Name of University*

Name and title of coordinator*

Coordinator's email address*

メールアドレス Email address

メールアドレス確認 Confirm email address

Email address to which we should send your students' academic transcript*

Home Institution Declaration and Exchange Agreement*

• I confirm that all the nominated students are in good academic and disciplinary standing and fully supports their application to study abroad. I have informed all the nominated students of the terms of the exchange agreement as they apply to study possibilities and financial responsibility. I confirm that we maintain our responsibility to the nominated students, even if they graduate from our university during their study abroad period.

Will any of the nominated students graduate from the home university during the study abroad period?*

• Yes
• No

If you selected "Yes" above, please enter the name of the relevant student.

(No.1) Given name*

(No.1) Surname*

(No.1) SEX*

• Men
• Women

(No.1) Academic level*

• Undergraduate
• Graduate

(No.1) Grade*

• 1
• 2
• 3
• 4

(No.1) Study abroad length*

• Spring 2027 (March 2027 - August 2027)
• Spring 2027 and Fall 2027 (March 2027 - December 2027)
• Spring 2027 and Fall 2027 (March 2027 February 2028)

(No.1) Early departure requirement (End of December)

If the student needs to return home by the end of December to attend the next semester starting in January at your institution, please upload your university's official academic calendar to verify their schedule.

(No.2) Given name

(No.2) Surname

(No.2) SEX

• Men
• Women

(No.2) Academic level

• Undergraduate
• Graduate

(No.2) Study abroad length

• Spring 2027 (March 2027 - August 2027)
• Spring 2027 and Fall 2027 (March 2027 - December 2027)
• Spring 2027 and Fall 2027 (March 2027 February 2028)

(No.2) Early departure requirement (End of December)

If the student needs to return home by the end of December to attend the next semester starting in January at your institution, please upload your university's official academic calendar to verify their schedule.

(No.3) Given name

(No.3) Surname

(No.3) SEX

• Men
• Women

(No.3) Grade

• 1
• 2
• 3
• 4

(No.3) Study abroad length

• Spring 2027 (March 2027 - August 2027)
• Spring 2027 and Fall 2027 (March 2027 - December 2027)
• Spring 2027 and Fall 2027 (March 2027 February 2028)

(No.3) Early departure requirement (End of December)

If the student needs to return home by the end of December to attend the next semester starting in January at your institution, please upload your university's official academic calendar to verify their schedule.

(No.4) Given name

(No.4) Surname

(No.4) SEX

• Men
• Women

(No.4) Academic level

• Undergraduate
• Graduate

(No.4) Grade

• 1
• 2
• 3
• 4

(No.4) Study abroad length

• Spring 2027 (March 2027 - August 2027)
• Spring 2027 and Fall 2027 (March 2027 - December 2027)
• Spring 2027 and Fall 2027 (March 2027 February 2028)

(No.4) Early departure requirement (End of December)

If the student needs to return home by the end of December to attend the next semester starting in January at your institution, please upload your university's official academic calendar to verify their schedule.

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