JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
九創会刮目基金 奨励金（第三期） / The Kyusoukai Fund Application Form（３rd )
応募受付期間：2024年4月1日（月）～5月31日（金）23:59
Application period: Monday, April 1, 2024 - Friday, May 31, 2024
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
氏名 / Name
*
Your answer
フリガナ / Name in Katakana if you can write, or in English
*
Your answer
学籍番号 / Student ID number
*
Your answer
学部・学府名 専攻名 / Department and Major
*
Your answer
所属研究室（あれば）/ Affiliated Laboratory (if any)
Your answer
学年 / Grade
*
Your answer
携帯電話番号 / Cellphone number
*
Your answer
テーマ名
*
Your answer
九創会刮目基金に応募のテーマについて、自らの言葉で説明してください。/ Please explain in your own words the theme of your application to the Kyusoukai Fund.
*
Your answer
応募テーマについて、採択期間中の目標と3年後の目標について教えてください（＝刮目目標）/Please tell us about your goals during the adoption period and after 3 years for the theme you applied for. (=Eye-opening goals)
*
Your answer
応募のテーマ（以下から最も近いものを一つ選択してください）/Theme of your application (please select one of the following)
*
(１) 自らの内面に深く抱え続けている問題意識に基づくテーマ /Themes based on a deep and continuing awareness of one's own internal problems
(２) 自らの葛藤や問題意識と実社会とのギャップに基づくテーマ /Themes based on the gap between your own conflicts and awareness of problems and the real world
(３) その他自由テーマ /Other free themes
九創会刮目基金に応募しようと思ったきっかけを教えてください。/ What made you decide to apply for the Kyusoukai Fund?
*
Your answer
採択期間中の留学の有無を教えてください。/ Please let us know if you will be studying abroad during the adoption period.
*
有 / Yes
無 / No
その他、質問などがあれば教えてください。/ Please let us know if you have any other questions.
Your answer
九創会刮目基金についてどこで知りましたか？（複数選択）/ How did you know about the Kyusoukai Fund?(multiple selection)
*
QRECホームページ / QREC Webpage
QRECTwitter
ポスター / Poster
教員から / from Facalty
友人から / from Friend
メール / e-mail
Moodle
Other:
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
