Outbound Applicants for 2024-Spring Semester Student Moblity
Reg. No.
 Ⅰ. Personal Information
Name(Kor)
Student No.
Photo
Name(Eng)
Date of Birth
Gender
□M  □F  □O
Telephone/
Nationality
Email
 Ⅱ. Academic Information
Department
  
Advisor In GIST
Name of Advisor 
Professor
Approval from Advisor
Signature from Advisor 
Professor
Status
(Current Year and Semester)
    3rd year (Currently 6th Semester) Finished 5th Semester
TGPA
Language Proficiency
 Test
Score
Test date
 Ⅲ. Proposed Institution Academic Information
Proposed Institution(1st)
  
City / Country
Proposed Department(1st)
 
Proposed Institution(2nd)
  
City / Country
Proposed Department(2nd)
 
 Ⅳ. History of dispatch to other universities
Participated Institution
Year of Study
Semester
 □Spring     □Fall
□Other( ex. Summer  )
 I certify that the information given is true, complete and correct to the best of my knowledge 
 and belief and I have not withheld any information that may have a bearing on this application.
Signature
   
Date
  Order of Application Documents
   ① Application form 
   ② A Copy of official transcript
   ③ Evidence of language(English) proficiency
   ④ Other relevant documents
Ⅴ. Personal Study Plan (Statement of Purpose-Essay/Self-Introduction)
[Guideline: Please delete the following quide for writing your essay]
- Language: Korean or English
Length of essay: within 1 A4 Page with fixed format, 11pt (Please keept the current format)
Background: Which academic, personal, and professional experiences have prepared you for the 
mobility program? Please describe successes that may not be apparent from just reading your 
transcript. How will participating in this program help you achieve your goals? Briefly describe 
any other extracurricular interests or activities you hope to engage in at designated University
Anomalies: Please explain any anomalies in your academic transcript, such as a failed course, a 
low GPA, or a change in your major concentration. If there is nothing unusual about your 
transcript, you do not need to include this section.
Ⅵ. Course List  (Total 6 Subject,         ECTS *지원학교에 맞게 변경
No.
Course No. 
Title
Department
Credit(현지 학점)
1
2
3
4
5
6
Ⅶ. Extracurricular Activities (Maximum 5 items within recent 3 years)
No.
Period
Title
Organization
1
yyyy/mm/dd-
yyyy/mm/dd
GIST Winter Internship
Department of XX 
(Lab : XX / Prof. X)
Description: A brief introduction of this activity, your main role in the project, the knowledge and skills 
you have learned and what you have achieved
2
3
4
5