2024 年 10 月入学
October Admission for 2024

大学院保健学研究科保健学専攻
博士後期課程（博士課程）
Graduate School of Health Sciences（Doctoral Program）

学生募集要項Application Guidelines【WHO と協働した次世代型医療高度専門職リーダーシップ育成プログラム】【Next Generation Healthcare Professional Leadership
Development Program in Collaboration with WHO】

群

馬

大

学

Gunma University【WHOと協働した次世代型医療高度専門職リーダーシップ育成プログラム】
文部科学省の「国費外国人留学生の優先配置を行う特別プログラム」に採択されたことに伴い、このプログラムは2023年度から開始しました。本学生募集要項は、当該プログラムについての募集となります。
≪プログラムの要旨≫
本プログラムは、アジアより優秀な留学生を獲得し、次世代型の医療高度専門職リーダーを育成します。当該留学生は、リーダーシップに必要なノンテクニカル・スキル、人間工学、データ
サイエンスの専門知識を習得すると共に、本学日本人学生との共修による各専門領域の多職種連携の実習や医療安全に関連したプロジェクト研究へと参画します。本プログラムでは、留学生のほか、日本人学生も受け入れます。
本プログラムは、WHOとの多職種連携教育や先進的な医療安全教育の学びを得て、各領域の管理職や医療人材育成専門家への就業支援の機会も得ることができます。本プログラムは、エビ
デンスに基づいて最適な判断を行う全人的医療をアジアに広げ、日本型医療安全システムの拠点構築に貢献する人材を育成します。

【Next Generation Healthcare Professional Leadership Development Programin Collaboration with WHO】
This program has started in the 2023 academic year, following its selection by the Ministryof Education, Culture, Sports, Science and Technology（MEXT）of Japan as a "Special Programfor Priority Placement of Government-Sponsored International Students". This application
guideline is for this program.
≪Summery of the Program≫This program aims to attract outstanding international students from Asia and nurture thenext generation of highly skilled medical professional leaders. The students will acquire thenon-technical skills, ergonomics, and data science expertise necessary for leadership, as well as
participate in practical training in collaboration with Japanese students in their respective
fields of expertise and in project research related to medical safety. This program accepts
Japanese students as well as international students.
This program also provides students opportunities to learn about multidisciplinary
cooperation with WHO and advanced medical safety education, as well as employment support
opportunities for managers and medical human resource development specialists in each area.
This program will foster human resources who will contribute to the expansion of holistic
medical care in Asia, where optimal decisions are made based on evidence, and to theestablishment of a base for a Japanese- style medical safety system.

【群馬大学志願者の入学検定料免除について】
群馬大学では、東日本大震災及び風水害等の災害に罹災した志願者の進学の機会を支援する観点から、特別措置として検定料の全額を免除します。
免除の対象となる災害及び被災地域など、免除に関する詳細については、本学のホームページを御覧ください。
[Exemption from the entrance examination fee for Gunma University applicants]
Gunma University takes the special measures of fully exempting from theentrance examination fee to provide an opportunity to get university education for
university applicants who are suffering from the Great East Japan Earthquake andother natural disasters damages caused by wind, flood, and so on.
Please refer to our website for more information such as damages and affectedareas qualified to exemption.

目

次

Table of Contents○○

群馬大学の教育ポリシー（大学院）…………………………………………………
保健学研究科保健学専攻博士後期課程（博士課程）

１

教育ポリシー………………………………………………………………………
１ 募集人員 ……………………………………………………………………
２ 出願資格 ……………………………………………………………………

１
２
２

３

出願資格の審査等…………………………………………………………

２

４
５
６

出願受付 ……………………………………………………………………
出願手続 ……………………………………………………………………
障がい等のある入学志願者との事前相談について ……………………

３
３
７

７
８

入学者選抜方法 ……………………………………………………………
試験実施日時及び場所 ……………………………………………………

７
７

９ 各試験科目の出題意図 ……………………………………………………
10 受験に際しての注意事項 ……………………………………………………
11 合格者発表 ……………………………………………………………………
12 入学手続 ………………………………………………………………………

７
８
８
８

13
14
15

追加合格 ………………………………………………………………………
入学料免除・徴収猶予及び授業料免除・徴収猶予 ……………………
奨学金 …………………………………………………………………………

９
９
10

16
17

教育方法の特例 ………………………………………………………………
長期履修学生制度 ……………………………………………………………

10
10

○
○

18 入学志願者の個人情報保護 …………………………………………………
群馬大学大学院 検定料払込方法…………………………………………………
概要……………………………………………………………………………………

11
12
13

○
○

特別研究担当教員及び主な研究課題（博士後期課程）… ………………………… 14
所在地及び交通案内………………………………………………………………… 17

○

出願書類

○
○

Admission Policy of Gunma University Graduate School … ………………… 19
Admission Policy of Gunma University The Graduate
School of Health Sciences（Doctoral Program） ……………………………… 19１２
３
４

Number of students recruited … ………………………………………… 20
Application eligibility … …………………………………………………… 20
Screening of application eligibility … …………………………………… 20
Application period … ……………………………………………………… 21

５
６
７
８
９

Application procedures … …………………………………………………
Preliminary Consultation for Applicants with Disabilities, etc. … ……
Selection methods … ………………………………………………………
Examination date and venue ………………………………………………
The aim of each examination subjects ……………………………………

10
11
12
13
14

Exam Instructions … ……………………………………………………… 27
Announcement of Successful Applicants … …………………………… 27
Admission Procedures … ………………………………………………… 27
Additional admission … …………………………………………………… 28
Exemption and Postponement of Admission Fee
and Tuition Fee Payment………………………………………………

21
25
26
26
26

28

15
16

Scholarship … ……………………………………………………………… 28
Special measures for educational method … …………………………… 29

17
18

System for long-term degree completion … ……………………………
Protection of the Personal Information about the Applicants

29○

for Admission etc. … …………………………………………………… 29
GUNMA UNIVERSITY How to make Payment of Examination Fee
at Convenience Store or by Credit Card ……………………………………… 31○○

The Outline of The Graduate School of Health Sciences ……………………… 32
Supervisors and their main contents of research（Doctoral program） ……… 33○○

Access to Gunma University（Showa Campus） … ……………………………
Application Forms

37※ All the dates noted in this application guidelines are Japan Standard Time（JST）.

Admission Policy of Gunma University Graduate School
Admission policy～ We seek the following applicants ～We seek applicants who have academic skills and capabilities required by the graduate schools
or institutes according to their programs or specialties. Applicants should be motivated to contributeto the development of society through research and practice.

Admission Policy of Gunma University The Graduate School of
Health Sciences（Doctoral Program）－ Our Doctoral Program is recruiting for the following applicants. －<Objectives of human resource development>
1. People who can practice creative or interdisciplinary researches in the health care and welfare
fields.
2. People who can practice a high degree of education in the health care and welfare fields.
3. People who have a high level of expertise and technique in health sciences and will become a leader
in the health care and welfare fields.
4. People who can engage in guidance, education and research in the international health care andwelfare fields.
<Capabilities and qualities required for enrolled students>
1. People who have the masterʼs level of health care and welfare expertise and research experience.
2. People who have the communication and language skills necessary to promote research from a
global perspective and disseminate the results widely.
3. P eople who are willing to contribute to society as researchers, educators, or highly-skilled
professionals in the fields of health care and welfare.
<Basic policy for selecting enrollment>This major will conduct the following entrance examinations for selecting students with thegrounding listed above and make a comprehensive judgment by the results of an academic
examination (foreign language (English)), achievements including a thesis submitted at the end of
the masterʼs program or an academic paper published as the first author, an oral examination, andacademic achievements. In the oral examination, questions regarding expertise knowledge andresearch skills will be asked individually.
○ General entrance examination, Entrance examination for working people, and Entrance examination
for international students
The foreign language (English) examination will be imposed to evaluate “ability to read andcomprehend literature in English” (Capabilities and qualities required for enrolled students 2).
Moreover, an oral examination will be imposed to evaluate “expertise knowledge, research ability,
research plan, and the aptitude and motivation as a researcher or highly-skilled professional”(Capabilities and qualities required for enrolled students 1-3). Furthermore, the application documents
will be added for a comprehensive judgment.

― 19 ―

1

Number of students recruited
Major
Health Sciences

Area

Number of students recruited

NursingLaboratory Sciences
Rehabilitation⎫⎬Minimal⎭（Note）
	If you wish to enroll as a Japanese Government Scholarship student, please contact the Admissions Section, seepage 25 ⑴ , in advance.
（Note）
	Contact the supervisor（see pages 33-36）prior to the application and make sure to consult him/her on what
you would like to study after admission.
	When you are not able to contact the supervisor, please contact the Admissions section, see page 25, ⑴ .

