Program for Leading Graduate Schools

Inter-Graduate School Program for
Sustainable Development and Survivable Societies

Third-Year Enrollment Requirements Check-List
Academic Year 2020

（Date：2020/
Type of Qualification

A

Date of enrollment

MM/DD/YYYY/ ）B (*Circle the qualification you apply for)in Kyoto University
Date of birth

ふりがな㊞

Full namesignature

Nationality

MM/DD/YYYY(age:)

Student lD. No.
Graduate school
Affiliation
Department
Academic supervisor(name, graduate school, title)[Note]●Qualification A: Those who have work experience or professional career.
Fill in A-1, A-2 and A-3.
●Qualification B：Those who do not meet qualification A and completed a Master Program (orequivalent) in Kyoto University.
Fill in B-1, B-2, B-3-1, B-4(a) and B-4(b).
●Qualification B：Those who do not meet qualification A and completed a Master Program (orequivalent) in universities other than Kyoto University.
Fill in B-1, B-2, B-3-2, B-4(a) and B-4(b).
*Check the box ☑, if applicable.
Type of qualifications: A (Those who have work experience or professional career.)☐ I have a clear motivation that is in alignment with the Degree Policy of the GSS
A-1
ProgramTenure in total：MM/DD/YY
A-2

Name of office, organization, etc. where you worked：☐ I attached experience certificate issued by my employer.

1☐ I meet or exceed one of the following English language proficiency criteria:

A-3-

TOEIC score: 730 or higher-

TOEFL iBT score: 79 or higher-

IELTS: BAND 6 or above-

UN Association’s Test of English: Glade A class or above☐ I attached the official certificate of English language proficiency test, which proves
my ability (it has been taken after April 2017).
Type of English proficiencies：TOEICTOEFL

I-ELTS(*Circle the one that applies.)
Score：
Type of qualifications: B (Those who do not meet the category A qualification)
B-1☐ I have a clear motivation that is in alignment with the Degree Policy of the GSS
Program☐ During my Master Program (or equivalent), I have already completed at least one
subject considered to be equivalent to one of the following compulsory subjects inthe GSS program. (Field training; Internship; International academic exchange;
Industry-university collaborative project; International cooperation project)
Name of the activity：☐ I attached the document(s) related to the activity, explaining its content andB-2

certifying its completion.
☐ I described clearly what I have done in “Description of Past Related Activities”
Type of GSS program activity it applies to：Field training; Internship; International
academic exchange; Industry-university collaborative project; International
cooperation project (*Circle the one it applies.)

B-3-1☐ I have completed a Master Program (or equivalent) in Kyoto University.
(*If applicable, please fill in (a) and (b))☐ I have already completed (received the credit for) at least one of GSS Program(a)classes (compulsory, optional compulsory or optional classes).
Name of the class：Academic year you received the credit：☐ I have already completed (received the credits for) at least one of Kyoto(b)

University Interdisciplinary Graduate Courses (interdisciplinary subject, Japaneseclasses are acceptable), or G30 Program subjects (offered in English).
Name of the class：Academic year you received the credit：2☐ I have completed a Master Program (or equivalent) in a university other than Kyoto
University. *If applicable, please fill in the two sections below.
☐ I have already completed (received the credits for) at least one subject that isstrongly related to the GSS program in the previously attended institution, and its

B-3-2

syllabus is available to submit with application form.
Name of university and graduate school：
Name of the class：Academic year you received the credit：☐ I attached the syllabus.
My academic results in undergraduate level as well as Master program meet one of
the following qualification criteria (* Only check the box that applies to your situation.)<Undergraduate>☐ At least 75% of total credits score higher than 80% (excluding “pass or fail”credits)☐ The average of grades/marks/score is 80% or higher (excluding “pass or fail”credits)B-4 (a)<Master program>☐ At least 75% of total credits score higher than 80% (excluding “pass or fail”credits)☐ The average of grades/marks/score is 80% or higher (excluding “pass or fail”
credits)☐ I meet or exceed one of the following English language proficiency criteria:

B-4 (b)-TOEIC score: 730 or higher-

TOEFL iBT score: 79 or higher-IELTS: BAND 6 or above-

UN Association’s Test of English: Glade A class or above☐ I attached the official certificate of English language proficiency test, which proves
my ability (it has been taken after April 2017).
Type of English proficiencies：TOEIC

TOEFL

I-ELTS(*Circle the one that applies.)
Score：3