Please do not mark in the above space. Tohoku University Admission for International Baccalaureate Holders Date____________________________ School Name Principal's Name Form Preparer ATTN: President of Tohoku University Position_______________________ Name _______________________ Your school takes responsibility for its evaluation of the below-named applicant who holds an International Baccalaureate. 1. Applicant's Name Etc. Phonetic Japanese (if known) Name 2. Desired School/Faculty etc. Desired School/Faculty ■■The above applicant has a strong desire to study at Tohoku School/Faculty of: 3. Confirmation of Intent to Enroll As a condition of applying via Tohoku University Admission for International Baccalaureate Holders, applicants must have a strong desire to study at Tohoku University and be committed to enrolling if accepted. Please confirm that this is the case with the applicant. After confirming, please enter a checkmark in the box below. Please print this as a double-sided form. Address ____________________________ Phone No. ____________________________ Applicant Assessment Form (Please ask your high school etc. to prepare this form.) ____________________________ ____________________________ ____________________________ Date of Birth Gender Male / Female Date: Desired Division/Department (Enter only if the student desires the Faculty of Science or School of Engineering) Division/Department of: Official Seal Seal Date/Expected Date of Graduation/Completion: For the Academic Year 2023 University and is committed to enrolling if accepted.
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