23Application eligibility

 Applicants need to fall under any of the following provisions.
１） A person who has or is expected to have a master’s degree or a professional degree by
September 2024.
２） A person who has obtained or is expected to obtain a master’s degree or a degree equivalent
to a professional degree by September 2024.
３） A person who has completed the subjects in Japan by the correspondence education provided
by a foreign educational institute, and has obtained or is expected to obtain a master’s degree
or a degree equivalent to a professional degree by September 2024.
４） A person who has completed a course in Japan, separately designated by the Minister of
Education, Culture, Sports, Science and Technology（MEXT）, of an foreign educational
institute considered to have a program of graduate school of foreign country and has obtained
or is expected to obtain a master’s degree or a degree equivalent to a professional degree by
September 2024.
５） A person who has completed the course of the United Nations University, and has obtained or
is expected to obtain a degree equivalent to a master’s degree by September 2024.
６） A person who has taken a course of foreign school, the designated educational institutestipulated in the item 4 or the United Nations University, and have passed a screening test
equivalent to the evaluation of basic skill for doctoral thesis research, and has been proved tohave an academic ability comparable to people with a master’s degree.
７） A person specified by the Ministry of MEXT.
A person who has been engaged in a research for at least two years at university or research
institute after graduating from a university or completing 16 years of school education outside
Japan, and has been recognized by our graduate school to have an academic ability equal ormore to a master’s degree or a professional degree due to its research achievements.
８） A person whose scholastic ability has been admitted by individual pre-admission screening to
be at least equivalent to that of a person with a master’s degree or a professional degree andwho will reach the age of 24 by September 30, 2024.

Screening of application eligibility

A person who intends to apply under the provisions of the applicant eligibility 7）and 8）, needs toreceive certification for the application eligibility by taking our pre-admission screening prior to theapplication.
We evaluate applicants who try to apply for the entrance examination pursuant to the preceding
applicant eligibility 8）based on the following criteria.
“Applicants who graduated from a university, junior college, or completed the course of specialist
course of Specialized Training College, technical college, or fourteen years of school education outside
Japan, and subsequently have a total of at least five years’ work experience（at least three years for― 20 ―

university graduates）in a medical/health care/welfare institution, educational research institution,
civil service, or private enterprise by the time of enrollment and who have been recognized to havea academic ability comparable to people with a Master’s degree due to their academic papers, books,
and publication of research findings”
The screening result will be notified to the applicant by May 16（Thu.）,2024.
⑴ Deadline for application
Due not later than May 1（Wed.）,2024.
⑵ Documents to be submitted⒜ Application form for admission eligibility（Form 7 attached to this guideline）.
※ Duplex printing required.
⒝ Reports on research history and work history（using Form 8 attached to this guideline）.
⒞ Research results or other noted accomplishments such as literature, if any.
⒟ A certificate of graduation or completion issued by the applicant’s highest level of schooling.
⒠ Academic transcript issued by the applicant’s highest level of schooling.
⑶ Application documents should be sent to:Admissions Section, Educational Affairs Office, Administration Division, Showa Campus ofGunma University, 3-39-22 Showa-machi, Maebashi City, Gunma 371-8511, JAPANTEL. +81-27-220-7797

4

Application period

5

Application procedures

Application documents must arrive during the period from May 17（Fri.）, 2024 to May 23（Thu.）,
2024 by mail.
Bringing application documents in person or by proxy is not acceptable.
（Note）	 No application documents are accepted after the application period. Applicants need tosend the application documents with full liability of the necessary days for mail delivery.

Applicants need to send the following application documents by simple registered express mail to
the Admissions Section, Educational Affairs Office, Administration Division, Showa Campus of Gunma
University shown on page 25（1）with stating in red on the surface of the envelope the fact thatthe application documents for the Graduate School of Health Sciences（Doctoral Program）, Gunma
University are enclosed.

― 21 ―

<Application documents>（those written in a foreign language other than English need to come with
the English or Japanese version.）
Documents
１

Applicants concerned

Outline pplication FormA
All applicantsand Curriculum Vitae[Form-1]

Use our prescribed form on duplex printing.
A prescribed photo needs to be attached to the application foradmission.
Applicants who have graduated or will graduate from（completed）a foreign school need to complete the curriculum
vitae on the reverse side.

２ Statement of Purpose International student[Form-2]
entrance exam

A statement written by the applicant describing reasons for theapplication to the Graduate School of Health Sciences（Doctoral
Program）, Gunma University（The number of characters is not
limited.）※ Duplex printing is required.

３

Please select one from the following three payment methods.
1. Payment at a convenience store（ensure that you have apersonal computer or cell phone nearby）.
⑴ Refer to the page 31 when you pay at a convenience
store. Payment commissions must be borne by the person
who pays the fees.
⑵ After the payment, receive the “Application Fee
Statement”, detach the “Certificate of Payment”（receipt）
portion from it, and paste it on the prescribed place in the“Sheet for Certificate of Transfer Receipt” [Form-3].
⑶ Payment period: May 2（Thu.）, 2024 to 3:00 p.m.（Japantime）on May 23（Thu.）, 2024.
 When you make payment via the web site, you haveto pay at least 30 minutes before the end of the payment
period.
2. Payment by credit card（ensure that you have a personal
computer or cell phone connected to a printer with A4 paper
nearby）.
⑴ Refer to the page 31 when you pay by credit card.
Payment commissions must be borne by the person whopays the fees.
⑵ After the payment, print the “Application Fee
Statement”, detach the “Certificate of Payment”（receipt）
portion from it, and paste it on the prescribed place in the“Sheet for Certificate of Transfer Receipt” [Form-3].
⑶ Payment period: May 2（Thu.）, 2024 to 3:00 p.m.（Japantime）on May 23（Thu.）, 2024.
3. Remittance from abroad⑴ Please make remittance on a yen basis from a banktellerʼs window, to the following bank account（a banktransfer fee and an overseas remittance fee must be borneby an applicant）.
⑵ Paste the receipt（a copy is also valid）you receive froma bank on the prescribed place in the “Sheet for Certificate
of Transfer Receipt [Form-3]”. In addition, please note that,
if an excess or a deficiency arises in amount of remittance,
the application will not be processed.
⑶ When you make a remittance, please contact Gunma
University, as below. At this time, ensure that you specify
your name, the country from which you remit, and yourplan in applying for our Doctoral Program.
〔E-mail: kk-mgakumu5@jimu.gunma-u.ac.jp〕○ Bank Account
Bank: The Towa Bank, LTD（Bank Code: 0516）
Branch: Maebashi Kita Branch（Branch Code: 012）
Address: 1-5-2 Kokuryo-cho, Maebashi City, Gunma,371-0033, JAPANTEL: +81-27-231-6789
Swift Code: TOWAJPJT
Account number: 3169574（Savings Account）

 xamination fee
E
All applicants
JPY 30,000
* Applicants whoare completing our
Master’s Program（M.S.）in the
Graduate School of
Health Sciences ofGunma University
and will enter theDoctoral Program
shall be exempt fromthe examination fee.
* If you are
a Japanese
Government (MEXT)
Scholarship student
at the time of
application, you
donʼt need to pay
the examination fee.
If applicable, pleasesubmit documents
proving that you
are a Japanese
Government (MEXT)
Scholarship student.

― 22 ―

３

Documents
Examination fee

Applicants concerned

OutlineName of account: GUNMA DAIGAKU
Address of Acct. holder: 4-2 Aramaki-machi, Maebashi
City, Gunma, 371-8510, JAPANTEL: +81-27-220-7062⑷ Transfer Payment period: May 2（Thu.）, 2024 to 3:00
p.m.（Japan time）on May 23（Thu.）, 2024.
⑸ Payment using ATM（Automated Teller Machine）, cellphone, or personal computer is not acceptable.
【Concerning the refund of the entrance examination fee】
※ I n principle, the entrance examination fee will not be
refunded, except in the following cases, according to thedesignated procedures:① When an application is not made after paying the entrance
examination fee.
② When the entrance examination fee is paid twice, or the
stipulated amount is accidentally exceeded.
③ W hen the application documents are not accepted on
submission.
Please send the declaration form in which the following
details are provided to the Admissions Section in theShowa campus of Gunma University.
We will refund the entrance examination fee later.
Declaration for claiming back the Entrance Examination
Fee（Doctoral Program）
1. The reason for claiming back the fee
2. Name
3. Postal Code, Current Address
4. Phone Number and/or E-mail Address
Address for sending the declaration form:A d m i s s i o n s S e c t i o n , E d u c a t i o n a l A f f a i r s O f f i c e ,Administration Division, Showa Campus of Gunma
University, 3-39-22 Showa-machi, Maebashi City, Gunma
371-8511, JAPAN※ I f an applicant is receiving the Japanese Government（MEXT） Scholarship at the time of application, theexamination fee payment is not required. Please submit
the document certifying the recipient of the scholarship.
※ Any processing fees will be deducted from the amount tobe refunded.
F or inquiries regarding the refund of the entrance
examination fees, please contact:
A d m i s s i o n s S e c t i o n , E d u c a t i o n a l A f f a i r s O f f c e ,Administration Division, Showa Campus of Gunma
University TEL. +81-27-220-7797【Exemption from entrance examination fee】
※ A pplicants who suffered from the Great East Japan
Earthquake and disaster from storm and flood will be
exempted from the total amount of the examination fee as
special measures.
〈Eligible
applicants for exemption from entrance
examination fee〉
1. Special measures for the Great East Japan Earthquake⑴ The applicants who suffered in the areas where theDisaster Relief Act in the Great East Japan Earthquake
has been applied, and who fall under any of the following
categories:― 23 ―

Documents
３

Applicants concerned

Examination fee

Outline① Applicants whose houses, which are owned by payersof school expenses, were completely destroyed, largely
destroyed, partially destroyed, or washed away.
② Applicants whose payers of school expenses are deador missing.
⑵ Applicants whose payers of school expenses haverecognized that their domiciles were designated as
warning areas, deliberate evacuation areas, areas where itis expected that the residents have diffculties in returning
for a long time, areas in which the residents are notpermitted to live, and areas in which evacuation orders areready to be lifted due to the Fukushima Daiichi nuclear
disaster.
2. Special measures for the disaster from storm and flood⑴ The applicants who suffered in the areas where theDisaster Relief Act in the disaster from storm and flood
within one year before the application period has been
applied, and who fall under any of the following categories.
① Applicants whose houses, which are owned by payersof school expenses, were completely destroyed, largely
destroyed, partially destroyed, or washed away.
② Applicants whose payers of school expenses are deador missing.
⑵ For further information or inquiries, please contact: Admissions Office, Educational Division, Gunma
University TEL. +81-27-220-7149

４ heet for Certificate
Sof Examination Fee
Payment[Form-3]

All applicantsFill out our prescribed form.
Paste the “Certificate of Payment” or “Certificate of Transfer
Receipt” in the space provided.

５

 xamination
E
Admission ticket/
Photograph
Verification Card
[Form-4,5]

All applicantsFill out our prescribed form.
A designated photo needs to be attached to the Photograph
Verification Card.

６

Certificate of（expected）
completion

All applicants

A proof of completion issued by president of a school eligible
for the application.
It is not required for applicants with proof of meeting theapplication eligibility 7）or 8）, or who have completed the
Graduate School of Health Sciences （Master’s Program）,
Gunma University.

７

Academic transcript

All applicants

A proof of completion issued by president of a school eligible
for the application.
It is not required for applicants with proof of meeting theapplication eligibility 7）or 8）, or who have completed the
Graduate School of Health Sciences （Master’s Program）,
Gunma University.

８ M aster’s thesis andsuch

All applicants

Three sets of works including（a copy of）the Master’s thesis
and the abstracts（within two sheets of A4 size paper）or
three sets of works including（a copy of）the original article
published as first author and other supplementary documents,
and the abstracts（within two sheets of A4 size paper）.
However, the applicant who expects to acquire a master’s
degree must submit three copies of the summery of themaster’s research plan and research progress （within
two sheets of A4 size paper）. If you have some researchachievements（only first author or first presenter）, such as
research papers, books, and presentation at the scientificmeeting, please submit those research materials with thesummary of your research plan and research progress.

― 24 ―

Documents

Applicants concerned

Outline９ referred researchP
plan[Form-6]

All applicantsFill out our prescribed form.

10Name and Address
Card[Form-9]

All applicantsFill out our prescribed form.

11Certificate ofapplication eligibility（Photocopy
acceptable）

Applicants who meetthe foregoing application
eligibility 7）and 8）

Applicants who have undergone the pre-admission screening
need to submit the proof of the application eligibility.

12Self-addressedenvelope(larger than
120mm × 235mm)

All applicants

A self-addressed envelope with the applicant’s name, address,
postal code, and for ¥344 (JPY344) stamped. In addition, an
applicant from overseas is not required to submit it.

13 T he score of TOEFL, All applicants
TOEIC Listening &Reading Test（opentest）or IELTS（Academic Module）

Refer to the “Selection Method” and submit required documents.

14

The documents verifying your nationality and resident status
are required to be submitted. The required documents shouldbe; “A copy of the residence certificate without an individual
number issued by municipal head but with a nationality,
resident status, and period of stay” or “A passport copy on
which page includes name, nationality, resident status, andperiod of stay”. An applicant who is expected to obtain aresident status needs to submit the acquisition proof to the
Admissions Section immediately after obtaining the residence
status.

 onfirmation ofCnationality andresidence status

Applicant who is foreign
national

Note 1

 hen your former name is used in each certificate, an official document（family register, etc.）to prove theWrelation between your current name and former name must be attached.
Note 2 Any change in the contents of the application documents is not acceptable after acceptance of the application
documents.
Note 3 The accepted application documents are not to be returned for any reason whatsoever.
Note 4 Should the matters described in the application documents not agree with the facts, successful applicants may
be revoked.
Note 5 If necessary, we may ask submission of the documents other than the above to confirm the application
eligibility.

⑴

Mailing Address Admissions Section, Educational Affairs Office, Administration Division, Showa Campus ofGunmaUniversity, 3-39-22 Showa-machi, Maebashi City, Gunma 371-8511, JAPANTEL. +81-27-220-7797
E-mail: kk-mgakumu5@jimu.gunma-u.ac.jp⑵ About examination admission ticket After receipt of application documents and completion of office processing, we will send yourexamination admission tickets to applicants. If the Examination Admission Ticket has not beendelivered to you by June 5（Wed.）,2024, please contact the above (1) address for application.

6

Preliminary Consultation for Applicants with Disabilities, etc.

Gunma University provides academic support to students with disabilities, etc.
If you are disabled, and require special consideration in your studies and examinations, please
consult with our university prior to your application.
⑴ When to consult: Please consult as soon as possible and note that we may not be able to accommodate consultation
after the deadline.

― 25 ―

⑵How to consult: Please submit a consultation document（its format is optional）by attaching the required
documents including a doctorʼs certificate.
 Where necessary, an interview with the persons concerned with the school from which an
applicant graduated, or their family, etc. who can speak for the applicant or their position, isconducted in our university.
⑶ Consultation document should be sent to: Admissions Section, Educational Affairs Office, Administration Division, Showa Campus of Gunma
University,
3-39-22 Showa-machi, Maebashi City, Gunma 371-8511, JAPANTEL. +81-27-220-7797

7

Selection methods

8

Examination date and venue⑴ We comprehensively evaluate the total results of the foreign language（English）examination, theoral examination, and screening of the documents（reason for applying for our school, the outline ofthe preferred study, etc.）.
⑵ Oral examination①F or applicants with difficulty in coming to Japan for oral examination, we may use the results of
the interview on the Internet for evaluation.
② In principal, the oral examination will be held in English. Subsequently, we may ask somequestions about Japanese proficiency.
⑶ Contact supervisor you would like to receive guidance prior to the application and make sure to
consult him/her on your research plan after admission.

Date
June 10（Mon.）, 20249

Subjects
Oral examination
2:10 p.m. - 5:00 p.m.

The aim of each examination subjects

Location
School of Health Sciences and Graduate
School of Health Sciences buildings etc.

Foreign language (English) ……T he examination measures your reading comprehension of the
English literature.
Oral examination………………The oral examination asks specialized knowledge, research capability
and study plan of each applicant individually to evaluate the adequacy
and motivation as researcher or professional with a high level ofexpertise.
Foreign language (English)
 Submitting any score of TOEFL-PBT（paper-based test）, TOEFL-iBT（internet-based test）,
TOEFL iBT® Home Edition, TOEIC Listening & Reading Test（open test）, or IELTS（academic
module）. The score of TOEFL-ITP（Institutional Testing Program）or TOEFL ITP® Plus for China
is also subject to evaluation according to the score of TOEFL-PBT.
 The score of TOEFL, TOEIC Listening & Reading Test（open test）or IELTS（academic
module）issued after June 2019（within five years counting backward from the month of entrance
examination）shall be valid. You need to submit the original of the score report, score card, or
official certificate. The copy is not acceptable. The original shall be returned with the examination
admission ticket.
＊ Foreign language test will not be conducted on the examination day.

