Faculty of Science and Engineering AY 2018 WISE Senior Scholarship Application Incentive Scholarship for Young Researchers Name (Last, First): Katakana spelling: Date of Birth (Age): (DD/MM/YYYY) (Age ) Student Number: e-mail: Department / Field of Specialization: Faculty Supervisor: Education Graduate School (Waseda Univ.): Master’s Degree Program: Expected Date of Completion (Mo., Yr.): Undergraduate School: Department: Graduation Date (Mo., Yr.): Work Experience Research Theme (Brief Description) Participation in Faculty of Science and Engineering project institutes: No □Yes □ Research and Academic Activities Indicate the appropriate number for each itemized category below. Also, fill out the section, “Research and Academic Activities.” No. of academic papers that have been published or have been submitted to journals or ① periodicals to be published by academic societies, etc: No. of academic papers that have been published or have been submitted to be published in ② the proceedings of international conferences, etc: No. of academic papers presented at national conferences, symposia, colloquia, etc. that have ③ been published or have been submitted to be published in event proceedings, etc.: No. of presentations made at national conferences, symposia, colloquia, etc. This number ④ includes participation in panel discussions, poster sessions, as well as presentations which have not been published in event proceedings: No. of presentations given at public and private organizations:______ ⑤ No. of presentations and lectures (including commemorative lectures, special lectures, etc.) given ⑥ at the request of national conferences, symposia, and colloquia: No. of awards and citations received from academic societies, professional organizations, ⑦
Faculty of Science and Engineering AY 2018 WISE Senior Scholarship Application Incentive Scholarship for Young Researchers Name (Last, First): Katakana spelling: Date of Birth (Age): (DD/MM/YYYY) (Age ) Student Number: e-mail: Department / Field of Specialization: Faculty Supervisor: Education Graduate School (Waseda Univ.): Master’s Degree Program: Expected Date of Completion (Mo., Yr.): Undergraduate School: Department: Graduation Date (Mo., Yr.): Work Experience Research Theme (Brief Description) Participation in Faculty of Science and Engineering project institutes: □Yes □ No Research and Academic Activities Indicate the appropriate number for each itemized category below. Also, fill out the section, “Research and Academic Activities.” ① No. of academic papers that have been published or have been submitted to journals or periodicals to be published by academic societies, etc: ② No. of academic papers that have been published or have been submitted to be published in the proceedings of international conferences, etc: ③ No. of academic papers presented at national conferences, symposia, colloquia, etc. that have been published or have been submitted to be published in event proceedings, etc.: ④ No. of presentations made at national conferences, symposia, colloquia, etc. This number includes participation in panel discussions, poster sessions, as well as presentations which have not been published in event proceedings: ⑤ No. of presentations given at public and private organizations:______ ⑥ No. of presentations and lectures (including commemorative lectures, special lectures, etc.) given at the request of national conferences, symposia, and colloquia: ⑦ No. of awards and citations received from academic societies, professional organizations,
180423_English_wise_senior_form.docx