Korean Government Scholarship Program

for Graduate Students

"KGSP Guidelines for the Year 2010"

1. Program Objective

The Korean Government Scholarship Program is designed to provide higher education in Korea for

international students in order to promote international exchange in education and mutual friendship

between the participating countries.

2. Total number of Applicants for Selection : 600 persons

o Korean Embassy(Consulate) : 365 persons ※ 2010 KGSP Places Allocation for Korean Embassies (Consulates)

Quota Number of Countries

Name of Countries

31 1 China

18 1 Japan

17 1 Russia

12 2 Cambodia, Mongolia

11 1 Vietnam

10 2 Mexico, India

9 1 Indonesia

8 3 Thailand, Laos, Malaysia

7 3 Philippines, Kazakhstan, Myanmar

5 6 Chinese Taipei, Uzbekistan, Turkey, USA, Ethiopia, Colombia

4 5 Nepal, Senegal, Bangladesh, Ukraine, New Zealand

3 15

Sri Lanka, Morocco, Azerbaijan, El Salvador, Egypt, Tanzania, Germany, France, Dominica, Chile, Iran, Canada, Democratic Republic of the Congo, Kyrgyzstan, Saudi Arabia

1

2 20

Singapore, Pakistan, Gabon, Romania, Belarus, Bulgaria, Slovakia, United Kingdom, Czech, Guatemala, Ecuador, Algeria, Yemen, Uganda, Belize, Honduras, Italy, Tunisia, United Arab Emirates, Poland

1 55

Ghana, Georgia, Greece, Guinea, Guinea-Bissau, Nigeria, Republic of South Africa, Netherlands, Nicaragua, Democratic Republic of Timor-Leste, Rwanda, Libya, Lithuania, Moldavia, Bahrain, Barbados, Bahamas, Venezuela, Bolivia, Burkina Faso, Brazil, Brunei, Serbia, Seychelles, Sudan, Sweden, Slovenia, Armenia, Argentina, Haïti, Ireland, Afghanistan, Angola, Oman, Austria, Uruguay, Iraq, Israel, Zambia, Cameroon, Qatar, Kenya, Costa Rica, Cote d'Ivoire, Croatia, Tajikistan, Turkmenistan, Panama, Paraguay, Papua New Guinea, Peru, Fiji, Hungary, Australia, Jordan

Total 116 365

o Korean University : 200 persons ※ 2010 KGSP Places Allocation for Domestic Universities

Quota Number of Countries

Name of Countries

16 1 Vietnam

9 1 Indonesia

8 1 Philippines

7 2 Uzbekistan, Mongolia

6 3 Bangladesh, Malaysia, Cambodia

5 5 Myanmar, Kazakhstan, Thailand, Laos, India

4 2 Pakistan, Nepal

3 4 Guatemala, Sri Lanka, Egypt, Tanzania

2 25

Ghana, Nigeria, Chinese Taipei, Dominican Republic, Mexico, Morocco, Brunei, Senegal, Singapore,

Azerbaijan, Angola, Ecuador, Jordan, Ukraine, Kenya, Columbia, Kyrgyzstan, Rwanda, Turkey, Tunisia,

Paraguay, Peru, Poland, Hungary, Yemen

1 40

Guinea, South Africa, Nicaragua, Germany, Democratic Republic of Timor- Leste, Liberia, Romania, Mali,

Bahrain, Belarus, Bolivia, Bulgaria, Saudi Arabia, Sudan, Slovakia, United Arab Emirates, Argentina, Haiti,

2

Afghanistan, Algeria, Ethiopia, El Salvador, Honduras, Uganda, Iraq, Iran, Jamaica, Zambia, Chile,

Cameroon, Canada, Costa Rica, Cote d’Ivoire, Congo, Democratic Republic of Congo, Croatia, Panama,

Papua New Guinea, Fiji, Australia

Total 83 200 persons

o Overseas Korean Adoptee : 35 persons

3. Applicable Universities and fields

o Applicable Universities : Silla University

* Applicants recommended by the Korean Embassies (Consulates) or by the adoption association

must choose 5 desired universities out of 61 universities below and send in the application form to a

Korean Embassy (Consulate) in the country of origin or to the adoption association. (Except for

students nominated by Korean Government through Korean Embassy)

* Applicants recommended by the domestic universities must choose Silla university and send in the

application form to that university.

