ASEAN Graduate Students Exchange Program (ASEAN-GSEP 2013) Faculty of Political Science, Chulalongkorn University Bangkok, THAILAND

ASEAN Graduate Students Exchange Program (ASEAN-GSEP 2013) Faculty of Political Science, Chulalongkorn University Bangkok, THAILAND ASEAN Graduate Exchange Programs (ASEAN-GSEP) is a 4-months exchange program offered by Faculty of Political Science, Chulalongkorn University for graduate students from 9 ASEAN countries (Myanmar, Laos, Cambodia, Vietnam, Indonesia, Singapore, Malaysia, Brunei, The Philippines) who are interested to join the program in Master of Arts in International Development Studies (MAIDS). An exchange student can take up to 9 credits (3 Subjects). Accepted applicants can choose to start the program in October 2013 to January 2014 or February 2014 to May 2014. The Deadline for Submission is 15 th March 2013. The benefits include: - Tuition and fees waiver - Round-Trip Economic Class Flight - Monthly Stipend and Accommodation (16,000 THB) - Credit transfer to the home university - Letter of acknowledgment from the program - Part-time Internship in one of Research Institutes/Study Centers in Chulalongkorn University Requirements of Applicants: - Applicants must be an active graduate student who is enrolled in a twoyear program at an accredited university in an ASEAN country except Thailand. - Applicants must be a citizen of an ASEAN member country - All ASEAN students studying in Thailand are ineligible to apply. Application Procedure: - Application Form (A + B) - Statement of purpose - Official transcript with latest GPAX. - One 1-inch photograph (face shot with no hat, sunglasses, or computer editing). - Letter of Recommendation from the program of the home university - English Proficiency: TOEFL score minimum 550, IELTS score 6 or CU-TEP score 550 (Scores must be less than 2 years old based on the date of application) -The decision will be made by MAIDS Board of Committee and the successful applicant will be notified by mail. Submit your application and supporting documents to the following address: Master of Arts in International Development Studies Faculty of Political Science, Chulalongkorn University Henri-Dunant Road, Bangkok 10330, Thailand Outside Thailand: Tel. +66-2-218-7249 Fax. +66-2-652-5281 Inside Thailand: Tel. 02-218-7249 Fax. 02-652-5281 Email: maids@chula.ac.th

Application Form - A The M.A. in International Development Studies Faculty of Political Science Chulalongkorn University Bangkok, Thailand (ONLY FOR ASEAN-GSEP 2013) No. of Application: 1 Photo Application form Important Type or Write in Block Capital Letter, using black ink Section 1 PERSONAL DETAILS Name : Surname/Family name : Middle Name : Gender: Male Female Title: (Mr./Ms./Mrs.) Date of Birth: Age: (DD/MM/YY) Place of Birth: Country of resident: Nationality: Native language: Home/Permanent address: Telephone number (including country and city code): Fax: Email: Correspondence Address (If different): Telephone number (including country and city code): Fax: Email: I.D/Passport Number: Issued by: Date of issue: Exp date: Visa Details (for those who have obtained a Thai visa): T (Tourist) Ed (Education) B (Business) Others.. Issued by: Date of issue: Exp date: Section 2 EDUCATION: University/College Education and Qualifications Dates of Attendance GPA/ From To University/Institute Major Academic (Month/ (Month/ Record Year) Year) Degree Level 1

Application Form - A Section 3 EMPLOYMENT RECORD: Professional and other relevant experience: Please state your previous or present employer, any professional and/or relevant experience, any volunteer work or qualifications relevant to development work Dates Organization Job title Responsibility From (Month/Year) To (Month/Year) Section 4 ENGLISH PROFICIENCY (non-native English speakers only): If English is not your first language, please state qualification and level achieved. TOEFL Score: taken on (Date) IELTS Score: taken on (Date) CU-TEP:. taken on (Date) Others:.. Section 5 How did you hear about ASEAN-GSEP 2013 program? 1. Advertisement in Newspaper 8. Careers Office 2. Website: please name)... 3. Chulalongkorn University Prospectus 4. My employer (Please name)... 9. Education Fair/Exhibition (Please state name)... 10. Personal Recommendation (Please state name and organization)... 11. From Chulalongkorn University Student/Staff 5. Banners in front of the University 12. From MAIDS Student/Staff (Please name)... 6. Brochure 13. I m a candidate from last year 7. Poster at... 14. Other (Please give details) 2

Application Form - A... Section 6 REFERENCE: Please provide details of your reference giver below. Name: Position: Relationship to you: Address: Telephone: Fax: Email: Section 7 EXTRA-CURRICULAR ACTIVITIES: Please give any further information that you wish to add in support of your application: any publications, experience with advanced studies or research and any other practical work you believe to be relevant. If you wish, you may also include extra documentation to support your candidacy (e.g. C.V./resume). Section 8 STATEMENT OF PURPOSE: Write a concise statement, in no more than 1,000 words (3 typed, double-spaced pages), answering the following questions: 1. What is your most valued experience or accomplishment? 2. What is your research interest? 3. What are your career expectations? 3

