（School of Engineering）
2022 Teijin Kumura Scholarship2022.1.25

１ Qualification Requirements① The applicant must be a student in a Master’s course from October 2021 or confirmed/supposed to study from April 2022 in a medical/pharmaceutical/bioscience,engineering or information science related course at a domestic university② Private-financed international students with the residence status [Study].

２ Scholarship Amount / Period
Amount ： 50,000 yen / month
Period ： Until the registered master’s course completion period from April 2022

３ Recommendation Quota
1 master courses’ student from the School of Engineering

４ Application Documents (All can be prepared in English)① Applicant’s Statement（Designated word format）：Attach applicant’s photo, must befilled by the applicant.
② Transcript：Current and Bachelor’s※In case the current transcript is not available, only the bachelor’s will do.
※Indicate the ‘assessment academic figure’ calculated based on the attached calculation methodwith a erasable pencil on the blank space.

③④⑤⑥

Summary of current research：Compile in 2 to 3 A4-size papers.
Consent Form for Personal Information (Designated word format)
Copy of Residence Card (Both sides)
Enrollment Certificate (For October 2021 Enrollment)※ For April 2022 admission, submit documents to prove it such as ‘Certificate ofAcceptance’.

⑦ Economic Status Sheet （As of February 2022/Designated excel format）⑧ Personal Information Form for Privately-Financed International Students（Designated form）⑨ Statement of Household Finances（Designated form）※ ⑧ and ⑨ are not necessary in case submitted after October 2021 for other scholarships.
⑩ Recommendation Form (Designated word format)※ Need to be prepared by the academic supervisor.
※ Submit after recommendation is confirmed.
The form for ①,④ and ⑩ can be downloaded from the foundation website.
（https://www.teijin.co.jp/eco/scholarship/）

６ Documents to submit：International Affairs Section, School of Engineering(Center Hall, 3rd floor)
７ Deadline：February 18th, 2022
※ Those who have already confirmed to receive other scholarships that is unreceivable
multi-scholarships simultaneously or are applying other scholarships including direct application for theyear of 2022 are not eligible.

別紙

成績評価係数 計算方法
下記の計算式により小数点第二位まで算出（小数点第三位を四捨五入）した数字を 成績証明書(写)に記入して下さい。
〔成績評価係数の算出方法〕（小数点第三位を四捨五入）
成績

評

価

４ 段 階 評 価 （ パ タ ー ン 1）

優良

可不可

４ 段 階 評 価 （ パ タ ー ン 2）

Ａ

Ｂ

Ｃ

Ｆ

４ 段 階 評 価 （ パ タ ー ン 3）

100～ 80 点

79～ 70 点

69～ 60 点

59 点 ～

５ 段 階 評 価 （ パ タ ー ン 4）

100～ 90 点

89～ 80 点

79～ 70 点

69～ 60 点

59 点 ～

５ 段 階 評 価 （ パ タ ー ン 5）

Ｓ

Ａ

Ｂ

Ｃ

Ｆ

５ 段 階 評 価 （ パ タ ー ン 6）

Ａ

Ｂ

Ｃ

ＤＦ

成績評価ポイント

３３

２

１０

〔計算式〕
（「評価ポイント３の単位数」×３） +（「評価ポイント２の単位数」×２）+（「評価ポイント１の単位数」×１） +（「評価ポイント０の単位数」×０）
総登録単位数※合格の評価は加算しない。（係数値算出から除外）

Tips on Applying for Scholarships
Education and Student Support Department
Student Exchange DivisionInternational Education Section
2019.02.01

1. Before applying-Read the application guidelines carefully to determine whether or not you meet therequirements. Be sure to take note of any obligations for scholarship recipients in addition
to the application requirements and details of the award. (E.g. mandatory attendance atconferral ceremonies and exchange events, submission of periodic assignments to thescholarship organization, etc.)-Make sure you have all the required documents on hand. In particular, many students forget
to submit academic transcripts from their previous curricula.
-If you have applied to other scholarship organizations via either university recommendation
or direct application, you cannot apply for any further scholarships, even if you do not yet
know the results of your other applications. (Except in cases where both scholarships permit
receipt of multiple scholarships at the same time.)-Screening methods vary depending on the organization. If there is an interview, note the travelexpenses, location, date/time etc., and be sure you will be able to attend.
2. Application documents-Do not reuse documents from previous applications, even if you are applying to extend acurrent scholarship. Always prepare new documents.
-Do not use erasable pen (e.g. Frixion); always fill out application forms with a black ballpointpen. (Application documents written in erasable pen cannot be submitted to the scholarshiporganization.)-During the screening process, your application documents will greatly influence theimpression you give. Fill out all forms neatly so that they are easy for the evaluators to read.
-If you make a mistake, do not use corrective tape/fluid or cross out the mistakes. Prepare anew form instead.
-Do not abbreviate your undergraduate/graduate school's name; enter the full name.
-Be sure to read and follow all notes and instructions on filling out the forms.
-As a matter of courtesy, fill in at least 70-80% of the space provided for each shortanswer/essay question.
-After you have finished, double check your application to make sure that no items are blank.
In particular, enter answers even for items not applicable to you, e.g. "None" (or "0" foramounts) etc.
*If outputting data from Excel, check to make sure all characters fit within the providedspaces.

3. Other-If you have any questions about the application requirements or how to fill out the forms,
please inquire with the person who handles scholarships for your department. Do not try toindividually contact the scholarship organization.
-Note that recipients of the President Fellowship or other scholarships that pay tuition may not
be able to apply for a tuition exemption for the duration of that scholarship. Be sure to checkwith the person who handles scholarships for your department.
-If you plan to apply for a scholarship directly (without going through the university), or toextend a scholarship, you must contact the person who handles scholarships for yourdepartment and inform them beforehand.

*This form does not need to be submitted, if you have submitted anytime in October 2021 or thereafter.

Personal Information Form for Privately-Funded International Students
1. Information of yourself
StatusUndergrad. (year:) / Undergrad. research student
Master’s Course (year: ) / Doctoral Course (year:) / Student ID No.
Grad. Research student

Department and Major

Name
Date of birth

PhoneSupervisor(Lab.)(Chinese characters:/month/dateUniversity (school)attended before
Tohoku Univ.

）
/year

(Age:

Enrollment history
in Tohoku Univ.
(in order frommost recent)(circle)Nationality

Date of graduation/completion:StatusResidence)

Married/Single/month/year

PeriodFrom/month/year topresent

From/month/year

to/month/year

From/month/year

to/month/year

University House Katahira

University House Aobayama

University House Sanjo (Ⅱ・Ⅲ)

University House Nagamachi

International House Sanjo 1

International House Sanjo 2

International House Higashi-Sendai
Prefectural/municipal apartment(Address:)

Private apartment(Address:)

2. Family Information (Include family members in your home country)*If your spouse is a student, write the name of the school, and year level.
Name

Relationship Age
FatherMotherCountry ofOccupation and Place of Employment,

Residenceor Name of School Attending