Ito Foundation U.S.A.-FUTI Scholarship Application

* Denotes required fields

Other Sources of Support Check here if you are applying for financial support or scholarship other than the FUTI scholarship

Describe the other source(s) and how much you expect from the other source(s) if selected, and when you expect to hear result(s).

PEAK or GLP-GEfIL

Are/were you a PEAK or GLP-GEfIL student?:

PEAK GLP-GEfIL Neither

Personal Information First Name: * Middle Initial:
Last Name: *
氏名 (Japanese applicant only):
Email Address: *
Please Confirm Your Email Address: *
Home Phone Number:
Office Phone Number:
Mobile Phone Number: *
Postal Code （郵便番号）: *
Prefecture （都道府県）: *
City （市区町村）: *
Street Address （町域、丁目・番・号、ビル名、号棟、階数、号室）: *

Your University University/College: *
Department（学部/研究科） and Course/Major（学科/専攻）: *
Your Year at University: *

The University where you will be studying (if not yet determined, input up to 3 choices) University: *
Department（学部/研究科） and Course/Major（学科/専攻）: *
Year/program you will be entering: *

For example: PhD 1st year, Master 2nd year, Undergraduate 3rd year, etc.

This program will be: *

Online attending in the US Online attending in Japan In-person

University (second choice, if applicable):
Department（学部/研究科） and Course/Major（学科/専攻）:
Year/program you will be entering:

For example: PhD 1st year, Master 2nd year, Undergraduate 3rd year, etc.

This program will be:

Online attending in the US Online attending in Japan In-person

University (third choice, if applicable):
Department（学部/研究科） and Course/Major（学科/専攻）:
Year/program you will be entering:

For example: PhD 1st year, Master 2nd year, Undergraduate 3rd year, etc.

This program will be:

Online attending in the US Online attending in Japan In-person

Start and end date of the study abroad (mm/dd/yyyy): *
to

If you do not know exact dates, please enter estimated dates.

Estimated costs

Provide estimated cost (the tuition, dormitory/housing cost, meals, airfare, insurance, etc.) *

250 words or less.

Other sources of support you have acquired or anticipate (e.g., support from the program, your university, other foundation’s scholarship won or anticipated, support from your parent) *

250 words or less.

The amount of support you need from Friends of UTokyo, Inc. *

250 words or less.

Transcript

If your university transcript does not show your GPA (credit-weighted Grade Point Average) and is based on a 3.0 grading scale as in UTokyo, calculate your GPA using the FUTI GPA calculator and save the resulting PDF so that you can upload it here. Otherwise, skip this field and move on to the "Your GPA" input field.

Upload the GPA calculation sheet (PDF):
Your GPA: *
Maximum GPA for your University: *

If A+ is 4.33, input 4.0 in this field, or 3.0 in the case of UTokyo

Upload a PDF file of your Transcript （大学での成績表） (Maximum size 10 MB): *

Add another transcript (if applicable)

Upload another GPA calculation sheet (PDF):
GPA:
Maximum GPA for the University:

If A+ is 4.33, input 4.0 in this field, or 3.0 in the case of UTokyo

Upload a PDF file of your Transcript （大学での成績表） (Maximum size 10 MB):

English Proficiency

If your mother tongue is English please skip this section.

Please select the English Proficiency Test you have taken:
TOEIC TOEFL iBT (Internet Based Test) IELTS Please enter the score you received on the English Proficiency Test: Upload a PDF of your English Proficiency Test Report (Maximum size 10 MB):

CV（略歴）/Resume

Include academic background （学歴）, work experiences （職歴）, thesis or research topic, extracurricular activities （課外活動）, publications & reports （論文・レポート）, special skills （特技）, awards & prizes （受賞歴）, and other pertinent information.

Leadership and initiative will be evaluated based on your CV.

Upload a PDF or DOC/DOCX file of your CV (Maximum size 10 MB): *

May be in either English or Japanese.

Essay

In English, describe what you would like to accomplish in the program. Approx. 500 words.

Upload a PDF or DOC/DOCX file of your Essay (Maximum size 10 MB): *

Provide any other pertinent information you wish to give us concerning your application.

250 words or less.

Your Reference (i.e., person who will write a recommendation letter)

Please be sure to inform your reference(s) in advance to email a recommendation letter directly to recommendfriendsofutokyo.org by the due date.

Reference's Name: *
Reference's Email Address: *
Reference's Phone Number: *

Add another reference (optional)

Second Reference's Name:
Second Reference's Email Address:
Second Reference's Phone Number:

Pledge

Please confirm the statements below.

I pledge all the statements I have made are accurate to the best of my knowledge and supporting documents are genuine. If I have made any false statement or any document is deemed to be false, I am obliged to return all of the FUTI Award.

I agree *

I will submit a written report to FUTI within one month after the completion of my study or research supported by the FUTI Award.

I agree *

All submissions are final!

Please check over material for accuracy before submitting. After clicking the submit button, please be patient and do not click the back button or close the browser until the confirmation page appears. Thank you.

2021 Ito Foundation U.S.A.-FUTI Scholarship Application

Please confirm the statements below.

All submissions are final!