Examination
RoundExamination

October Entrance
Examination

Do not write here

Ticket Number

2024
Application for Master Program, Graduate School of Agricultural Sciences, Yamagata University
Major（Select one）

□Bioproduction ScienceAdmission Type（Select one）

□Entrance Examination for International Students Examination□General Entrance□Bioresource Science□Bioenvironmental Science□Entrance Examination for Working Students□Recommendation-Based Entrance Examination for International Students

Name(Family)(First)(Middle)Nationality

Date of Birth(YYYY/MM/DD)(international applicant)
University

Most RecentAcademicHistory

Gender □Male□FemaleFaculty

Department and Course （if any）

Date of Graduation(or Expected)(YYYY/MM/DD)

Address*Write the address
where you can receive
the acceptance letter.

TEL
E-mail address@

Specialized Subject for Examination**Do not write the subject, if you take Entrance Examination for Working Students orRecommendation-Based Entrance Examination for International Students.Recommendation-BasedEntrance Examination for International Students.

Name of the Instructor with whom theapplicant wishes to studyDo not write here
Examination
Ticket Number

ResumeName(Family) (First)(Middle)

Write your academic history from the time of joining high school.
For international applicants, write your academic history from the time of joining elementary school.
Period（Year / Month）
entrance
graduation
entrance
graduation
Academic Histories

entrance
graduation
entrance
graduation
entrance
graduation
entrance
graduation
entrancecompletion
entrance

Work Histories

completion
entrancecompletion
entrancecompletion

Total length（in years）

Name of school / institution/company

2024
Graduate School of Agricultural Sciences Yamagata University

2024
Graduate School of Agricultural Sciences Yamagata University

Examination Admission Ticket

Examinee Photo ID

Examination Ticket
NumberDo not write here.

Name(Family)

Admission Type（Serect one）

Major

Specialized Subject(First)Paste your color
photograph here.
(4 cm height×3 cmwidth)(Middle)□General Entrance□Entrance Examination for Working Students□Entrance Examination for International Students□Recommendation-Based Entrance Examination for International Students□Bioproduction Science □Bioresource Science□Bioenvironmental Science*Do not write the subject, if you take Entrance Examination for Working Students orRecommendation-Based Entrance Examination for International Students or RecommendationBased Entrance Examination.

○Read Rules of the Examination on the following beforehand.

Examination Ticket Do not write here.
NumberName(Family)

Rules of the Examination(1) Examinees need to bring an examination admission ticket to the examination site and must be seated at the desk with
their examination ticket number on it.
(2) Examinees must arrive at the examination site 30 minutes before the examination start time. Examinees who arrive 20
minutes after the start of the examination will not be allowed to enter the examination room.
(3) If examinees are late for the examination, they should ask a staff member for instructions.
(4) Examinees are not allowed to use or borrow anything from other examinees in the examination room.
(5) Electronic equipment such as mobile phones, smartphones, and wearable devices must be deactivated; and placed in abag before entering the examination room after their alarms are turned off. If these items are not put away or if theexaminee holds or touches them during the examination, it may be considered as cheating during the examination. If
earphones are in your ears then they are considered to be in use, which constitutes cheating.
(6) In case of an emergency including if the examinee feels sick during the examination, please contact the person-incharge of the examination.
(7) In case an examinee loses their examination admission ticket, they need to inform an Admission Office or person-incharge of the examination about it immediately.
(8) Examinees need to write their written examination ticket number and other information clearly on the distributed
answering sheets as soon as an examination begins.
(9) During the written examination, examinees can keep the following items on their desk: an examination admission ticket,
pencils (mechanical pencils are also allowed), erasers, pencil sharpeners (except electronic and large sharpeners andknives), a watch (except ones with a dictionary, a calculator, and terminal functions; ones for which it is difficult todetermine whether such functions are present; ones that make a ticking sound; kitchen timers; and large watches.),rulers, glasses, handkerchiefs, tissue paper (not including the bag or box in which they were packed), and eye drops.
The use of scientific calculators may be permitted depending on the specialized subject.
(10) Examinees are allowed to place only the items written above in section (9).
(11) In case an examinee is deemed to have cheated, all of their answering sheets will be invalid.

(First)(Middle)Admission Type（Serect one）

□General Entrance□Entrance Examination for Working Students□Entrance Examination for International Students□Recommendation-Based Entrance Examination forInternational StudentsMajor□Bioproduction Science □Bioresource Science□Bioenvironmental Science

Specialized Subject*Do not write the subject, if you take Entrance Examination for Working Students orRecommendation-Based Entrance Examination for International Students.

Face squarely to the front and remove any hats, caps or head coverings, and paste a photo taken
within the last three months.
Apply glue to the back of the photo and stick it.

(Entrance Examination for Working Students)
Examination
TicketNumberDo not write here

Statement of Reason for Application
NameMajor□Bioproduction Science□Bioresource Science□Bioenvironmental ScienceUniversity foryour bachelor
degreeFor the following reason, I would like to apply to Graduate School of Agricultural Sciences,Yamagata University.

（Recommendation-Based Entrance Examination for International Students)
Examination Ticket

Do Not write here

NumberLetter of Recommendation
Date:(YYYY/MM/DD)

To : Dean of Graduate School of Agricultural Sciences, Yamagata University

I recommend the candidate below for entry through the recommendation entrance examination
for Master Program, Graduate School of Agricultural Sciences, Yamagata University.

Candidate Name :Affiliation :Reasons for Recommendation

Recommender
University :Faculty :Department :Job title :Name :

Mailing Label
Mailing Label Ⅰ
This is used to send the Notification of Admission.
Write the applicant’s name, mailing address and phone numberfor the notification.
In case of change of address after application, an immediate notice must be submitted to the Admissions Section.
Do not fill in the Applicant’s Examination Ticket Number.

Postal code

AddressNameTEL
Examination
TicketNumberMailing Label Ⅱ
This is used to send the Notification of Admission.
Write the applicant’s name, mailing address and phone number for the notification.
In case of change of address after application, an immediate notice must be submitted to the Admissions Section.
Do not fill in the Applicant’s Examination Ticket Number.

Postal code

AddressName
TEL
Examination
TicketNumberPostal code

AddressName
TEL
Examination
TicketNumberStatement of reasons
Date:(YYYY/MM/DD)

To : Dean of Graduate School of Agricultural Sciences, Yamagata University

Name
Address

We would like to inform you that the application documents for the Yamagata University Graduate School ofAgriculture Entrance Examination(copy of the score report of TOEIC®TEST ，TOEIC®IP ，TOEFL®TEST ，orEnglish proficiency examinations) cannot be submitted during the application period due to the following reasons.
Application documents that are delayed in submission will be submitted by the day before the entrance examination.

［ Reason ］
１．Because the score has not arrived.（Please write your exam status below.）□ I took the TOEIC®TEST.
（Examination date：®
□ I took the TOEIC IP.
（Examination date：®
□ I took the TOEFL TEST.
（Examination date：□ I took the English proficiency examinations. （Examination date：２．Others（Please write reason below.）［ Expected date of submission ］
YYYY/MM/DD）YYYY/MM/DD）YYYY/MM/DD）YYYY/MM/DD）YYYY/MM/DD

（For Preliminary Eligibility Screening）

Request for Preliminary Eligibility Screening
I am pleased to take the Preliminary Eligibility Screening for applying to the Master Program inGraduate School of Agricultural Sciences, Yamagata University in 2024
□ General Entrance Examination Eligibility Requirements ; Applicants Section (9),(10), (11), (12).
□ Entrance Examination Working Students Eligibility Requirements ;Applicants Section (9).
□ Entrance Examination for International Students Eligibility Requirements ;Applicants Section (9).
□ Recommendation-Based Entrance Examination for International students EligibilityRequirements ; Applicants Section (9).
Date:

(YYYY/MM/DD)

Name:
Postal address〔〕
Phone number〔（〕）

Most recent academic history(university,faculty,department and course (if any))〔〕
Date of graduation (or expected) from the above〔(YYYY/MM/DD) 〕
Curret position (Work place, department and job title)〔〔TEL（）〕〕Do not write here
Reference Number2024
Entrance Examination for Master Program, Graduate School of Agricultural Sciences,
Yamagata University

Form 1 for Preliminary Eligibility Screening
Current
Position

Name
Date ofBirthMajor（Select one）

yearmonth□ Bioproduction Sciencedate

PostalAddress□ Bioresource Science□ Bioenvironmental Science

Academic history from elementary school(YYYY/MM/DD)(YYYY/MM/DD)(YYYY/MM/DD)(YYYY/MM/DD)(YYYY/MM/DD)(YYYY/MM/DD)(YYYY/MM/DD)(YYYY/MM/DD)(YYYY/MM/DD)

Work experience(YYYY/MM/DD)(YYYY/MM/DD)(YYYY/MM/DD)

Membership in academic societies and social ･ activities to be considered
Year/Month/DateNotes

Do not write here
Reference Number2024
Entrance Examination for Master Program, Graduate School of Agricultural Sciences,
Yamagata University

Form 2 for Preliminary Eligibility Screening
Name
Reason for joining our graduate school

Previous and curret researches

Research achievement (publications, presentations, etc.)