* You can find detailed information about the fields and majors of the applicable universities on the

website of NIIED.

o Available fields : All majors of general graduate schools

* Specialized or professional graduate school programs such as law school program, medical school

program, GSIS program, etc. are also eligible on the condition that the university covers all tuition

over the initial 5 million won(KRW)/semester.

* Night schools, Seasonal schools, and schools through Internet are not allowed.

o Available course : Master’s Program, Doctoral Program and integrated Master’s & Doctoral Program.

o Integrated Master’s & Doctoral Program

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* Applicants are only eligible to apply for the Integrated Master’s & Doctoral Program Scholarship if they

apply for and are accepted into an Integrated & Master’s and Doctoral Program from the start of the

scholarship period. Applicants who are applying for a Master’s Program and plan to apply for or switch to

an Integrated Master’s & Doctoral Program in the future are ineligible for this scholarship.

* Very few schools offer Integrated & Doctoral Program. Applicants are responsible for connecting the university/universities they wish to apply for to find out whether or not such programs are offered.

* An applicant who applies for 5 year Integrated Master’s & Doctoral Program especially can get

scholarship for 4 years only.

4. Main Notes for 2010 Selection

o Organizations accepting applications: Korean Embassies (Consulates), adoption association, and

Domestic Universities in Korea

* Applicants may not be recommended by more than one organization. Every applicant recommended by

more than one organization will be disqualified automatically.

o Selection Procedure : Students recommended by a Korean Embassy (Consulate) or domestic

university will be evaluated separately.

o Obtain Admission From the University Before Entry to Korea:

- Applicants recommended by a Korean Embassy (Consulate) or overseas Korean adoptees must apply

and gain admission into 1 of 5 universities out of the 61 designated universities.

- Applicants recommended by a university in Korea should enter the same university.

o Exemption of Korean language course: TOPIK level 5 or 6 certificate holder 5. Duration of KGSP

o Master’s : 3 yrs. (01.09.2010 ~ 31.08.2013) - 1 yr. of Korean language + 2 yrs. of Master’s

o Doctoral : 4 yrs. (01.09.2010 ~ 31.08.2014) - 1 yr. of Korean language + 3 yrs of Doctoral

o Integrated Master’s & Doctoral : 5 yrs. (01.09.2010 ~ 31.08.2015) - 1 yr. of Korean language + 4 yrs. of

4

Integrated Master’s & Doctoral

6. Korean Language Course

o After 1 year of Korean language training, Master's or doctoral program will be followed.

o Duration : 1 year (Scholarship students who still don’t get a TOPIK level 3 or above certificate after

completing the language course should take an additional language course and can enter only after

getting TOPIK level 3 or above)

* After additional 2 semesters of Korean language courses (total 1 year period), students who still don’t

acquire the TOPIK 3 or above cannot enter the main program. (A student who used the additional

language training will have demerit when he/she asks for an emergency extension with reasonable

explanation. (For instance: Deduction of that period from the possible extension.)

o Institution :

- Applicants recommended by a Korean Embassy (Consulate) and overseas Korean adoptees will

study at 1 of the 5 applied universities.

- Applicants recommended by the universities in Korea will study at the same university.

o Exemption of Korean language course: TOPIK level 5 or 6 certificate holder.

* Students who are exempted from the Korean language course may enter the graduate school starting

from September 1, 2010 or March 1, 2011.

* Those who wish to enter on March 1, 2011 should get admission by himself/herself from the university

and submit it to NIIED. (Otherwise, they will be disqualified.)

* A student exempted from Korean language course must enter the main program by Mar 1, 2011,

otherwise he/she will be disqualified.

* A student who acquires TOPIK level 5 or 6 certificate during the Korean language course can enter the

main program on Mar 1, 2011 if he/she wants to.

7. Application Qualifications

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o Both applicant and his/her parents must be citizens of the foreign country.