― 26 ―Examples of test score conversions
Comparison with thescore of foreign language（English）examination

90

100

110

120

130

140

150

TOEFL-PBT（incl. ITP,
ITP® Plus for China

500

516

533

550

566

583

600 ormore

TOEFL-iBT（incl. Home Edition）

60

67

73

80

87

93

100 ormore

TOEIC Listening &Reading Test（open test）

585

635

680

730

780

825

875 ormore

Comparison with the score of foreign
language（English）examination

95

109

124

138

150

IELTS（Academic Module）

5.0

5.5

6.0

6.5

7.0

Oral examination
We may ask foreign applicants some questions about Japanese proficiency at the oral examination.

10

Exam Instructions

11

Announcement of Successful Applicants

12

Admission Procedures⑴ The examination admission ticket must be brought with you on the examination day.
⑵ No relief measures are taken for any common daily life noises such as test proctorʼs footsteps,
conversation necessary for invigilation, noises of aircraft, ambulance, car, weather and air
conditioning, cough, sneeze, sniffing of applicants around you, short sound of mobile phone or watch,and chime from a nearby building.
⑶ Examinees must take all tests on the examination subjects assigned, or he/she will be disqualified.
⑷ When a delay occurs on the public transport on the examination day, please contact : Admissions Section, Educational Affairs Office, Administration Division, Showa Campus of Gunma
University（TEL. +81-27-220-7797）⑸ If unexpected incidents（a disaster, an accident, etc.）happen on the day of examination, visit our
website（https://www.health.gunma-u.ac.jp/）for your reference. In principle, we will not conduct
supplementary examinations.

Letters of acceptance will be mailed to successful applicants on July 1（Mon.）, 2024. At the sametime, successful examineeʼs numbers will be posted on the website of “the Graduate School of Health
Sciences, Gunma University” after 10:00 a.m. to the last day for admission procedures. Notice about theannouncement of successful applicants will not be posted in Gunma University campus.
Additionally, any inquiries about selection results by telephone will not be accepted.

The successful applicant is required to read the “admissions guide” enclosed with “the letter of
acceptance” carefully and must prepare the ⑴ fees and documents for the admission procedures, ⑶during the period of the admission procedures, and submit them to the（4）place by “mail”.
⑴ Fees and documents for admission procedures① Admission fee: ¥282,000（JPY 282,000）
Notes:（a）A pplicants who are completing the Graduate School of Health Sciences（Master’s
Program）, Gunma University and will enter the Doctoral Program shall be
exempted from the examination fee.
（b）Any revisions to the admission fee during enrollment shall be applied.

― 27 ―

（c）Methods for the payment of the admission fee will be informed separately.
（d）The admission fee paid shall not be refunded under any circumstances.
② Examination admission ticket③ Any additional documents as instructed in the admissions guide⑵ Fees after emrollment
 Tuition fee:（First-semester）¥267,900（JPY 267,900）（Annual tuition fee: ¥535,800（JPY535,800））
Notes:（a） Any revisions to tuition fees during enrollment shall be applied.
（b）Methods for the payment of the tuition fee will be informed separately.
（c）T he tuition fee for the second-semester can be paid at the time of paying the tuition
fee for the first-semester, if the successful applicant so wishes.
（d）If a person who completes the admission procedures declines the admission by
September 30（Mon.）, 2024, the amount equivalent to the tuition fee paid shall be
refunded based on his/her request by following the prescribed procedures.
Those who apply for the long-term degree completion（17 of Page 29）only need to pay theadmission fee first and each will be noticed about the tuition after fixing its annual fee.
⑶ Period of Admission Procedures〇 By mail: The necessary documents must arrive at the university no later than July 16（Tue.）,2024.
Note: They will be regarded as declining the admission if the admission procedures are notcompleted by the above deadline.
⑷ Mailing addressAdmissions Section, Educational Affairs Office, Administration Division, Showa Campus ofGunma University, 3-39-22 Showa-machi, Maebashi City, Gunma 371-8511, JAPAN（The third floor of Common Building）

13

Additional admission

When the number of enrolled students who have completed the school registration by July 16（Tue.）,
2024 is lower than the number to be admitted, we may fill the enrollment capacity by granting theadditional admission. Students granted the additional admission will be informed after 10:00 a.m.（Japantime）on July 17（Wed.）,2024 by e-mail stated on the application.

14 Exemption and Postponement of Admission Fee and Tuition Fee Payment

The admission fee or the tuition fee may be waived in full or by half for admitted students who
have difficulty paying due to special circumstances.
Additionally, the collection of the admission fee or tuition fee can be postponed for a certain period
for students who have difficulty paying until the specified deadline.
Inquiries :Education and Student Support Section, Educational Affairs Office, Administration Division, Showa
Campus of Gunma University TEL. +81-27-220-7796

15

ScholarshipStudent loan is available by Japan Student Services Organization（JASSO）for a person who has
difficulty in paying the tuition fee, and who has great academic performance and excellent character.
Additionally, graduate scholarship system of Japan Student Services Organization includes Postentry Applications (system to apply for scholarship after enrollment) and Prior Applications (system tomake a reservation for applying for scholarship before enrollment).
Inquiries :Education and Student Support Section, Educational Affairs Office, Administration Division, Showa― 28 ―

Campus of Gunma University TEL. +81-27-220-7792

16

Special measures for educational method

17

System for long-term degree completion

We offer the day and evening courses system for students who have passed the entrance
examination for working people, and those in employment who have passed the general entrance
examination, if they wish.
Under the system, education is provided at night（from 6:00 p.m. to 9:10 p.m.）, on Saturdays,
Sundays and national holidays and during summer or other vacation period.

The system allows particular students who have difficulty completing the regular course within
the formally-stated period of study（3 years）to extend the study period so that they can take andcomplete the courses systematically over the said period.
Students who would like to use the system need to consult with the supervisor and apply within theapplication period.
⑴ Eligible students1）Students in employment（or to be employed）who have difficulty sparing time to study or to takelessons due to business assignment,2）
Students who have difficulty sparing time to study or to take lessons due to household duties,
childcare and/or nursing care,3）
Besides these, students who have reasons the Graduate School of Health Sciences approves forapplication of the said system.
⑵ Long-term study period The period adding one to three years to the formally-stated period of study（but the school days
should not exceed twice as long as the said period of study）.
⑶ Tuition fee
 The annual tuition fee for the long-term study period is the amount obtained by multiplying thenumber of years equivalent to the number of the formally-stated period of study（three years）tothe prescribed annual tuition fee（JPY 535,800）and then being divided by the number of course
term given for a long-term student.
⑷ Application period
From July 8（Mon.）,to July 26（Fri.）,2024.
⑸ Documents to be submitted
1）
Application form for the system for long-term degree completion
2）Curriculum/study plan under the system for long-term degree completion
3）
Certificate of enrollment required for a student in employment
4）
Other documents required by the Graduate School of Health Sciences
Refer to the guideline enclosed with the letter of acceptance for details.
⑹ Inquiries : Graduate Student Section, Educational Affairs office, Showa Campus, Gunma University
TEL. ＋81-27-220-7804

18 Protection of the Personal Information of Applicants for Admission.

Gunma University will acquire personal information about applicants through the application
documents submitted and personal information about examinees by carrying out the entrance
examination; However, the personal information described above will be used only for the following
operations, based on the “Act on the Protection of Personal Information Held by National University
Corporation Gunma University”.
⑴ For operations（including subordinate operations, such as statistical processing）concerning the― 29 ―

selection of newly enrolled students.
⑵ For operations concerning the student advisory function, the student support, and tuition fee
collection after the enrollment, as newly enrolled studentsʼ data for those who complete theadmission procedures.
⑶ For operations (including the improvement of entrance examination, research and analysis ofapplicants trend, and making various statistical materials) concerning the entrance examination,
education and research, student supports, and other things related to university management.
 On the announcement of result of investigative research using the personal information, we
process all personal data to be unable to identify the individual.
In addition, our university may outsource some operations above to an external company after
making the contract concerning the appropriate handling of personal information.

― 30 ―

― 31 ―

The Outline of The Graduate School of Health Sciences
Unit, educational and research field
NursingLaboratory Sciences

Rehabilitation Sciences

Fundamental Nursing

Basic Laboratory Sciences

Fundamental Rehabilitation
Sciences

Applied Clinical Nursing

Applied Laboratory Sciences

Applied Rehabilitation Sciences

International/Community HealthNursingGlobal/Community Health
Laboratory Sciences

International/Community HealthRehabilitation Sciences* S ee the brochure of our Gaduate School of Health Sciences for characteristics of each field,
requirements for completion, career options of those who complete graduate school and subjects.

