Academic History Record Sheet

※This is a sample form. Please complete and submit Academic History Record Sheet on the online application website.

Admission Track	□ International Student Track □ GLC International Student Track
Major / Department
Applicant Name

1. Records of elementary, middle and high school enrollment period by schools attended

※ List the names of all schools attended (including both domestic and international institutions) in the following order: elementary school, middle school, and high school.

※ Applicants who have attended a university after graduating from high school are encouraged to provide the relevant information as well.

School Information					Enrollment Information
#	School Name	School System (years)	Country	City	Enrolled grade & semester	Enrolled Period(yyyy/mm/dd)
1					grade semester ~ grade semester	. . . ~ . . .
2					grade semester ~ grade semester	. . . ~ . . .
3					grade semeste r~ grade semester	. . . ~ . . .
4					grade semester ~ grade semester	. . . ~ . . .
5					grade semester ~ grade semester	. . . ~ . . .

2. Special Note

Applicants must provide details of any special circumstances during their period of study, including overlapping enrollment periods, grade skipping, missing academic records for a specific semester, leave of absence, or other relevant matters.

Grade/Semester	Reason

3. Disciplinary History

Have you ever received a warning or disciplinary action(including academic probation, suspension, dismissal or any equivalent measure) from your school for school violence or similar reasons during your enrollment?   □ Yes (Additional documents required) □ No

The above contents are factually true and if any false entry is confirmed,

I will accept the corresponding measures of the school, such as admission revocation even after admission.  □ Agree

YYYY .  MM . DD .