Applicant’s Information form お名前Name ふりがな E-mail プログラムの種類Type of program Select the type of program MS/PhD integrated program MS program Doctoral course 秋入学の予定Autumn enrollment: はい (2024年10月入学を計画) Y (Plan to start in October, 2024) いいえ (2025年4月入学を計画) N (Plan to start in April, 2025) 出身大学Alma mater 大学University 学部(研究科) / 学科(専攻)Department / Faculty 現在もしくは直近の所属先 (外研生は外研先)Place of your current or latest research まだ研究を開始していない場合には、空欄のままにする。 Leave blank if you have not started research activities yet. 大学University 学部(研究科) / 学科(専攻)Department / Faculty 研究室Laboratory 一貫研究プログラム(修士課程)MS/PhD integrated program 所属希望研究室Applying laboratory Select laboratory Aida Lab Okamoto Lab Sakai Lab Sando Lab Suzuki Lab Nozaki Lab Interfacial Molecular Engineering Lab Neurobiology Lab Fluoroorganic Chemistry Lab Nishimasu Lab Kudo Lab Yoshie Lab Houjou Lab Ikeuchi Lab Osawa Lab Minami Lab Tsuboyama Lab Tsumoto Lab 事前面談日 最初の面談日Dates of interview 1st interview yyyy/mm/dd 事前面談日 最後の面談日Dates of interview Last interview yyyy/mm/dd GPA 志望動機(300字以内 改行は削除されます)Statement of intent for the program(Not more than 300 characters. Line feed codes will be deleted.) * 以下の文章を読み、同意のうえ、印刷後に手書きで日付と名前を記入してください。 * Please read the statement below carefully and add the date and your name on this agreement by hand after printing. 私は、可能な限り、博士の学位の取得を目指して研究を全うします。 I pledge to pursue my research with the aim of obtaining a PhD degree unless for reasons beyond my control. 日付Date 氏名Name 修士修了プログラムMS program 配属志望アンケート (所属を希望する研究室を希望順に選択してください(最大5研究室まで)) Laboratory preference survey (Select the laboratories you want to join from the list in the order of descending priorities (Five at most)) 1st Select laboratory Aida Lab Okamoto Lab Sakai Lab Sando Lab Suzuki Lab Nozaki Lab Interfacial Molecular Engineering Lab Neurobiology Lab Fluoroorganic Chemistry Lab Nishimasu Lab Kudo Lab Yoshie Lab Houjou Lab Ikeuchi Lab Osawa Lab Minami Lab Tsuboyama Lab Tsumoto Lab 2nd Select laboratory Aida Lab Okamoto Lab Sakai Lab Sando Lab Suzuki Lab Nozaki Lab Interfacial Molecular Engineering Lab Neurobiology Lab Fluoroorganic Chemistry Lab Nishimasu Lab Kudo Lab Yoshie Lab Houjou Lab Ikeuchi Lab Osawa Lab Minami Lab Tsuboyama Lab Tsumoto Lab None 3rd Select laboratory Aida Lab Okamoto Lab Sakai Lab Sando Lab Suzuki Lab Nozaki Lab Interfacial Molecular Engineering Lab Neurobiology Lab Fluoroorganic Chemistry Lab Nishimasu Lab Kudo Lab Yoshie Lab Houjou Lab Ikeuchi Lab Osawa Lab Minami Lab Tsuboyama Lab Tsumoto Lab None 4th Select laboratory Aida Lab Okamoto Lab Sakai Lab Sando Lab Suzuki Lab Nozaki Lab Interfacial Molecular Engineering Lab Neurobiology Lab Fluoroorganic Chemistry Lab Nishimasu Lab Kudo Lab Yoshie Lab Houjou Lab Ikeuchi Lab Osawa Lab Minami Lab Tsuboyama Lab Tsumoto Lab None 5th Select laboratory Aida Lab Okamoto Lab Sakai Lab Sando Lab Suzuki Lab Nozaki Lab Interfacial Molecular Engineering Lab Neurobiology Lab Fluoroorganic Chemistry Lab Nishimasu Lab Kudo Lab Yoshie Lab Houjou Lab Ikeuchi Lab Osawa Lab Minami Lab Tsuboyama Lab Tsumoto Lab None GPA 博士後期課程Doctoral course 所属希望研究室Applying laboratory Select laboratory Aida Lab Okamoto Lab Sakai Lab Sando Lab Suzuki Lab Nozaki Lab Interfacial Molecular Engineering Lab Neurobiology Lab Fluoroorganic Chemistry Lab Nishimasu Lab Kudo Lab Yoshie Lab Houjou Lab Ikeuchi Lab Osawa Lab Minami Lab Tsuboyama Lab Tsumoto Lab 事前面談日 最初の面談日Dates of interview 1st interview yyyy/mm/dd 事前面談日 最後の面談日Dates of interview Last interview yyyy/mm/dd GPA 志望動機(300字以内 改行は削除されます)Statement of intent for the program(Not more than 300 characters. Line feed codes will be deleted.) Go to the page for confirming your application form