― 32 ―

Supervisors and their main contents of research（Doctoral program）○Contact Information:
・TEL:+81-27-220-Ext. ・E-mail: Add “gunma-u.ac.jp” after @ mark of the email addresses listed below.
Please make sure to contact a supervisor you would like to receive guidance prior to your application.
Field of Nursing
RegionFundamental
NursingSpecial Research

Research on
Fundamental
Nursing

Contact Information

Main contents of research

Atsushi Ozawa
Ext. 8659
E-mail ozawaa@

Research on hereditary cancers and lifestyle disease.
Epidemiological study and/or basic research toinvestigate the mechanisms of these disease are available.

Hiroko Jouboshi
Ext. 8906
E-mail hiroko-jo@

Research on clinical judgment model of nurse andverification of effectiveness of nursing skill.
Research on basic nursing education and continuing
nursing education.

Research on scale development for chronic nursing andsupport for patients with lifestyle-related diseases andMichiyo Oka
verification of evidence.
Ext. 8926
E-mail michiyooka@ Through these studies, I will guide on the development of
new paradigms to support chronically ill patients.

Applied Clinical Research on
Nursing
Clinical Nursing

Yoshio Ohyama
Ext. 8932
E-mail ohyamay@

・Clinical diabetes
・Clinical nutrition for patients with lifestyle-relateddiseases・Patient-centered care for patients with lifestyle-relateddiseases

Yuka Kondo
Ext. 8982
E-mail yukondo@

Guidance will be given on research subjects related
to symptom relief for cancer patients, intervention ofrelaxation methods for cancer patients, and palliative carefor cancer patients and their families.

Hiroko Kondo ＊＊Ext. 8984
E-mail hirokok@

・Research on improving the quality of psychiatricnursing・Research on mental health and self-compassion among
the general public and nurses

This course provides opportunities for students to
Hiromitsu Shinozaki conduct the following research themes.
Women’s health and Women’s health support, Perinatal
Ext. 8970
E-mail h_shinozaki@ research, Studies on smoking and passive smoking on
pregnant women, and Studies on nutrition.
Yoko Arai
Ext. 8914
E-mail yk-arai@

Supervise research on the development of preventive
interventions and systems for perinatal mental health,research on family nursing during child-rearing, andresearch on high-risk mothers and their children.

Shiomi Kanaizumi
Ext. 8957
E-mail kanaizumi@

Research on nursing and/or collaboration amongprofessionals which contribute to improve quality of lifeof children and their family. Targeted children might beat any level of heath; general children in the community,
hospitalized children with diseases, and children who aretechnology-dependent at home.

Supervisor marked with ＊＊ will be expected to retire on March 31, 2027.

― 33 ―

RegionInternational/
Community
Health Nursing

Special Research

Research on
International/
Communitiy HealthNursing

Contact Information

Main contents of research

Yumi Sato
Ext. 8989
E-mail satoy@

・Activities of public health nurses
・Competences and career developments of public healthnursesShino Oba
Ext. 8917
E-mail oba@

・Chronic disease epidemology
・Exploring the influence of environmental factors
including cigarette smoking, and food and nutrients
intake on the risk of various chronic diseases
・Researching the preventive behaviors and the
motivation of behavioral change

Mitsuko Ushikubo ＊Ext. 8987
E-mail ushi2@

This track aims to further develop students/researchers
who specialize or are interested in home care support
and give the guidance to conduct qualitative study
on home care nursing, family care, discharge support,
multidisciplinary collaboration, end-of-life care, andcommunity support system for individuals with cancer
and non-cancer.

Yoko UchidaExt. 8931
E-mail yuchida@

We will provide research guidance with the aim ofdeveloping a care model and an evaluation method for
improving the elderly care model and outcomes thatcan be applied to the world in super aged society. In
addition, we conduct exploratory research on factors
related to both mental and physical factors such as
cognitive function and urinary function of the elderly.
We will clarify these by collaborating with doctors andInterprofessional occupations and reveal new evidence.

Mio ItoExt. 8976
E-mail mioito@

This course aims to clarify the problems of geriatric
medicine and care for older people, and conducts practicalresearch and education to improve them. Also, this course
specializes to dementia care, and provides researchguidance to explore care techniques and concepts such as
humanitude and disagreement behavioral messages.

Supervisor marked with ＊ will be expected to retire on March 31, 2026.

― 34 ―

Field of Laboratory Sciences
RegionBasic
Laboratory
Sciences

Special Research

Research on
Molecular andBio-information
Sciences

Contact Information

main contents of research

Hiroshi Ohnishi
Ext. 8978
E-mail ohnisih@

Our research goal is to elucidate cell signalingmechanisms involved in regulation for the central nervous
system. Our current interests are molecular mechanismsof learning and memory, stress response, brain immune
system, brain aging, and so on. Students will learn how
to conduct basic research with research methods, suchas biochemistry, molecular biology, cell biology, imaging,histochemistry, and behavioral analysis.

Kenji Tago
Ext. 8935
E-mail ktago ＠

We are investigating the novel regulatory mechanisms
for signal transduction pathways involving heterotrimeric
G proteins and Ras family small GTPases. Using researchtechniques including biochemistry, molecular biology, andcell biology, we also attempt to clarify the mechanisms
how disordered activation of G protein signaling cause
the onset of several diseases including cancer, heartdisease, diabetes and so on. Our goal is to identify new
disease markers and develop therapeutic agents.

Takayuki Shibata
Ext. 8977
E-mail tshibata@Our main research theme is to create novel diagnostic
methods based on the technology of Clinical Chemistry,
through the development of color/fluorescent compounds
that produce color/light under a certain condition andthe development of chromogenic/fluorogenic reactions
that react with a certain substance. Students will acquire
knowledge and technique regarding high sensitive
detection methods for minimal amount of analytes inbiological samples.

Kazuhiro Nakamura
Ext. 8943
Analysis of pathogenesis of neurodegenerative disorders
E-mail knakamur@
１）Analysis of cancer cells for nuclear morphologicalcharacteristics, amount of DNA, feature of
nucleoli, and so on by utilizing mutation analysis,
immunohistochemistry, image analysis and so on.
２）Analysis of cyto-morphological findings andcharacteristics of various cancer cells especially forcannibalism, emperipolesis, and entosis.
３）Basics of Paraffin-embedded tissue section
preparation.

Masanao Saio
Ext. 8942
E-mail saio@
AppliedLaboratory
Sciences

Research on
Bio-information
Sciences

１.
Takayuki Saitoh
Ext. 8938
E-mail tsaitoh@

２.

Hiroki Matsui
Ext. 8973
E-mail hmatsui ＠

Elucidate the role of DNA repair genes inhematologic tumors such as multiple myeloma andacute myeloid leukemia, and develop novel therapies
Training of health science data scientists throughhealth science big data analysis in collaboration with
Gunma Prefecture・Effects of qualitative control of fatty acids on prevention
and treatment of lifestyle-related diseases
・Pathophysiological analysis using animal model ofcardiac hypertrophy, atherosclerosis or pulmonary
emphysema, etc.
・Integrated risk assessment by combining physiological
function tests with blood and urine tests― 35 ―

Field of Rehabilitation
RegionSpecial researchContact Information

Main contents of research
Research on the pathophysiology of respiratory
diseases and the therapeutic effect on diseases, which
rehabilitation should be applied, using physiologicaland biomolecular technique. One of the study target isthe interaction between the effect of rehabilitation andomega-3 fatty acid-derived lipid mediators on respiratory
inflammatory diseases, such as COPD, pulmonary fibrosis
and asthma.

Takeshi HisadaExt. 8944
E-mail hisadat@

Takehiko Yamaji ＊＊ ・Gate Analysis
・Biosignal processing
Ext. 8948
・Development prosthesis and brace
E-mail tyamaji@
Fundamental
Rehabilitation
Sciences

AppliedRehabilitation
Sciences

Research on
Fundamental
Rehabilitation
Sciences

Research
on Applied
Rehabilitation
Sciences

Shinichi Mitsui
Ext. 8950
E-mail smitsui@

One of my research interests is the effects of pairbonding on psychological disorders and neurologicaldiseases. We have been analyzing some kinds of diseasemodels of monogamous prairie voles using ethological,
pharmacological, and immunohisotochemical techniques.
Another research interest is molecular basis underlying
intellectual disability. We have been investigating thefunctions of motopsin, the loss of which function causes
sever intellectual disability in human, using geneticallymodified mice and cell biological techniques.

Bumsuk Lee
Ext. 8954
E-mail leebumsuk@

Research on Evaluation and intervention of Occupational
Therapy especially for physical dysfunction. 1) Upperextremity function analysis using accelerometer andpressure sensors, 2) OT for visuospatial neglect after
stroke, and 3) Evaluation of physical activity and sleep
using Actiwatch.