* Applicants cannot have Korean citizenship.

o Applicants should be in good health, both mentally and physically, to stay in Korea for a long period of

time.

o Should be under 40 years of age as of September 1, 2010

o Hold a Bachelor’s or Master’s degree as of September 1, 2010

* Applicants who are enrolling or have already enrolled in the same academic program in Korea as the one

they are applying for will not be admitted.

* For Master’s program (or Integrated Master’s & Doctoral program): students who hold a Bachelor’s

degree or a diploma that is equivalent to or higher than Bachelor’s degree

* For Doctoral program: students who hold a Master’s degree or a diploma that is equivalent to or higher

than Master’s degree.

* Applicants who are expecting the adequate diploma should present their diploma by September 1, 2010

before entry.

o Should have a grade point average (G.P.A.) at least 2.64 on a 4.0 scale, 2.80 on a 4. 3 scale, 2.91 on a 4.5

scale or grades/marks/score of 80% or higher from the previous attended institution

* If the grade is difficult to convert to percentage, official explanatory documents from the attended

university are required.

8. Scholarship Payment o Scholarship Period : same as the period of invitation

o Payment

-Airfare : A round-trip economy class ticket

* Airfare for entry will not be provided to one who is staying in Korea on account of the study (Korean

language course, undergraduate or graduate school) or employment as of the confirmation date of

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selection of scholarship students.

* Fees within domestic travel, as well as insurance while travelling to and from the Republic of Korea, will

not be provided.

-Monthly Allowance : 900,000 won(KRW) per month

-Research Allowance : 210,000 won for students in human and social sciences; 240,000 won for

students in natural and mechanic sciences per semester

-Relocation (Settlement) Allowance : 200,000 won upon arrival

-Language Training Fee : The full costs up to 1 year

-Tuitions : All admission fees are waived by the host institution. The full tuition is paid by NIIED.

-Dissertation Printing Costs : 500,000 ~ 800,000 won for the costs related to a printing dissertation

-Medical Insurance : 15,000 won per month(limited insurance coverage) will be provided to the university

for students.

-Special fund for students proficient in Korean language (TOPIK level 5 or 6) : 100,000 won per

month(Commencing from the main program)

9. Selection Procedure

o "KGSP Guidelines for the Year 2010" including the application form will be on at the website of NIIED,

GKS.(www.gks.go.kr), the Korean Embassy (Consulate), and domestic universities.

o For applicants recommended by the Korean Embassy (Consulate)

- Korean Embassy (Consulate) may recommend 1.5 times their quota to NIIED

- Evaluation on the applicant’s eligibility by NIIED

- NIIED entrusts the applicants to the desired universities (in order of choice)

o For applicants recommended by domestic universities

-Each designated domestic university can recommend up to 15 candidates (3 per country)

-Special selection committee will evaluate the candidates.

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-In regards to candidates, NIIED will refer to the Korean Embassy (Consulate) for eligibility when needed.

o For overseas Korean adoptees

- Recommendation by Korean Embassy (Consulate) or Adoption Associations in Korea

- Evaluation on the applicant’s eligibility by NIIED

- NIIED entrusts the applicants to the desired universities (in order of choice)

- Special selection committee will make the final decision.

10. Selection Criterion

o All documents including the transcript, self introduction, study plan, language proficiency (Korean and

English), recommendation, papers and awards etc.

11. Required Documentation

o Place of submission :

- For applicants recommended by a Korean Embassy (Consulate) : Korean Embassy (Consulate)

- For applicants recommended by a domestic university : the same domestic university

- For overseas Korean adoptees : Korean Embassy (Consulate) or Adoption Associations in Korea

o Deadline of Submission : The date set forth by the Korean Embassy (Consulate) in the country of origin

or universities in Korea.

