Office use only
学科コード
52

Meiji Gakuin University

高校コード

Department of Global and Transcultural Studies,
Faculty of International Studies

国籍コード
卒業年コード0・5・6

受験番号2025 AO (Type A) Application Form
Refer to pages 4-12 of the guidelines and write the information requested in thespace provided.
・Write in block capital Roman letters, except where you are asked to write inyour native language. Do not write in cursive script.
・Write your name below as it appears on your passport.

Refer to page 6of the guidelines

・Write all dates in this format: yyyy/mm/dd.
(For example, 2006/09/01 for September 1, 2006)

Check (✓) the box for theapplication period you havechosen.

Gluea photographhere.

□ April admission□ September admission, 1st application period□ September admission, 2nd application period (see instructions)

Surname (family name)in the alphabet
Personal name(s)in the alphabet
Full name in your native
language (Japanese, Chinese,Korean, etc.)
Birth dateYear:

Sex (✓)

Month:□ MaleDay:□ Female

Nationality (include all)Postal code (zip code): _________________
Current address (in English)

Mailing address (in English)

Postal code (zip code): _________________

・For successful applicants, the letter ofacceptance and the guide to enrollment
procedures will be mailed to this address.
・Write “as above” if this is the same as
your current address.

Telephone number

Country code ()-Email address
If you plan to apply for any otheruniversities, please list theirnames with faculty/department.

12025 Meiji Gakuin University Global & Transcultural Studies － AO(Type A) Application Form

(1) Online Interview
・Applicants who pass Stage One will proceed to Stage Two, the online interview.
・Check (✓) your preferred interview time from the choices below. Check as many boxes as possible andat least two.
・We will conduct an interview of about 30 minutes within one of the time frames you choose.
●April admission●September admission, 1st application period
DateTime (Japan Time)

Oct. 19, 2024 (Sat.)□10:00~13:00□13:00~16:00

Oct. 20, 2024 (Sun.)□10:00~13:00□13:00~16:00●September admission, 2nd application period
DateTime (Japan Time)

Apr. 12, 2025 (Sat.)□10:00~13:00□13:00~16:00

Apr. 13, 2025 (Sun.)□10:00~13:00□13:00~16:00

Important Notes (Check the box on the right.)✓In order to conduct the examinations properly and fairly, Meiji Gakuin University may record theinterview using the recording function of Zoom.
The recorded video and audio will not be used for any purpose other than for the purpose of administering
the interview and determining pass/fail. Applicants are prohibited from recording the content of theinterview. Applicants must show they agree to the above by checking (✓) the box on the right.

□(2) Requirements for Application・Check (✓) the boxes and complete the required information.
Requirements for Application No.1 (see page4 of the guidelines)✓

You meet requirement No.1-(1)< Graduated from upper secondary schools or secondary education schools in Japan >□You meet requirement No.1-(2)< Completed the twelfth year of formal school education in a foreign country >□You meet requirement No.1-(3)< Attained an educational ability equal or superior to high-school graduates >□― If so, which one(s) from A to J ?
When you met or expect to meet the above requirement✓

You have met the requirement within the last year.

□You have met the requirement one year or more ago.
― If so, when? Year:

Month:

Date:

You expect to meet the requirement.
― If so, when? Year:

Month:

Date:□□

22025 Meiji Gakuin University Global & Transcultural Studies － AO(Type A) Application Form

(3) Educational Background・List all schools or other educational institutions you have attended.
・Start with primary education (elementary school) and end with the last school or institution you haveattended.
・Use only English letters for non-English names.
No.

Name of school

Location(town or city)

Location(country)

Starting
date

Ending orgraduationdate12345678910・Provide your GPA or class rank for your last year of high school or most recently completed course ofacademic instruction. If none, please write "N/A".
ScaleGPAClassrank(e.g. 1-4, 1-10, etc.)

Class
size

・If you have been out of school for over a year at the time of application, please provide general
information about what you have been doing in the meantime in this table, and discuss these activities
in your Personal Statement.
No.

Activity

Location(town or city)

Location(country)

Starting
date

Endingdate1233
2025 Meiji Gakuin University Global & Transcultural Studies － AO(Type A) Application Form

(4) Language Ability
・List all the languages that you know, beginning with English, and assess your ability at speaking,listening, reading and writing on a scale of 1–5 (1=very limited ability, 2=poor, 3=fair, 4=good,
5=fluent).
・Write the total of the four numbers in the column on the right.
Name of language

Speaking

Listening

Reading

Writing

TOTAL

1) English
2)
3)
4)

●English Ability
Familiarity with EnglishCheck (✓)

Your primary language is English.