Tsuyoshi Tajika
Ext. 8945
E-mail tajika＠

１．Ultrasonographic evaluation of musculoskeletal
disorder２．Epidemiological study of musculoskeletal disorder(Evaluation of risk factors for onset of musculoskeletal
disorder)３．Multi-faceted evaluation of physical therapy
intervention in musculoskeletal disorder

Kazuki Hirao
Study on the development of interventions for people
Ext. 8952
with mental illnesses and those with prediseaseE-mail kazuki.hirao@
International/
Community
HealthRehabilitation
Sciences

Senichiro Kikuchi
Ext. 8939
E-mail senichiro@

Research on
International/
Community HealthRehabilitation
Tetsuya Yamagami
Sciences
Ext. 8799
E-mail yamagami@

Researches on 1.Near Intra-Red Spectroscopy study for
healthy volunteers and the people who have psychiatricproblems, 2.development of cerebral activity examination
suitable for occupational therapy, and3.neuropsychology
tests for epilepsy
１．Rehabilitation for elderly people with dementia
２．Preventive long-term care and health promotion
３．Community-based rehabilitation

Supervisor marked with ＊＊ will be expected to retire on March 31, 2027.

― 36 ―

Access to Gunma University（Showa Campus）○ Address
Gunma University Course of Medical Sciences in Graduate School of Health Sciences
3-39-22 Showa-machi, Maebashi City, Gunma 371-8511, Japan
TEL. +81-27-220-7797（Admissions Section, Educational Affairs Office）○ Public Transportation
Distination

Bus Stop(getting off)・Bound for Gunma University Hospital・Bound for Aramaki Campus via Gunma
U niversity Hospital (including via
Nankitsudanchi)

Gundai
Byouinabout 15min

JR Ryomo・Bound for Shibukawa station (includingLine
via Gunma University Aramaki
Maebashi Bus Stop 2
Campus)station,・Shibukawa City Circular Bus bound forNorth Exit
Shibukawa station
(via Gunma University Aramaki
Campus)・Bound for Gunma Children’s Medical
Center (including via Gunma University
Aramaki Campus)

Gundai
ByouinIriguchiabout 13min by bus Kan-etsu
and 6min by walk Transportation

・Bound for Maebashi station
(including Shibukawa City CircularBus, via Gunma University Aramaki
Campus)Gundai
ByouinIriguchiabout 30min by bus Kan-etsu
and 6min by walk Transportation

Bus Stop (boarding)

JR Jouetsu Linefront of Shibukawa
StationTime required

Notes

Kan-etsu
Transportation※ There is no public transport from JR Gunmasouja Station and JR Shinmaebashi Station.
※ Please arrive at your examination place with time to spare at the specified time, after checking the latest information.

― 37 ―

School of Health Sciences
and Graduate School of
Health Sciences buildingsyLaundrroom（Gunma University Hospital Main Entrance）― 38 ―

出願

書Application Forms

類

2024 年10月入学群馬大学大学院保健学研究科
保健学専攻博士後期課程（博士課程）入学願書

様式 1（Form-1）

October Admission for 2024 Gunma University The Graduate School of
Health Sciences Doctoral Program Application Form
受験番号 ※
Examineeʼsnumber
日本人学生・留学生★

入試区分（どちらかに○印をつけてください。） ★国費外国人留学生としての入学を希望する場合は、あらかじめ、昭和地区事務部学務課入学試験係までご相談ください。

Test type(Circle either of the right box)

For Japanese For international students★

★ If you wish to enroll as a Japanese Government Scholarship student, please contact the Admissions Section noted on page 25(1) in advance.

フ リ ガ ナ

性別
GenderPronunciation in katakana

氏

名
Name

生 年 月 日Date of Birth

西暦

年

月

日

A.D.

Year

Month

Day

志望する領域、教育研究分野
特別研究担当、教員名
特別研究担当教員名

本人の住所（入試に関する 〒確実な連絡先を記入）

たて4㎝よこ3㎝、上半身脱帽、正面向、出願前３か月以内に単身で撮影したもの。
２ 写真の裏面に氏名を記入してから、貼ってください。
1) 4cm in height and 3cm inwidth, upper body without acap/hat, face front, taken
alone within three months
prior to application.
2) Write your name on the backof the photo before pasting.

TEL

−

−

携帯

−

−

TEL

−

国籍（外国籍の方のみ記入）
Nationality

MobileE-mail本人以外の入試に関する連絡先（家族等）
Contact address of a person other thanthe examinee (e.g. family) for the
information on the entrance examination

氏

名

住

所

続柄

Relationship

Name

〒

−

−

Address⑴ 大学院修了（見込み）者(Expected) Graduate

西暦

年

A.D.

Your graduate school

１

Supervisor’s name

−

Year

□ 国立

□ 公立

□ 私立

□ その他

National

PublicPrivate

Other

月

修

大学大学院

Month

了

Completion

研究科

Graduate School of専攻

School of

修了見込み

Major Expected completion

取⑵ 上記 ⑴ 以外の者

(Fill in the names ofyour graduate school
falling under theapplication eligibility.)

真

Photo

分野 Field

Examinee’s address (Fill in the exact
address for receipt of the test information)

出身大学等

写

歳
Year old

年齢
Age

領域 Area,

Preferred study
area, educational
research field
supervisor’s name

（出願資格に該当する出身大学院等を記入）男 ・ 女Male Female

Other than the above ⑴得Acquired

西暦

年

月

A.D.

Year

Month

（

）学位 取得見込み
(

職

勤務先名

Place of employment) degree

Expected to acquire

名Job title

勤務先所在地 〒

−

TEL

−

−

Office location

月

日〜

年

歴
月

事

Personal records

日

Year

Month

Day

Year

Month

Day

Year

Month

Day

Year

Month

Day

Year

Month

Day

Year

Month

Day

Year

Month

Day

Year

Month

Day

Year

Month

Day

Year

Month

Day

Work
records

年

履Academic records職歴

学歴※職歴欄は直近のものを記入してください

Year

Month

Day

Year

Month

Day

Year

Month

Day

Year

Month

Day

年
年
年
年
年
年

〔記入上の注意〕

月
月
月
月
月
月

日〜
日〜
日〜
日〜
日〜
日〜

年
年
年
年
年
年

月
月
月
月
月
月

項
高等学校

High school

日
日
日
日
日
日

１ 必要事項は、黒又は青のボールペンを用いて楷書で正確に記入してください。
２ 就職している者は、勤務先を履歴事項欄に記入してください。
３ 住所欄は、通知・照会等を確実に受けることができる場所を記入してください。
４ ※印欄は記入しないでください。
外国の学校を卒業又は卒業見込みの者は、裏面（2/2）の履歴書も記入してください。
※両面印刷してください。

[Instructions]

１ A form must be filled out completely using a black or blue ballpoint pen and in standard style.
２ An applicant in employment needs to write the place of employment on the personal record column.
３ You need to fill in the address you can receive notifications or inquiries for sure on the addresscolumn.
４ Don’t fill in the columns with the mark ※Applicants who graduated or will graduate from a foreign school need to complete the resume on thereverse side (2/2).
※ Duplex printing required.

（1/2）

履

歴

書 （CURRICULUM VITAE）

外国の学校を卒業又は卒業見込みの者のみ記入
The person who graduated or will graduate from a school in foreign countries.
Educational background（学歴）Name and Address of School（学校名及び所在地）

Year and Monthof Entrance andCompletion（入学及び卒業年月）

Diploma or Degree awarded,
Duration of
Attendances Major Subject, Skipped years/levels（修学年数） （学位・資格、専門科目、飛び級の状況）Elementary Education Name
（学校名）
（初等教育）

From
（入学）

Years
（年）

Address
（所在地）

To
（卒業）

and
months
（月）

Name
（学校名）

From
（入学）

Years
（年）

Address

To
（卒業）

and
months
（月）

Name
（学校名）

From
（入学）

Years
（年）

Address
（所在地）

To
（卒業）

and
months
（月）

Name
（学校名）

From
（入学）

Address
（所在地）

To
（卒業）

and
months
（月）

Name
（学校名）

From
（入学）

Years
（年）

Address
（所在地）

To
（卒業）

and
months（月）

Elementary School（小学校）
Secondary Education（中等教育）

Lower Secondary School （所在地）（中学校）
Upper Secondary School（高校）
Higher Education（高等教育）
Undergraduate Level（大学）
Graduate Level（大学院）

Years ＊-1（年）

Total years of schooling mentioned above（以上を通算した全学校教育修学年数）
As of October 1, 2024
（2024年10月１日現在）

Years and（年）

months（月）

Employment Record. Begin with the most recent one, if applicable（職歴）Name and Address of Employer（勤務先及び所在地）

Period of Employment（在職期間）

Position（役職名）Type of Work
（職務内容）

From
To
From
To
＊If the blank spaces above are not sufficient for the information required, please attach a separate sheet.
（（注）上欄に書き切れない場合には、適当な別紙に記入して添付すること。）
Notes: １．Exclude kindergarten education or nursery school.（幼稚園・保育所教育は含まれない。）
２．Preparatory education for university admission is included in upper secondary school.（いわゆる「大学予備教育」は中等教育に含まれる。）
３．If the applicant has passed the university entrance qualification examination, indicate this in the blank with ＊-1.
（「大学入学資格試験」に合格している場合には、その旨を＊-1欄に記入すること。）
４．Any school years or levels skipped should be indicated in the fourth column（Diploma or Degree awarded, Major Subject, Skipped
years and levels）.（Example : Graduated from high school in two years, etc.）（いわゆる「飛び級」をしている場合には、その旨を該当する教育課程の「学位・資格、専門科目、飛び級の状況」欄に記載すること。
（例：高校 3 年次を飛び級により短期卒業））

日付（Date）

出願者名前（Name）
出願者署名（Signature）
（2/2）

様式 2
（Form-2）

2024年10月入学群馬大学大学院保健学研究科保健学専攻（博士課程）
志 願 理 由 書
October Admission for 2024 Gunma University The Graduate School of Health Sciences Doctoral Program Application Form
Statement of Purpose※欄は記入しないでください

Do not fill in the “※box.”

フ

リ

ガ

氏

ナ
名

受験番号 Examinee’s Number※

Name※両面印刷してください※ Duplex printing required.

志願理由書
Statement of Purpose

1／2

志願理由書Statement of Purpose

2 ／2

様式 3

受験番号

※

2024年10月入学群馬大学大学院保健学研究科保健学専攻博士後期課程（博士課程）
検定料収納証明書貼付台紙
１．コンビニエンスストアでの支払い
２．クレジットカードでの支払い『検定料収納証明書』
貼付欄

振込証明貼付欄

ここに貼付する

出願時において国費外国人留学生（日本政府）
である者（該当者は○をつけてください。検定料は不要です。）
東日本大震災及び風水害等の災害の罹災者（検定料免除申請者）である者（該当者は○をつけてください。検定料は不要です。）
本大学院保健学研究科保健学専攻博士前期課程（修士課程）を修了見込みの者（該当者は○をつけてください。検定料は不要です。）

3 ．海外から送金した場合◆次のいずれかの方法により支払ってください。
１．コンビニエンスストアでの支払い（パソコンやスマートフォン等のある環境で御利用ください）⑴ 12頁「群馬大学大学院検定料払込方法」を参照の上、支払ってください。なお、支払手数料は支払人の負担となりますので、留意してください。
⑵ 支払後、レジにて受け取った「入学検定料・選考料 取扱明細書」の「収納証明書」部分を切り取り、本台紙の所定の欄に貼り付けてください。
⑶ 支払期間 2024年５月２日（木）から５月23日（木）15時まで（「Webサイトでの申込み」は、支払期間終了
30分前まで）
２．クレジットカードでの支払い（パソコンやスマートフォン等、プリンタのある環境で御利用ください）⑴ 12頁「群馬大学大学院検定料払込方法」を参照の上、支払ってください。なお、支払手数料は支払人の負担となりますので、留意してください。
⑵ 支払後、「入学検定料・選考料 取扱明細書」を印刷し、「収納証明書」部分を切り取り、本台紙の所定の欄に貼り付けてください。
⑶ 支払期間 2024年５月２日（木）から５月23日（木）15時まで（注）※印欄は記入しないでください。

Form-3October Admission for 2024 Gunma University The Graduate School of Health Sciences Doctoral Program Application Form
Sheet for Certiﬁcate of Examination Fee Payment
1 ．Payment at Convenience Store
2 ．Payment by Credit card

Certificate of Payment

3 ．Remittance from abroad

Certificate of Transfer Receipt

Please paste “Certificate of Payment” above.
If you are receiving the Japanese Government(MEXT) Scholarship at the time of application, theexamination fee payment is not required. Pleasesubmit the document certifying that you are therecipient of the scholarship.
I am receiving the Japanese Government (MEXT)
Scholarship at the time of application. (Fill in acircle in the square.
The recipient of the scholarship doesn’t have to pay
the examination fee.)
I am the sufferer from Great East Japan earthquake
and applying for exemption of the examination fee.
(Fill in a circle in the square. The applicant doesn’t
have to pay the examination fee.)
I am are expected to complete the Master’s Program(M.S.) in the Graduate School of Health Sciences ofGunma Universitsy(Fill in a circle in the square. The applicant doesn’t
have to pay the examination fee.)

Please paste “Certificate ofpayment” here.

Please select one from the following three payment methods.
1. Payment at a convenience store (ensure that you have a personal computer or cell phone nearby).
⑴ Refer to the page 31 when you pay at a convenience store. Payment commissions must be borne by the person
who pays the fees.
⑵ After payment, receive the “Application Fee Statement”, detach the “Certificate of Payment” (receipt) portion
from it, and paste it on the prescribed place in the “Sheet for Certificate of Transfer Receipt” [Form 3].
⑶ Payment period: May 2 (Thu.), 2024 to 3:00 p.m. (Japan time) on May 23 (Thu.), 2024. When you make payment via
the web site, you have to pay 30 minutes before the end of payment period.
2. Payment by credit card (ensure that you have a personal computer or cell phone connected to a printer with A4
paper nearby).
⑴ Refer to the page 31 when you pay by credit card. Payment commissions must be borne by the person who pays
the fees.
⑵ After payment, print the “Application Fee Statement”, detach the “Certificate of Payment” (receipt) portion fromit, and paste it on the prescribed place in the “Sheet for Certificate of Transfer Receipt” [Form 3].
⑶ Payment period: May 2 (Thu.), 2024 to 3:00 p.m. (Japan time) on May 23 (Thu.), 2024.

様式 4（Form-4）

2024年10月入学群馬大学大学院保健学研究科
保健学専攻博士後期課程（博士課程）
October Admission for 2024 Gunma University The
Graduate School of Health Sciences Doctoral Program
Application Form
受験番号
Examineeʼs number※

フ リ ガ ナPronunciation in katakana

氏

名

志望する
領
域

（注）志望する選抜を○で囲んでください。
(Note) Circle the test of your choice[受験上の注意]
１ 受験者は本受験票を携帯してください。
２ 課せられた所定の試験科目等は、全て受験しないと失格となります。
３ 受験の際は、昼食を持参してください。
1.
2.
3.

Name

受験票

Examination Admission ticket[Instructions]
Bring this ticket with you.
Take all examination subjects required not to fail.
Bring your lunch on the day of the examination.

Preferred study area

志望する
教育研究
分
野
Preferred study field（注）※印欄は記入しないでください。 (Note) Don’t fill in the columns with the mark ※切 り と ら な い で く だ さ い (Don’t cut out)

様式 5
（Form-5）

2024年10月入学群馬大学大学院保健学研究科
保健学専攻博士後期課程（博士課程）
October Admission for 2024 Gunma University The
Graduate School of Health Sciences Doctoral Program
Application Form
受験番号
Examineeʼs number
フ リ ガ ナPronunciation in katakana

氏

名
Name

志望する
領
域

Preferred study area

志望する
教育研究
分
野
Preferred study field※

照合票

Photograph Veriﬁcation Card
（注）志望する選抜を○で囲んでください。
(Note) Circle the test of your choice

写 真
Photo
（全体にのりをつけて貼ってください。）(Stick the photo by
spreading paste allover the surface)１

たて4㎝よこ3㎝、上半身脱帽、正面
向、出願前３か月以内に単身で撮影したもの。

２

写真の裏面に氏名を記入してから、貼ってください。

１ 4cm in height and

3cm in width, upper
body without a cap/
hat, face front taken
alone within threemonths prior toapplication.

２ Write your name on
the back of the photo
before pasting.

（注）※印欄は記入しないでください。 (Note) Don’t fill in the columns with the mark ※様式 6（Form-6）

研 究 希 望 計 画 書

2024年10月入学群馬大学大学院保健学研究科博士後期課程（博士課程）
October Admission for 2024 Gunma University The Graduate School of Health Sciences Doctoral Program

受験番号 ※
Examineeʼsnumber
志望教育
研究分野
Preferred study fieldPreferred research plan

氏
名
Name

志望領域
Preferred Area

指導希望教員との事前連絡
指導希望教員Contact the supervisor prior to application（いずれかに◯をつけてください Please make circle） Supervisor’s name済・未Yes / No（注）１
２
３

本用紙の表面に記入してください（裏面には記入しな
いでください）。
パソコンで作成したものを枠内に貼付可。
入学後に行いたい研究内容の概要を、希望する教育研
究分野の教員（14頁〜16頁参照）と相談の上、記入してください。
※印欄は記入しないでください。

(Note) 1

Write the outline on the front side of this form (not on
the back side). You can paste the outline created by apersonal computer within the frame border.
2 Consult with the supervisor of your preferred study
field (see pages 33-36) in advance and write theoutline of your preferred study.
3 Don’t fill in the columns with the mark ※様式 7(Form-7)

年月日（Date）
：
群馬大学長

年

殿

月

日

Year

Month

Day

日生
Day

満
years of age

歳

To the President of Gunma University

フリガナ)(Pronunciation
in katakana氏(Name)

名

（西暦）
A.D.

