[ICU] Application Form for Exchange/Invitee Program

【Deadline: March 14, 2025, JST】

Please fill out all the blanks below and attach the required documents;
1. [ICU-B] Application Essay for Exchange/Invitee Program
2. Photocopy of the Personal Information Pages of Applicant's Passport
3. Proof of English/Japanese Language Proficiency (only if applicable)


Please note that the maximum file size is 10MB in total.


Period of Study at ICU

Applicant's Information
Official LAST Name in English appears on your passport
Official FIRST Name in English appears on your passport
Official MIDDLE Name in English appears on your passport
Official Last Name in Katakana (カタカナ)
Official First Name in Katakana (カタカナ)
Official Middle Name in Katakana (カタカナ)
Official Last Name in Kanji (漢字)
Official First Name in Kanji (漢字)
Official Middle Name in Kanji (漢字)

Name of Institution
If you are from ACUCA member university, please write your university name.
If you are from JCCI SINGAPORE FOUNDATION LIMITED, please write your university name.
If you are from University of California, please write your campus name.
If you cannot find your university, please write your university name below.
Name of faculty/college/school/department
e.g. Department of Liberal Arts
Major(s)
e.g. Education
Minor(s)
e.g. Japanese studies
Current Level of Study at Home Institution
Current Year at Home Institution
year
(e.g.) 1st, 2nd, 3rd, 4th, and etc.
/
Cumulative GPA
*If GPA scale is not applicable such as UK, please write the numeral grade.
(e.g.) 3.20 / 4.00
(e.g.) 65.50
/

Date of Birth (YYYY/MM/DD)
​e.g. 2003/04/01
Age as of September 1st, 2025
years old
Gender
/
Do you hold a Japanese nationality?
/
If you hold a Japanese nationality, do you hold a Japanese passport?
/
Nationality(ies)
Please list ALL nationalities you hold.
*This is NOT ethnicity.
e.g. USA / JAPAN / HONG KONG / TAIWAN / THE NETHERLANDS / KOREA / THE PHILIPPINES
Native Language(s)
/
Language Proficiency
/
Proof of Language Proficiency
Please attach the official score report.
For those whose native language is English/Japanese, please choose "NA".
/
TOEFL Score
TOEFL
IELTS Score
IELTS
Others
Please specify the proof of the language proficiency for your English/Japanese.
(e.g.) A letter from my home university.

Current Address (Where you live to go to your home institution)
Please write complete current home address including name of state/city, postal code, and country.
/
Telephone Number
(e.g.) +81-(0)422-33-3117
/
Main Email Address

Parent(s)/Guardian's Information
Official Name(s)
/
Relationship(s) to the Applicant
/
Home Address
Please write complete home address including name of state/city, postal code, and country.
/
Telephone Number
(e.g.) +81-(0)422-33-3117
/
Main Email Address

Educational Background

Please provide your complete educational background, including information from high school through higher education.
Higher education includes colleges, universities, and similar institutions.
Please list ALL the high schools you attended.
Name of High School
Location (City, State/Province and Country)
e.g. San Francisco, California, USA
Period of Attendance
From (YYYY/MM)
Period of Attendance
To (YYYY/MM)
Did you attend high school(s) other than above?
/
Please write name, location (City, State/Province, and Country) and period of attendance of the high school(s) you attended.
e.g. ICU High School, Mitaka City, Tokyo, Japan, 2020/04-2023/03

Please list ALL the higher education institution(s) you attended.
(e.g. college or university)
Name of Current School (University)
Location (City, State/Province, and Country)
e.g. San Francisco, California, USA
Period of Attendance
From (YYYY/MM)
Period of Attendance (When to graduate)
To (YYYY/MM)
Did you attend higher education institution(s) other than above?
/
Please write name, location (City, State/Province, and Country) and period of attendance of ALL the higher education institution(s) you attended.
Please submit official transcripts of ALL the higher education institutions you attended.
e.g. International Christian University, Mitaka City, Tokyo, Japan, 2020/04-2021/03

Questionnaire Regarding Your Study at ICU at this point

Are you planning to take courses taught in English or/and Japanese?
/
Are you planning to take Japanese Language Programs (JLP) courses?
Please visit JLP Website before answering the question.
 