* Deadline for recommendation to NIIED is May 14, 2010.

o Required documents :

Check List for Application Documents MA (Integrated MA & Doctoral) Doctoral

1. Personal data (Attachment #1) ○ ○

2. Self Introduction (Attachment #2) ○ ○

3. Study Plan (Attachment #3) ○ ○

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4. Letter of Recommendation (Attachment #4) ○ ○

5. Pledge (Attachment #5) ○ ○

6. Personal Medical Assessment (Attachment #6) ○ ○

7. Copies of diploma(s) from previously attended undergraduate Institution(s)

○ ○

8. Official transcript of previously attended undergraduate institution(s) ○ ○

9. Copies of diploma(s) from previously attended graduate institution(s) - ○

10. Official transcript of previously attended graduate institution(s) - ○

11. Certificate of TOPIK score (original copy) ○ ○

12. Certificate of TOEFL or IELTS score (original copy) directly sent from ETS/IELTS

○ ○

13. Published papers, if available (one or two) △ △

14. Awards, if available (one or two) △ △

15. Copy of passport ○ ○

16. Certificate of Citizenship of His/Her Parents : birth certificate, passport, etc. (* only for overseas Koreans)

△ △

17. Adoption documents (*only for overseas Korean adoptee) △ △

- Applicants from Korean Embassy (Consulate) or Adoption Association: One original document (placed

in a separate envelope) and 2 extra copies.

- Applicants from domestic universities: One original document (placed in a separate envelope) and 5

extra copies.

o Note

- Dual recommendation by more than one organization is not acceptable.

9

- Documents should be presented in the original form. Documents not in English or Korean must be

accompanied by a complete and accurate English or Korean translation certified by the issuing

institution.

- Submitted documents will not be returned to the candidates.

- Incomplete or incorrect documents are subject to rejection by NIIED. (Even after entry to Korea)

- In case of submitting copied documents inevitably, applicants must submit the original to the Korean

Embassy (Consulate) and have the two documents collated.(Collated documents need to be submitted

behind the original documents)

- Applicants who don’t hold a diploma may submit a certificate or letter of expected graduation.

- Applicants must accurately fill out the health checklist based on truth. All successful applicants must take

a medical exam in Korea (including an HIV and TBPE drug test) in accordance with the requirements of

the Korea Immigration Service and the KGSP program. If the results show that the applicant is unfit to

be a KGSP student, all costs for departure to their own country will be borne by the KGSP applicant.

- Applicants may submit the copies of published papers, if available.

- Applicants may submit the copies of awards, if available.

* Applicants must submit all the documents by check list order. (Check list for the application documents

should be the front page with the stapled documents followed.)

- Applicants who are currently studying in Korea or graduated from Korean university must submit one

recommendation letter of the head of department of the relevant university.

* No Student is allowed to transfer school during the entire period of program once he/ she

enters the school.

12. Selection Schedule

o Recommendation deadline : May 14, 2010

o Final selection by NIIED : by June 30, 2010

o Result notice : by July 10, 2010

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o Entry to Korea : from August 25, 2010 to August 30, 2010

o Korean language course or graduate school : starting from September 1, 2010

13. For further information, please contact

o Korean Embassy (Consulate) / universities in Korea

o KGSP Team, National Institute for International Education Development (NIIED)

- Address: 43 Ewhajanggil, Jongno-gu, Seoul, 110-810, Republic of Korea

- Website: http://www.niied.go.kr or http://www.gks.go.kr

(Korean) http://www.niied.go.kr → 정부초청 외국인 장학생 프로그램 → 공지사항

(English) http://www.niied.go.kr → Korean Government Scholarship Program → Notice

- Phone: +82-2-3668-1448 (in English), +82-2-3668-1358 (in Korean)

- Fax: +82-2-743-4992

14. Other useful websites

ㅇ KCUE (Korean Council for University Education) http://www.kcue.or.kr

ㅇ Learning Korean http://www.kosnet.go.kr

ㅇ Universities and Graduate schools in Korea http://www.studyinkorea.go.kr

ㅇ Understanding of Korean culture http://korea.net

ㅇ Overseas Korean embassies http://www.mofat.go.kr

ㅇ Visa and Registration http://immigration.go.kr

11

15. Application Form : See below.

12

지원자 제출서류 체크리스트 (Check List for Application Documents) 추천기관 (Institute of Recommendation) :

확인자(Confirmer) : 인 (Signature)

1) Name of Applicant: (given name) (family name)

2) Country :

3) Desired Degree Program : � □ Master’s �□ Doctoral � □Integrated Master’s & Doctoral (*Please tick(√) in the appropriate box.)