年
Year

月
Month

生年月日

(Date of birth)

現 住 所(Current address)

電話番号(Telephone number)

−

−

携帯電話

(Mobile phone number)

−

−

郵便番号
Zip code−E- mail

入学資格審査申請書（Application for the screening for admission requirements）
私は、2024年10月入学群馬大学大学院保健学研究科保健学専
攻博士後期課程（博士課程）の入学試験を受験したいので、下記により入学資格審査をお願いします。
記
１ 該当する入学資格審査
次のどちらかの審査に該当するかについて、該当項目の番号を○で囲んでください。
⑴ 大学を卒業し又は外国において学校教育における16年の課程を修了した後、大学、研究所等において 2 年以上研究に従事した者で、本大学院において、当該研究の成果等により、修士の学位又は専門職学位を有する者と同等以上の学力があると認めたもの⑵ 本大学院において、個別の入学資格審査により、修士の学位又は専門職学位を有する者と同等以上の学力があると認めた者で、2024年 9 月30日までに24歳に達するもの
２

希望する領域名 （）

３

希望する教育研究分野 （４

指導を希望する「特別研究」担当の教員名（

５

Since I would like to take an entrance examination for the
Graduate School of Health Sciences (Doctoral Program) , Gunma
University, for October Admission in 2024, I would like torequest the screening for admission requirements under thefollowing conditions.
***
1 Circle the applicable number of the items described below.
(1) Applicants who have been engaged in a research for at least
two years at university or research institute after
graduating from a university or completing 16 years ofschool education outside Japan, and whom our graduate
school has admitted a scholastic ability comparable to people
with a Master’s degree or a professional degree due to theresearch achievements.
(2) Applicants whose scholastic ability have been deemed byindividual pre-admission screening to be at least equivalent
to that of a university graduate and who will reach the age of
24 by September 30, 2024.
2 Preferred study area ()）

3 Your preferred educational study field ()）

4 Name of the supervisor of the “special study” you would like toreceive guidance ()

添付書類
本申請書に添付した書類について、下記の該当の記号を○で囲んでください。
ア 研究歴・就業歴等報告書（本要項添付の用紙（様式8 ）によります。）
イ 研究業績又はその他の顕著な業績がある場合は、その業績（論文等）
ウ 最終学校の卒業又は修了証明書
エ 最終学校の成績証明書
オ その他の書類（）※両面印刷してください※裏面の履歴事項も記入願います。

5 Attached documents
Circle the applicable numbers of the documents attached tothis application.
a. Reports on research history and work history (using Form-8
attached to this guideline).
b. Research results or other noted accomplishments such as
literature, if any.
c. Proof of graduation from or completion of your highest levelof schooling.
d. Academic transcript of your highest level of schooling.
e. Other documents. ()＊Duplex printing required.

＊Please also ﬁll in the personal record on the reverse side.

履歴事項

Personal records
学

正規の修学年数

校名
Name of school

Number of yearsof legitimate school
attendance

初等教育小学校

入学・卒業（修了）年月
Date of enrollment/graduation (completion)

学

年
Enrollment
卒業
Year

入学

Graduation

年
Year
年
Year

月
Month
月
Month

年
Year

入学
Enrollment
卒業
Graduation

年
Year
年
Year

月
Month
月
Month

年
Year

入学
Enrollment
卒業
Graduation

年
Year
年
Year

月
Month
月
Month

高等教育大学年
Year

入学
Enrollment
卒業
Graduation

年
Year
年
Year

月
Month
月
Month

大 学 院

年
Year

入学
Enrollment
修了
Completion

年
Year
年
Year

月
Month
月
Month

Elementary
education
Elementary school

中等教育中学校

歴

Secondaryeducation
Junior high school

高校︵ Academic records︶

High school

Higher education
University

Graduate school

年
Year
計
Total
勤

期
間
Time period
年

月

Month

Day

Year

Month

Day

Year

Month

Day

Year

Month

Day

Year

Month

Day

Year

Month

Day

Year

Month

Day

Year

Month

Day

Year

Month

Day

Year

Month

Day

Year

Month

Day

Year

Month

Day

Year

Month

Day

Year

Month

Day

Year

Month

Day

Year

Month

Day

Year

Month

Day

Year

Month

Day

職

年
年
年
年

歴

年

︵

年
年

︶
Work records

年
年
年
年
年
年
年
年
年

︵ Medical and health care︶qualifications / licenses

医療関係の資格・免許等

年

Year

年

Year

年

Year

年

Year

年

Year

月
月
月
月
月
月
月
月
月
月
月
月
月
月
月
月
月

月

Month

月

Month

月

Month

月

Month

月

Month

務
先
Place of employment and such

等

日

Year

年

年
Year

日
日
日
日
日
日
日
日
日
日
日
日
日
日
日
日
日

日

Day

日

Day

日

Day

日

Day

日

Day

（注）学歴は高校入学から記入すること。ただし、外国の学校を卒業又は卒業見込みの者は、小学校入学から記入すること。
(Note) Provide the academic records starting with enrollment in a high school. If you are an applicant who graduatedor will graduate from a foreign school, start with enrollment in an elementary school.

様式 8(Form-8)

2024年10月入学群馬大学大学院保健学研究科博士後期課程（博士課程）出願資格審査用For screening of application eligibility to October Admission for 2024 Gunma University The Graduate School of Health Sciences (Doctoral Program) Application Form

年月日（Date）：

年

月

日

(Year) (Month) (Day)研 究 歴 ・ 就 業 歴 等 報 告 書
Report on Research or Work, etc
国

籍（Nationality）

氏

名（Name）

生年月日（Date of Birth）
下記のとおり研究歴・就業歴等を有することを報告します。
I hereby report that the above person has been engaged in the research or work as follows.
記
在職した機関、部局名及び身分（Status and Institution
he / she belonged to）
年
研 究 ・ 就 業 等 の 期 間（Duration of Researchor Work, etc）

月

日から

From：

年
to：

(Day) (Month) (Year)

研究内容又は就業内容等（Title and Outline of Researchor Work, etc）
（上記の内容を証明できる書類等がある場合は、添付すること。）（Attach cerificates, if available）

指 導 者 の 職 ・ 氏 名（Name and Position of Advisor）（注）用紙が不足する場合は、複写して使用してください。
Note: Please take copies if you need more space to write.

月

日 まで（

年

か月間）
）

＝（
(Day) (Month) (Year)(Year) (Month)宛名票

Name and Address Cards

様式 9(Form-9)◎志願者は本票を学生募集要項記載の出願書類と一緒に必ず提出してください。
◎楷書で丁寧に記入してください。

◎Applicant must submit these cards with the application documents
mentioned in the Admission Guidelines.
◎Fill in these cards neatly and in the block style.

入試に関する確実な受信場所を記入してください。
場所がアパート、団地等の場合は「様方」の欄にアパート、団地名
等記入してください。
※印欄は記入しないでください。

Fill in the place for receiving information about the entrance examination
without fail.
If the above place indicates a ﬂat or a housing complex, etc., ﬁll in thename of the ﬂat or the housing complex, etc. in the “c/o box”.
Do not ﬁll in the “※box.”

整理番号 Reference Number※

左欄に、郵便番号、住所、氏名を記入してください。
Fill in your address
and name in the left column.

様方
c/o

様

整理番号 Reference Number※

左欄に、郵便番号、住所、氏名を記入してください。
Fill in your address
and name in the left column.

様方
c/o

様

整理番号 Reference Number※

左欄に、郵便番号、住所、氏名を記入してください。
Fill in your address
and name in the left column.

様方
c/o

様

周囲は群馬県の象徴である名勝赤城、榛名、妙義の上毛三山を浮彫りさせて大学を囲み、群馬大学の象徴としています。
The above design of “大學 (kanji for university, called‘daigaku’)” surrounded by the famous picturesque viewof three carved mountains which comprise Mt. Akagi,
Mt. Haruna, and Mt. Myogi and are called JOMOSANZAN symbolizing Gunma Prefecture is the emblemof Gunma University.