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 School/Faculty of: 3. Comments (Enter only if the applicant desires the Faculty of Arts and Letters, Faculty of Science, School of Medicine, School of Pharmaceutical Science, School of Engineering, or Faculty of Agriculture. Also, if the applicant desires the Faculty of Arts and Letters, School of Medicine, School of Engineering, or Faculty of Agriculture, please comment on his/her academic work.) 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 2025
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