Application Documents Submission(Y/N)

Check List Yes No

1. Personal data (Attachment #1)

2. Self Introduction (Attachment #2)

3. Study Plan (Attachment #3)

4. Letter of Recommendation (Attachment #4)

5. Pledge (Attachment #5)

6. PERSONAL MEDICAL ASSESSMENT (Attachment #6)

7. Copies of diploma(s) from undergraduate institution(s)

8. Transcript & Student Records from undergraduate institution(s)

9. Copies of diploma(s) from graduate institution(s)

10. Transcript & Student Records from graduate institution(s)

11. Certificate of Korean Language (original copy of TOPIK)

12. Certificate of TOEFL or IELTS score (original copy or directly sent from ETS/IELTS)

13. Published papers, if available

14. Awards, if available

15. Copy of passport

16. Certificate of Citizenship of the Applicant and His/Her Parents : birth certificate, passport, etc. (*only for overseas Korean)

17. Adoption documents (*only for overseas Korean adoptee)

REGISTRATION NUMBER

*Do not write in this area.

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Attachment #1

Korean Government Scholarship Program(KGSP) Application Form for Graduate Program *Please tick (√ ) a box that applies to you.

1. 추천기관 (Institute of Recommendation)

□ 재외공관 (Embassy or Consulate) □ 국내대학 (Korean University)

2. 추천 유형 (Type of Recommendation)

□ 일반추천(General) □ 한국 정부 기관의 수요(Korean Government’s Invitation)

□ 해외 입양인(Overseas Korean Adoptee)

3. 지원과정 (Applying Degree Course)

□ 석사과정 (Master’s) □ 박사과정 (Doctoral) □ 석·박사통합과정 (Integrated Master’s & Doctoral)

4. 희망계열(Desired Field)

□ 인문사회계열 (Human and Social Sciences)

□ 자연계열 (Natural Sciences)

□ 예체능계열 (Arts and Physical Education)

5. 한국어연수 면제자 (TOPIK 5급 이상) 진학 희망 시기

(Preferable Entrance Date only for TOPIK level 5 or 6 holder) □ �Sep 1, 2010 □ � Mar 1, 2011

인적사항 (Personal Data) Please read the form carefully. All applicants complete all sections..

성명 (Full Name)

이름(Given name) :

성(Family name) :

* Name should be spelled the same as in the passport and in English.

□ Male □ Female

□ Single □ Married

생년월일 (Date of Birth)

년(yyyy) 월(mm) 일(dd) 나이(Age: )

국가 (Country)

국적 (Citizenship)

(Number) 여권 (Passport)

(Date of Issue) (Date of expiry)

Address: 연락처 (Emergency Address)

Tel. ( ) E-mail:

(Photo 3*4)

최종졸업(예정)학교 (Name of Previously

attended Univ.)

해당국가/도시 (Country/City)

최종학력 (Information of applicant’s final

education) 학위 (Academic Degree)

□ Bachelor □ Master

전공 (Academic Major)

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최종학위논문제목 (Title of graduation

dissertation, if available)

어학능력 (Language

Proficiency)

영어성적 (English Proficiency)

�TOEFL �IELTS Score :

Korean Language Proficiency

(only TOPIK)

Level : □High □Middle □Low Score :

Published papers, if available(one or two)

Awards, if available (one or two)

지원신청대학 (Applying University)

대학명 (Name of Univ.)

학부명 (Faculty)

학과명 (Department)

전공 (Academic Major)

제1지망 (1st choice)

제2지망 (2nd choice)

제3지망 (3rd choice)

제4지망 (4th choice)

제5지망 (5th choice)

기간 (Period)

학 교 명 (Name of Univ.)

