country of residence.

※ The Study Plan should be written in Korean or English.

※ This Study Plan will be used to select students and scholarship recipients. Attach any evidential documents to
support your plan.
 Consent to Collection and Use of Personal information for KOREAN HOMELAND
EDUCATION

The NIIED intends to collect and use your personal information according to the Personal Information Protection
Act regulation for the application and selection for the Korean Homeland Education.

Collected personal information will not be used for purposes other than the designated purpose. If the purpose of
the collection(etc.) is changed, we will notify the user in advance and obtain consent. Please peruse the content
below and decide whether to consent or not.

□ Details of personal information to be collected and used

Items Purpose of collection Holding period

Will be destroyed
- Selection of students
1. Students name, D.O.B., sex, resident
and scholarship without delay once
country, nationality, address, photo,
contact information (email, mobile phone,
beneficiaries for Korean the purpose is
Homeland Education
etc.)
- Provision of information
accomplished.
2. Name of institution or school, last (However, those information such as name,
on Korean Homeland D.O.B., sex, resident country, contact
education, other information, etc. turned
Education and record- information, etc. are kept as permanent as
in by the student for participating in the needed for post -management of the Korean
keeping of the course
education Homeland Education (such as student
completion statistics, issuance of certificates of
education completion, etc.)

※ You have the right to refuse to consent to collecting and using the personal information as above.
However, such rejection may result in a restriction on the Korean Homeland Education.
☞ Do you agree to the collection and use of personal information as above?
Yes No
□ Details of sensitive information to be collected and used
Purpose of
Items Holding period
collection

Will be destroyed
Health information without delay once
(Name of disease, Health control of students
education purpose
the period of infection, and situation are
a path of infection) accomplished and
settled
※ You have the right to refuse to consent to collecting and using sensitive information as above.
However, such rejection may result in a restriction on the Korean Homeland Education.
☞ Do you agree to the collection and use of personal information as above?

Yes No

□ Unique Identification Information (passport number) to be collected and

used
Items Purpose of collection Holding period

Will be destroyed
Passport - Selection of students for Korean Homeland Education
and scholarship student
without delay once
Number - Support of ticketing for the flights, etc. the purpose is
accomplished.
※ You have the right to refuse to consent to collecting and using the personal information as above.
However, such rejection may result in a restriction on the Korean Homeland Education.
☞ Do you agree to the collection and use of Unique Identification Information as above?

Yes No

□ Details of personal information to be provided to a third party

Institution to be
Purpose of the
provided with Items provided Holding period
provision
the information
 Overseas - Selection of students Until the
embassies and - Students name, D.O.B., sex,
for Korean Homeland completion of
resident country, nationality,
consulates and Education
address, photo, contact the
other related - Support of ticketing for
information (email, mobile concerned
the
institutions flights, etc.
phone, etc.), passport number
businesses
(Contact: )
※ You have the right to refuse to consent to collecting and using sensitive information as above.
However, such rejection may result in a restriction on the Korean Homeland Education.
☞ Do you agree to the provision of personal information to a third party as above?

Yes No

Year Month Day

Applicant’s Name (Signature)

※ Do you agree to the provision of the above personal information in a case where the
person concerned with the information is a child under 14?
Yes No

Year Month Day

Applicant’s Name (Signature)

Legal guardian’s Name (Signature)

To the President of NIIED