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Application Form for Kansai University 21st Century Skills Program Summer 2023
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INSTRUCTIONS
Please read the instructions below carefully before completing this form. Kansai University is not responsible for incomplete applications.

1. This form must be completed by the student's home institution. Individual applications will NOT be processed.
2. Columns C-O MUST be completed, or this application form will be considered invalid and will NOT be processed.
3. Students’ names should be entered into this form as they wish for them to appear on their program certificate. Special requests for name changes cannot be made after application. Exceptions will only be made for misspelled names.
4. Maximum of 10 students are allowed to apply from one institution. Final selection will be determined by Kansai University.
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Check#Name of person in charge of home institutionContact email of person in charge of home institution Contact email of person in charge of home institution (to confirm)Student Name
(as they wish for it to appear on their program certificate)		Student's Email Adress Student's Email Adress (to confirm)Country/region the university is located inUniversityDepartment／Graduate SchoolYearNative English Speaker (Yes/No)English Language Test Scores (TOEFL, IELTS, etc) *If not available, please type "NA"GPA (Modified/ Total of 4)M～Lに
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