해당국가 (Country)

전공분야 (Academic Major)

취득학위 (Diploma or

Degree) ~

학력 (Academic

Career)

∼

School Year

1st year 2nd year 3rd year 4th year 5th year

Term 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3

평균

평점 (GPA)

환산점수 (converted

score) /100

Bachel-or

/ / / / / / / / / / / / / / /

성적 (Transcripts)

MAST-ER

/ / / / / / / / / / / / / / /

기 간 (Period)

기 관 명 (Institution or

company)

직 책 (Position)

담당업무 (Operation or Duty)

∼

직업 혹은 연구경력 (Occupation or

Research Career)

∼

지원기관명 (Sponsor)

지원금액(Amount) (US$/year)

수혜기간 (Period)

( / ) ∼

장학금수혜 ( Sponsorship)

( / ) ∼

15

년(yyyy) 월(mm) 일(dd)

Applicant's Name : (signature)

* GPA(Grade Point Average) must be converted on a maximum scale of 100 points (converted points) * See Attachment .#7

* Fill out both the records of Bachelor’s & Master’s in the case of those applying for Doctoral program * Credit score rank: your rank / total number of students in the class or major

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Attachment #2

자기소개 (Self Introduction)

* Please type or print clearly within 1 page using black ink. (in Korean or in English) (*10 points)

o Your course of life, your view of life, study background, your hope & wish, etc o Your education and work experience, etc in relation to major field o Reason for study in Korea o Important thesis, report, patent, R&D achievement, awards and scholarship records, etc.

17

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Attachment #3 학업계획 (Study Plan)

* Please type or print clearly within 1 page using black ink. (*10 points)

Goal of study & Study Plan o Goal of study, title or subject of the research and detailed study plan

Future Plan after Study o Future plan in Korea or another country after study in Korea

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Attachment #4

Letter of Recommendation

To the applicant: Please fill in your name and other information below. Deliver or mail this to the person who will write this letter.

Ask your recommender to seal this in an official envelope and sign across the back upon completion. Recommendation letters that

are not sealed and signed will not be accepted. Confidential

Name of Applicant: (given name) (family name)

Nationality :

Desired Degree Program : � □ Master’s �□ Doctoral � □ Integrated Master’s & Doctoral

Desired Major :

To the recommender : The person named above has applied for ‘Korean Government Scholarship Program’. We ask for your

assistance, and would appreciate your frank and candid appraisal of the applicant.

1. How long have you known the applicant and in what relationship?

2. What do you consider to be the applicant’s strengths?

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3. What do you consider to be the applicant’s weaknesses?

4. How well do you think the applicant has thought out plans for graduate study?

5. Please comment on the applicant’s record, potential, or personal qualities which you believe would be helpful in

considering the applicant’s application for the proposed degree program.

Recommender’s Name Date

Recommender’s Signature

Position or Title:

University:

Address:

(zip-code : - )

Tel: Fax:

Please return this form sealed in an official envelope and signed across the back to the applicant. We greatly appreciate your

time on this letter for your recommendee.

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Attachment #5

“Korean Government Scholarship Program for Graduate Students”

Pledge (서약서) As an applicant for 2010 “the Korean Government Scholarship Program (KGSP) for Graduate Students”, I pledge to abide by the following rules;

(1) To refrain from violation of university regulations and to fulfill my obligations as a

student to the best of my ability.

(2) To behave in a manner appropriate to the Korean culture and society, and not to

participate in any form of political activity (such as organizing a political party, joining

a political party, attending political meetings, publishing political articles and

declarations, organizing or participating in demonstrations of a political nature, and so

on).

(3) To accept responsibility for paying any debts incurred in Korea

(4) To agree with NIIED's decision concerning the course and the institution of the Korean

language course.

(5) To abide by all terms and regulations set by NIIED.

(6) To admit NIIED to use my personal information of the application documents in order

to decide the admission.

If I am proved to have violated any of the above or to have made a false statement in my application documents, I shall accept any resolution or penalty made by NIIED, even though it might result in suspension, revocation or withdrawal of the scholarship.

I was informed and fully understand that KGSP students are not allowed to transfer schools after entering the program for the entire duration of their studies.

* Only for an Integrated Master’s & Doctoral Program applicant: I’ve already checked the

applying university whether it offers the Program or not. (tick √ in □)

(yyyy). (mm). (dd).

Applicant’s Name : (signature)

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Attachment #6 PERSONAL MEDICAL ASSESSMENT Applicants do not require an authorized medical exam before they arrive in Korea; all successful applicants must take a medical exam in Korea (including an HIV and TBPE drug test**) in accordance with the requirements of the Korea Immigration Service and the KGSP program. If the results show that the applicant is unfit to be an KGSP student, all costs for departure to their own country will be borne by the KGSP applicant. **The TBPE (tetrabromophenolphthalein ethyl ester) drug tests for use of stimulant drugs.

Gender: HEIGHT cm WEIGHT kg

① When and for what reason did you last consult a physician? (Please explain in the adjacent space)

QUESTION YES NO IF YES, PLEASE EXPLAIN

② Have you ever had an infectious disease that posed a risk to public health (such as, but not limited to, tuberculosis, HIV and other STDs)?

③ 1. allergies? 2. high blood pressure? 3. diabetes? 4. any type of Hepatitis?

④ Have you ever suffered from or been treated for depression, anxiety, or any other mental or mood disorder? (If you have received treatment, please explain and attach an official medical report).

⑤ Have you ever been addicted to alcohol?

⑥ Have you ever abused any narcotic, stimulant, hallucinogenic or other substance (whether legal or prohibited)?

⑦ If necessary, are you prepared to undergo physical tests to verify the answers given in questions ⑥ and ⑦ above?

⑧ Have you been hospitalized in the last two (2) years?

⑨ Have you had any serious injury, ailment or sickness in the last five (5) years?

⑩ Do you have any visual or hearing impairments?

⑪ Do you have any physical disabilities?

⑫ Do you have any cognitive/mental disabilities?

⑬ Are you taking any prescribed medication?

⑭ Are you on a special diet?

⑮ On average, how many standard servings of alcohol do you consume each week?:

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Attachment #7

GPA Conversion Table

4.0 scale 4.3 scale 4.5 scale 100 points scale

3.97 ~ 4.0 4.26 ~ 4.3 4.46 ~ 4.5 100

3.92 ~ 3.96 4.22 ~ 4.25 4.41 ~ 4.45 99

3.88 ~ 3.91 4.17 ~ 4.21 4.36 ~ 4.40 98

3.84 ~ 3.87 4.12 ~ 4.16 4.31 ~ 4.35 97

3.80 ~ 3.83 4.08 ~ 4.11 4.26 ~ 4.30 96

3.75 ~ 3.79 4.03 ~ 4.07 4.21 ~ 4.25 95

3.71 ~ 3.74 3.98 ~ 4.02 4.16 ~ 4.20 94

3.67 ~ 3.70 3.93 ~ 3.97 4.11 ~ 4.15 93

3.62 ~ 3.66 3.89 ~ 3.92 4.06 ~ 4.10 92

3.58 ~ 3.61 3.84 ~ 3.88 4.01 ~ 4.05 91

3.49 ~ 3.57 3.75 ~ 3.83 3.91 ~ 4.00 90

3.41 ~ 3.48 3.65 ~ 3.74 3.81 ~ 3.90 89

3.32 ~ 3.40 3.56 ~ 3.64 3.71 ~ 3.80 88

3.24 ~ 3.31 3.46 ~ 3.55 3.61 ~ 3.70 87

3.15 ~ 3.23 3.37 ~ 3.45 3.51 ~ 3.60 86

24

3.07 ~ 3.14 3.27 ~ 3.36 3.41 ~ 3.50 85

2.98 ~ 3.06 3.18 ~ 3.26 3.31 ~ 3.40 84

2.90 ~ 2.97 3.09 ~ 3.17 3.21 ~ 3.30 83

2.81 ~ 2.89 2.99 ~ 3.08 3.11 ~ 3.20 82

2.72 ~ 2.80 2.90 ~ 2.98 3.01 ~ 3.10 81

2.64 ~ 2.71 2.80 ~ 2.89 2.91 ~ 3.00 80