□Yes□NoFor Applicants whose primary language is English
・Write the results of university entrance qualification examination or standardized tests administered
for an education system in which the first language is English in table 5 (“Examination Results”) on
page 6.
・Completion of the results of the following English-language examinations is optional. If you write
the results, you have to submit the certificate (see page 9 of the guidelines).
For Applicants whose primary language is not English
・You have to submit the certificate from one of the following English-language examinations (seepages 5 and 9 of the guidelines).
・Write the results in the table below and check (✓) the box.
Name of Examination

DateScore
Test Date Score

TOEFL iBT®

✓□Overall Band Score

IELTS(Academic Module)

□L&R

L&R

S&W

S&W (2.5times score)

TOEIC® (L&R + S&W)
(The score is obtained by adding 2.5 times
the S&W score to the L&R score. The L&R
and S&W test dates may be different.)□42025 Meiji Gakuin University Global & Transcultural Studies － AO(Type A) Application Form

●Japanese Ability
・Do you know any Japanese? Please indicate how you learned the language by checking (✓) theboxes on the right for all statements that are correct.
How have you learned Japanese?

Check (✓)

You learned Japanese from your family.

□Yes□NoYou lived in Japan.
― If so, how many years?

□Yes□No□Yes□No______ years.

You were educated in schools where Japanese was the language of instruction.
― If so, how many years? ______ years.

・If you have studied Japanese as a foreign language, when, where, and for how long have you studiedit?

・If you have ever taken an examination in Japanese language proficiency, give details below.
・If you write the results, you have to submit the certificate (see page 11 of the guidelines).
Name of examination

Place

Date

Score

●Other language Ability
・If you have ever taken an examination of ability in a foreign language other than Japanese or English,
please give details below.
・If you write the results, you have to submit the certificate (see page 11 of the guidelines).
Name of examination

Place

Date

Score

52025 Meiji Gakuin University Global & Transcultural Studies － AO(Type A) Application Form

(5) Examination Results
For Applicants whose primary language is English
・You have to submit the results of university entrance qualification examination or standardized tests
administered for an education system in which the first language is English.
・Write the results in the table below and check (✓) the box.
For Applicants whose primary language is not English
・Completion of the following examination results is optional. If you write the score/grade, you have tosubmit the certificate (see page 10 of the guidelines).
Name of examination

DateScore(s) / Grade(s)✓SAT I Reasoning Test *□SAT II Subject Tests *□ACT *□Advanced level GCE *□IB Full Diploma *□Baccalauréat□

Abitur□Other ()

□Items marked with *: University entrance qualification examination or standardized test administered foran education system in which the first language is English
For applicants who had an JPUE interview, write “JPUE Interview” in the “Other” row, your interview date,and if you received a “Conditional” evaluation, write that in the “Score" column.

(6) Awards, Prizes, Activities
・List awards or prizes, school or club activities, varsity sports and other kinds of extracurricular
activities. If you list any of them, please provide photocopies of any certificates (see page 11 of theguidelines).
Date

Kind of activity

Short explanation

62025 Meiji Gakuin University Global & Transcultural Studies － AO(Type A) Application Form

(7) Paid or Unpaid (volunteer) Jobs
・List up to three paid or unpaid (volunteer) jobs that you have done while you were in school, andexplain briefly about what you did. If you list any jobs, please provide photocopies of any documents
issued in connection with the stated activity (see page 12 of the guidelines).
Example (1)Type of job

Starting dateEnd date

Starting dateEnd date

Starting dateEnd date

Explanation

Example (2)Type of job
Explanation

Example (3)Type of job
Explanation(8) Sign and Date
Sign and date the following statement.
I certify that all information in this application is true and correct.
I wrote the personal statement myself.
I understand that my application will not be considered complete until all required materials have been
received by Meiji Gakuin University.

Date: __________________

Applicant’s handwritten signature: _______________________________

72025 Meiji Gakuin University Global & Transcultural Studies － AO(Type A) Application Form

Application Check Sheet, AO (Type A)
Name
Please check (✓) or fill in the bolded box.
No.

Application Documents

RequiredorOptional

Ref(GuidelinesPage No.)

1

Application Form with Two Photographs

Required62

Certificate Showing High School Graduation or
Expected Graduation

Required7

3

Academic Record (Transcript)

Required8

Required9

Required
forsome10

Required10

Required11

Optional

114

English Test Results or Other Proof of EnglishAbility
・Please write the name of the qualification or test in
the right column.

✓Information to the University

Educational Certification

5・Applicants who meet requirements for application byholding qualification for foreign university
admission have to submit the document.
・If you submit the document, please write the name ofyour qualification in the right column.
・If you ask for your certificate to be sent directly to theUniversity, please indicate the date of procedure in
the right column.

678

Personal Statement
One Letter of Recommendation & Evaluation
Form from your high school teacher.
・ The letter must be written on letterhead and/or include
the school stamp.

Test Results for Languages
other than English
・If you submit such documents, please write thename(s) of the examination(s) in the right column.

9Documentation of Awards, Prizes, Activities

Optional

1110

Documentation of Paid or Unpaid (volunteer)jobs

Optional

1211

Passport copy

Required1212

Receipt for the Application Fee

Required1213

Application Check Sheet (this form)

Required12✓NOTICE
The application documents must be submitted in order from the first to the last and held together by a paperclip.
On the same day you mail your application, you have to email the necessary information to the Admissions Center (seepage 15 of the guidelines).

82025 Meiji Gakuin University Global & Transcultural Studies － AO(Type A) Application Form