Are you planning to apply / have you already applied for ICU International Summer Program in Japan (ISPJ) 2025?
Please visit ISPJ Website for details of the Program. Please also note:
  • It is possible to participate ISPJ in July and continue to study in ICU for regular academic terms from September 2025. 
  • You need to apply for ISPJ separately.
  • ISPJ certificate will be issued separately from the transcript for the regular academic terms at ICU. Please consult with your program coordinator at your home institution for the ISPJ credits transfer. 
  • Student housing is guaranteed for ISPJ participants during ISPJ in July, but not in August and during the regular academic terms. Students participating in both ISPJ and exchange program at ICU from autumn term must secure their own housing for August. Please apply separately for on-campus dormitory for autumn term and after.

1. [ICU-B] Application Essay for Exchange/Invitee Program
PLEASE CHECK BEFORE YOU SUBMIT
1) Is your signature digitally signed using Adobe Acrobat Reader?
2) Have you uploaded your photo?
3) Have you changed the file name to "2_Essay_NAME"?
(e.g. 2_Essay_Noriko Kimura)
Click the button above and select a PDF file to upload.


2. Photocopy of the Personal Information Pages of Applicant's Passport
PLEASE CHECK BEFORE YOU SUBMIT
Have you changed the file name to "Passport_NAME"? 
(e.g. Passport_Noriko Kimura)
Click the button above and select a PDF file to upload.

3. Proof of English/Japanese Language Proficiency (only if applicable)
An English language proficiency certificate with a TOEFL score of 79 (iBT) or an IELTS score of at least 6.0 OR a Japanese language proficiency certificate with JLPT N1 or N2. (Either is fine)
※This is exempted for students whose university is located in the UK, USA, Canada, Australia, or New Zealand.

Click the button above and select a PDF file to upload.
PLEASE CHECK BEFORE YOU SUBMIT
Have you changed the file name to "6_Language_NAME"?
(e.g. 6_Language_Noriko Kimura)

4. Research Plan (ONLY for Graduate level of study)
PLEASE CHECK BEFORE YOU SUBMIT
- Style is arbitrary. Typed in A4-size, PDF format. Make sure the text is not garbled.
- Maximum length is 4,000 characters in Japanese, or 3,000 words in English, excluding bibliography.
- Attach a cover page which includes:
 Title of the research plan
 Your name
 Desired Program and Area of Concentration at ICU Graduate School*
Click the button above and select a PDF file to upload.
5. English Summary of Research Plan (ONLY for Graduate level of study)
PLEASE CHECK BEFORE YOU SUBMIT
- Style is arbitrary. Typed in A4-size, PDF format. Make sure the text is not garbled.
- Maximum length is 1,000 words.
- Attach a cover page with the same information you included on the cover page of your Research Plan.
- Submission of a Japanese Summary of the research plan is optional. When submitting, attach a cover
accordingly as well.
Click the button above and select a PDF file to upload.
6. Identical Color Photos (※Japanese nationals only)
PLEASE READ BEFORE YOU SUBMIT
- 3.0 cm width x 4.0 cm height (1.2 x 1.6 inches) 
- Plain background
- The quality must be excellent enough to be used to apply for a passport
Those who hold Japanese nationality, please submit your Identical Color Photos here.
Those who hold a nationality other than Japanese, please submit your Identical Color Photos through the CoE Application.

Comments (if any)

Confirmation
I confirm that the information I provided in this application is, to the best of my knowledge, true, accurate and complete.

All personal information will be used only for admission purposes, such as documentary screening, correspondence with applicants and home universities, announcement of admission results, entrance procedures, and other related administrative tasks.
Data collected through admission process may be used for data analysis for admission-related research, which will be used only within the University. Further information on the ICU policy for the protection of personal information can be found at: https://www.icu.ac.jp/en/policy/index.html.

Click the button below to confirm your details.