9th Socially Innovative Global Classroom (SIGLOC) - Application Form
Program date: September 13(Mon) - September 24(Fri), 2021
Application deadline: July 20, Tuesday, 2021 (17:00JST)

Application guideline: http://coil-ocu.sakura.ne.jp/wp/wp/wp-content/uploads/2021/05/SIGLOC_AppGuideline.pdf
Flyer: http://coil-ocu.sakura.ne.jp/wp/wp/wp-content/uploads/2021/05/SIGLOC_leaflet.pdf

The application must include the following matters.
- a minimum 150-word statement of purpose
- a minimum 300-word essay about SIGLOC theme
- your university’s faculty member or an advisor
Please prepare these documents and complete the application form.

*Here is another SIGLOC [Jun 24-Jul 21, 2021] Application Form link: https://forms.gle/oxoJW7xJExHNEZXU6
Email *
Applicant's Name *
[PART I] Statement of Purpose & Short Essay
Please write your statement of purpose and a short essay about the SIGLOC theme.
I-1) Please explain the reason why you would like to participate in the program. (Minimum 150 words) *
We recommend that you create the text with a word processing software in advance, and then copy and paste it in the field below.
I-2) Number of words in the statement above (Use the World Count function to count the words) *
I-3) A theme for this program is "SDGs: Social Innovation in your local community toward solving global issues". In order to realize a sustainable society, what should be done? How can you contribute to accomplish it? Write a short essay to explain your ideas. (Minimum 300 words) *
We recommend that you create the text with a word processing software in advance, and then copy and paste it in the field below.
I-4) The number of words in the essay above (Use the World Count function to count the words). *
[PART II] Information about your reference person
Please give information about your university’s faculty member or an advisor.
II-1) Family / Last Name of your university’s faculty member or an advisor *
II-2) First Name of your university’s faculty member or an advisor *
II-3) Middle / Other names of your university’s faculty member or an advisor (if any)
II-4) Title / Affiliation of your university’s faculty member or an advisor *
II-5) E-mail address of your university’s faculty member or an advisor *
II-6) University / Institution / Company of your university’s faculty member or an advisor *
II-7) Address of university / institution / company of your university’s faculty member or an advisor
[PART III] Information about the Applicant
Information about yourself.
III-1) Family/Last‌ ‌Name‌ ‌ ‌ *
III-2) First‌ ‌Name‌ *
III-3) Middle Name (if any)
III-4) Nationality *
III-5) Country in Residence *
III-6) Gmail (Google mail) Address *
Gmail (Google mail) address is required to participate in this program. Please provide your Gmail address to be shared with other participants. If you don't have one, please create a new account at Google mail web-site.
III-7) University / Institution *
III-8) Faculty / Department *
III-9) Year of Study in College *
Required
III-10) GPA (the most recent)
III-11) About your devices and ICT environment, check if "Yes" *
Required
III-12) How did you hear about this program? *
Required
[PART IV] Agreement & Others
Please read the statements below and show if you can agree with it.
IV-1) I allow organizers to capture my photos/videos and products (e.g., reports, presentation materials) during SIGLOC and utilize them for the purposes of public relations, conference, publication, etc, in order to improve the quality of the SIGLOC program. *
To sign the agreement form is one of the requirements for participating in the SIGLOC program. Please be sure to read the agreement form carefully and check below. (http://coil-ocu.sakura.ne.jp/wp/wp/wp-content/uploads/2021/05/8th9th_SIGLOC_Ageement.pdf)
IV-2) I understand that : (1) I must follow the guidelines of the Socially Innovative Global Classroom (SIGLOC) throughout the term. (2) I certify that all the information given in my application form is complete and accurate. Falsification or omission of information may result in the withdrawal of my application or in the revocation of admission and/or registration. (3) I must submit additional permission and liability forms following the instruction by the organizer prior to the start of the program. *
If you have any requests or concerns related to participating in this program, please write below.
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy