[ICU] Application Form for Exchange/Invitee Program

【Deadline: October 15, 2025, JST】

Please verify your Nomination Number with your exchange coordinator before entering it.

Please fill out all the blanks below and attach the required documents.
Also, please submit each document using the specified file name.

1. [ICU-B] Application Essay for Exchange/Invitee Program
　　"2_Essay_NAME"
2. Proof of English/Japanese Language Proficiency (only if applicable)
　　"6_Language_NAME"
3. Photocopy of the Personal Information Pages of Applicant's Passport
　　"Passport_NAME"
4. Coloured Identical Photo
　　"Photo_NAME"

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

Applicant's Information
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.
Nomination Number
To link your nomination documents with your application documents, please enter your Nomination Number.
Please verify your Nomination Number with your exchange coordinator before entering it.

*For students from the University of California: please enter 888
Period of Study at ICU
Official LAST Name in English appears on your passport
Enter in CAPITAL LETTERS
Official FIRST Name in English appears on your passport
Enter in CAPITAL LETTERS
Official MIDDLE Name in English appears on your passport
Enter in CAPITAL LETTERS
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 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
Please select your current year at your home institution.
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 April 1st, 2026
years old
Gender
Do 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 / THAILAND / BELGIUM / FRANCE
Native Language(s)
Language Proficiency
Proof of Language Proficiency
Please attach the official score report.
For those whose university is located in the UK, USA, Canada, Australia, New Zealand, Hong Kong, or Singapore, 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)
"年": Year / "月": Month
Period of Attendance
To (YYYY/MM)
"年": Year / "月": Month
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)
"年": Year / "月": Month
Period of Attendance (When to graduate)
To (YYYY/MM)
"年": Year / "月": Month
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) 2026?
Please visit ISPJ Website for details of the Program. Please also note: 
  • It is possible to participate ISPJ in July after the exchange program. 
  • 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. 
Submission Items
1. [ICU-B] Application Essay for Exchange/Invitee Program
PLEASE CHECK BEFORE YOU SUBMIT
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. 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, New Zealand, Hong Kong, or Singapore. 

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)
3. 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.
4． Identical Color Photos
PLEASE READ BEFORE YOU SUBMIT
-Please refer to the photo format specifications.
- 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
- Have you changed the file name to "Photo_NAME"?
  (e.g.) Photo_Noriko Kimura

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.
Consent to the Handling of Personal Information
All personal information will be used only for admission purposes, such as documentary screening, correspondence with applicants and home universities, announcement of admission results, and entrance procedures. 
By agreeing, you permit the International Office to share your personal information submitted through the online Application (such as name, home university, and contact details) with relevant departments at ICU after your admission.
Data collected through the 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.