ふりがな                                                         生年月日
 出願届(記入例)                                                             回生   組        番 名前
                                                                                                                                                                   昭和
                                                                                                                                                                                     年           月           日生   枚目
                                                                                                                                                                   平成
 
    推薦入試               一般入試                          住所      〒                                                                                         電話番号
                                                             変更なければ
                                                             2枚目以降記入不要
 
       ※以下の内容をボールペンで記入し提出。
     大学コード番号(左詰め)                調                                4大
                                                                                                                                                                                                  合
                                                                       国
 （推薦入試等、コード表にない日程・方                                       短大                                                                                               入学       合格            確
                                           査        入試形式          公               学校名                学部     学科/専攻     日程       入試方式     出願期間
 式の場合は同じ学科のコード番号を記入                                       専門                                                                                               試験       発表            定
                                           書                          私                                                                                                                         否
 し、右の欄に正確な日程・方式を記入）                                         他
                                                    総合      専願     国    4大                                                                                                                  合
                                          必要
                                                    学校推                  短大                                                                             ／           ／                     補欠
              -        -                2通目不要
                                                    指定校    併願
                                                                       公
                                                                            専門
                                                                                   県立西宮大学               経営      経営       学校推薦    面接¹＋小論                       ／         ／
                                                                                                                                                                                                  否
                                         不必要
                                                    一般               私     他                                                                                  消印・必着                     未受験
 
                                                    総合      専願     国    4大                                                                                                                  合
                                          必要
                                                    学校推                  短大                                                                             ／           ／                     補欠
              -        -                2通目不要
                                                    指定校    併願
                                                                       公
                                                                            専門
                                                                                   西宮学院大学               経営        商        公募制    スタンダード                      ／         ／
                                                                                                                                                                                                  否
                                         不必要
                                                    一般               私     他                                                                                  消印・必着                     未受験
 
                                                    総合      専願     国    4大                                                                                                                  合
                                          必要
                                                    学校推                  短大                                                                             ／           ／                     補欠
              -        -                2通目不要
                                                    指定校    併願
                                                                       公
                                                                            専門
                                                                                        、、                  、、      、、         、、         、、                          ／         ／
                                                                                                                                                                                                  否
                                         不必要
                                                    一般               私     他                                                                                  消印・必着                     未受験
 
                                                    総合      専願     国    4大                                                                                                                  合
                                          必要
                                                    学校推                  短大                                                                             ／           ／                     補欠
              -        -                2通目不要
                                                    指定校    併願
                                                                       公
                                                                            専門
                                                                                   西宮経済大学                商                   全学部       3教科                         ／         ／
                                                                                                                                                                                                  否
                                         不必要
                                                    一般               私     他                                                                                  消印・必着                     未受験
 
                                                    総合      専願     国    4大                                                                                                                  合
                                          必要
                                                    学校推                  短大                                                                             ／           ／                     補欠
              -        -                2通目不要
                                                    指定校    併願
                                                                       公
                                                                            専門
                                                                                        、、                  、、                   、、     高得点2教科                      ／         ／
                                                                                                                                                                                                  否
                                         不必要
                                                    一般               私     他                                                                                  消印・必着                     未受験
 
                                                    総合      専願     国    4大                                                                                                                  合
                                          必要
                                                    学校推                  短大                                                                             ／           ／                     補欠
              -        -                2通目不要
                                                    指定校    併願
                                                                       公
                                                                            専門
                                                                                        、、                  、、                 学部個別   高得点2教科                      ／         ／
                                                                                                                                                                                                  否
                                         不必要
                                                    一般               私     他                                                                                  消印・必着                     未受験
 
                                                    総合      専願     国    4大                                                                                                                  合
                                          必要
                                                    学校推                  短大                                                                             ／           ／                     補欠
              -        -                2通目不要
                                                    指定校    併願
                                                                       公
                                                                            専門
                                                                                   西宮商科大学                商       経済        B方式       共テ併用                        ／         ／
                                                                                                                                                                                                  否
                                         不必要
                                                    一般               私     他                                                                                  消印・必着                     未受験
 
                                                    総合      専願     国    4大                                                                                                                  合
                                          必要
                                                    学校推                  短大                                                                             ／           ／                     補欠
              -        -                2通目不要
                                                    指定校    併願
                                                                       公
                                                                            専門
                                                                                   県立西宮大学               経営      経営         前期                                       ／         ／             ○
                                                                                                                                                                                                  否
                                         不必要
                                                    一般               私     他                                                                                  消印・必着                     未受験
 
                                                    総合      専願     国    4大                                                                                                                  合
                                          必要
                                                    学校推                  短大                                                                             ／           ／                     補欠
              -        -                2通目不要
                                                    指定校    併願
                                                                       公
                                                                            専門
                                                                                   上甲東園大学             国際商経    経営         後期                                       ／         ／
                                                                                                                                                                                                  否
                                         不必要
                                                    一般               私     他                                                                                  消印・必着                     未受験
 
                                                    総合      専願     国    4大                                                                                                                  合
                                          必要
                                                    学校推                  短大                                                                             ／           ／                     補欠
              -        -                2通目不要                      公                                                                                                       ／         ／
                                                    指定校    併願          専門                                                                                                                  否
                                         不必要
                                                    一般               私     他                                                                                  消印・必着                     未受験