Application Form - A Please remember the Admission Committee places strong emphasis on this statement, do not forget to sign your name and attach it to your application. 4

Application Form - A Section 9 CROSS-CULTURAL EXPERIENCE 1. Do you have any experience in cross-cultural education? Yes No If you answered yes to question #1, please use the chart below to identify and explain the difficulties you encountered and how you were able to overcome them. If you answered no to question #1, please use the chart below to name and explain the difficulties you anticipate and the skills needed to adapt to an international learning environment. Difficulty 1. Explanation 2. 3. 4. 2. Are you familiar with international degree programs? Yes No If you answered yes to question #2, please briefly describe below your knowledge of/experience with this type of program. If you answered no to question #2, please briefly describe below what you expect to gain from an international degree program. 5

Application Form - A Section 10 CHECKLIST FOR DOCUMENTS ENCLOSED Application form - A (MAIDS Program) Application form - B (CHULALONGKORN UNIVERSITY SCHOLARSHIP) 1 photograph Official transcript from the university being attended Photocopy of the previous degrees Curriculum Vitae/Resume Statement of Purpose TOEFL, IELT or CU-TEP test results One letter of recommendation One sample of writings (paper/article/report written by the applicant) Photocopy of passport Section 11 DECLARATION I hereby certify that to the best of my knowledge, the information furnished in this application is true and complete. I understand that if found to be otherwise, it is sufficient cause for refusal and dismissal. I also understand that if I am admitted, my admission is contingent upon my final credentials reflecting academic achievement similar to the assessment at the time of my admission. If I enroll as a student of the M.A. program in International Development Studies, Chulalongkorn University, I agree to observe all campus policies and regulations. I hereby consent to the release of my transcript or any other materials relevant to make an informed admission decision at the institution receiving this application. Applicant s Signature Date This application and all documents should be received by March 31st for the academic year specified. When complete, please sign, date and return the form enclosing all necessary documentation to: M.A. in International Development Studies Room 114, 1 st Floor, Building No. 2 Faculty of Political Science, Chulalongkorn University Henry-Dunant Road, Pathumwan Bangkok 10330, THAILAND Tel: 662-218-7313, Fax: 662-252-6277, E-mail: maids@chula.ac.th 6

Application Form B APPLICATION FOR CHULALONGKORN UNIVESITY SCHOLARSHIP (ASEAN COUNTRIES) (Application must be typed) PART ONE : (to be completed by the applicant) 1. Name : Mr./Ms./Mrs. First name 2. Date of Birth : 3. Age: (year) (month) (date) Family name Recent-photo without headgear 3cm x 4cm 4. Nationality : 5. Marital Status : Passport Number 6. Name of the University/Institution : City Country Current Title/Position 7a.Office address: Faculty Department Tel Fax E-mail b. Home address: 8. Academic qualifications : Bachelor s degree Institution Country Field of study G.P.A. Master s degree Institution Country Field of study G.P.A. 9. Please indicate which faculty of Chulalongkorn University you are applying for. Faculty Department Field of study

2 10. Language proficiency ( Poor, Fair, Good, Excellent ). 1. 2. 3. Foreign language Listening Reading Speaking Writing If you have taken the test of English as a Foreign Language (TOEFL or IELTS), what was your score? (Please attach an official score report issued within the last two years). 11. Previous scholarships, fellowships, grants, and other honors or awards. 12. Are you applying for financial aid from government, international organization or other than Chulalongkorn University? If so, please give details. 13. List all the academic or other positions you held or had been holding in chronological order and with dates. 14. If you have visited or lived in any countries other than the one in which you are now residing, please give places, dates, and purposes.

3 15. Health insurance : Chulalongkorn University has a hospital facility. However, instructors are recommended to have comprehensive health insurance policy to cover medical services in case of serious illness requiring hospitalization. Name of the medical insurance agency No. of membership Address of the agency 16. Publications : (Attach additional pages if necessary). 17. Proposed plan of study or research (Write in detail)

4 18. Brief description of applicant s present position and responsibilities : 19. Plan after completing study at Chulalongkorn University. I declare that the information given is true and correct to the best of my knowledge and that if I have been awarded a scholarship, I agree to comply with the rules and regulations of Chulalongkorn University. Signed Date

5 PART TWO : Institution approved (to be signed by the President /Rector,Dean,Head of the applicant s university/ministry/public organization). Application is incomplete without approval. TO : CHULALONGKORN UNIVERSITY We approve and recommend the application of for scholarship in support of graduate study abroad toward a Master s/ Doctoral degree. Upon completion of the degree program undertaken, the above faculty member is expected and obligated to resume appropriate duties at his/her university. Signed Name ( ) Title Date