Indicate your choice with a check

Application Form: KOREAN HOMELAND EDUCATION (K-HED)

Indicate your choice with a check □ (∨)mark.

성 명 Name

Korean Date of Birth yyyy / mm / dd

사 진 Photo 3.5 × 4.5 ㎝ English

(English name as printed in your passport)

Sex □ Male □ Female

Telephone Number (Include Country Code)

Country of Birth

Nationality Passport no.

Occupation Address

E-mail

Fluency

□ Advanced

□ Intermediate

□ Beginner

Type of Course

□ University Preparatory Course

□ Ⅰ: Apr 2, 2019 to Aug 23, 2019 (5 months)

□ Ⅱ: Sep 3, 2019 to Jan 30, 2020 (5 months)

□ Understanding Korea Course

□ Spring: Apr 2, 2019 to May 30, 2019 (2 months)

□ Summer: Jul 2, 2019 to Aug 23, 2019 (2 months)

□ Autumn: Sep 3, 2019 to Oct 31, 2019 (2 months)

□ Winter: Dec 3, 2019 to Jan 30, 2020 (2 months)

□ Special Vacation Course □ Summer: Aug 7, 2019 to Aug 23, 2019 (3 weeks)

□ Winter: Jan 7, 2020 to Jan 22, 2020 (3 weeks)

Academic Record

Duration Name of School

yyyy / mm ~ yyyy / mm Elementary School

yyyy / mm ~ yyyy / mm Middle School

yyyy / mm ~ yyyy / mm High School

yyyy / mm ~ yyyy / mm University

yyyy / mm ~ yyyy / mm

Graduate School

Contact Person in Korea

Name Relationship Telephone No. Address

I, hereby, apply to the 2019 Homeland Education Program for Overseas Koreans under the joint signature of my legal guardian.

I apply to this program with my legal guardian's signature, andI certify that the information contained in this application form is complete and accurate.

20 . . .

Applicant's Name Signature Guardian's Name Signature

I recommend the above person as an applicant for the Homeland Education Program for Overseas Koreans.

20 . . . Korean Ambassador / Consul-General For the president of the National Institute of International Education

※ This application form may be photocopied and used in multiple copies.

※ If above mentioned information is not accurate, it may be sufficient cause for terminating your enrollment.

직 인Official Stamp

2019 Korean Homeland Education(K-HED) Study Plan

Name Nationality

Country of Residence Date of Birth

Course(s) Applied For □University Preparatory Course (

□Understanding Korea Course

□Winter)

□Special Vacation Course

Elective Class □Advanced Korean Language Class □Advanced History & Culture Class

① motive and study plan

② future plan after completion of education

③ Other Comments (new classes you would like the school to set up etc.)

※ The Study Plan should be written in Korean. However, in the event this is not possible, English, Japanese,

Chinese or Russian may be used.