APPLICATION FORM for the 2016 HOMELAND EDUCATION FOR OVERSEAS KOREANS

※ Sub-procedure for Preparation: □ Please, indicate your choice with a check(∨ )mark in □ in case of a choice item.

Name

(English name as printed in your passport)

Photo

3. 5 × 4. 5 ㎝

NameEnglish

(English name as printed in your passport)

(Include Country Code)

Photo

3. 5 × 4. 5 ㎝

Photo

3. 5 × 4. 5 ㎝

Type of Course□ Korean Intensive Course

Type of Course

Type of Course□ Homeland Understanding Course

Type of Course

Type of Course□ Employment(Qualification)Prep Course

Type of Course

Academic

Record

yyyy / mm

Academic

Record

yyyy / mm

Academic

Record

yyyy / mm

Academic

Record

yyyy / mm

Academic

Record

yyyy / mm

Contact Information in Korea

Name

Korean

Date of Birth

yyyy / mm / dd

Photo

3. 5 × 4. 5 ㎝

English

Sex

□

Male

□

Female

Telephone Number

Country of Birth

Mobile phone Number

Nationality

Passport Number

Occupation

Address

E-mail

Korean Language Fluency

□ Advanced

□

Intermediate

□ Beginner

Type of Course

□ Korean Intensive Course

□ 2016. 04. 01. ~ 2016. 06. 30. (3 mos)

□ 2016. 06. 01. ~ 2016. 08. 31. (3 mos)

□ 2016. 09. 01. ~ 2016. 11. 30. (3 mos)

□ Homeland Understanding Course

□ 2016. 04. 01. ~ 2016. 06. 30. (3 mos)

□ 2016. 06. 01. ~ 2016. 08. 31. (3 mos)

□ 2016. 09. 01. ~ 2016. 11. 30. (3 mos)

□ Employment(Qualification)Prep Course

□ 2016. 04. 01. ~ 2016. 11. 30. (6 mos)

□ 2016. 04. 01. ~ 2016. 06. 30. (3 mos)

□ 2016. 09. 01. ~ 2016. 11. 30. (3 mos)

□ College Admission Prep Course

□ 2016. 04. 01. ~ 2016. 11. 30. (6 mos)

Academic

Record

Duration

Name of School

yyyy / mm

Elementary School

yyyy / mm

Middle School

yyyy / mm

High School

yyyy / mm

University

yyyy / mm

Graduate School

Record of Completion in the NIIED's Course

(□ Long-Term, □ Short-Term) Course

Duration of Course Completion

yyyy / mm

Contact Information in Korea

Name

Relationship

Telephone No.

Address

This person applies for the 2016 Homeland Education Program for Overseas Koreans led by NIIED to receive the same program through the joint signature between my legal guardian and this applicant.

20. . .

year Month Day

seal/

Applicant's Name Signature

seal/

Guardian's Name Signature

I recommend the above person as the applicant for the Homeland Education Program offered by NIIED.

20. . .

Year Month Day

Chief of Overseas Missions

(Ambassador, General-Consul)

To the president of the National Institute of International Education

※ This application form may be photocopied and used in multiple copies.

※ If above mentioned information should not be accurate, your enrollment, or program completion might be cancelled.