Handbook for Graduate Students

Division of Pharmaceutical

Sciences

(Master’s Level Section of

Integrated Course)

2020

Contents

Exclusive Summary ･････････････････････････････････････････････････････････ 1

List of Class Subjects in the Graduate School of Medical Sciences ･････････････････ 2

Requirements for Course Completion ･･････････････････････････････････････････ 3

Research Guidance ･････････････････････････････････････････････････････････ 6

Guidelines for Research Guidance ････････････････････････････････････････････ 7

Course Registration ････････････････････････････････････････････････････････ 8

Forms

[Form 1] Research Plan ････････････････････････････････････････････････････ 13

[Form 2] Academic and Research Plan ･･･････････････････････････････････････ 14

[Form 3] Advanced Seminar ･･････････････････････････････････････････････････ 15

[Form 4] Pharmaceutical Research Practice II ････････････････････････････････････ 16

[Form 5] Pharmaceutical Sciences Overseas Study Program ････････････････････････ 17

[Form 6] Interdisciplinary Seminar ･････････････････････････････････････････････ 18

[Form 7] Internship (Japanese only) ････････････････････････････････････････ 19

Graduate School of Medical Sciences Division of Pharmaceutical Sciences, Master’s Level Section of Integrated Course

Number of students: 38 students ●Admission Policy (AP)

This program aims to foster human resources equipped with a broad knowledge and research abilities ranging from basic

to applied in pharmaceutical sciences, as well as global view. Through education and basic research treating various

physiologically active substances including medicines from chemical, physical, or biological points of views, the school

trains outstanding human resources who can contribute to general life sciences containing drug discovery. Specifically, the

school cultivates human resources who play an active role as researchers or MRs in pharmaceutical-, chemical-, or

food-related companies and as researchers of public institutions, administrative officers in the field of medical care, public

welfare, pharmaceutical affairs, and environmental sciences. The Division of Pharmaceutical Sciences accepts students

regardless of previous faculty if they strive to succeed in these types of jobs in the future.

In the basic policy on our selection of students, we consider the following traits as important:

• A higher level of academic ability (major field and English)

• Strong motivation to succeed in the field described above in the future.

In the selection process, we evaluate the basic academic ability, English proficiency, logical thinking ability, expressive

power, and so on by achievement and interview examinations.

●Curriculum Policy (CP)

This program employs a curriculum composition consisting of hierarchy and plural processes to achieve a broad

knowledge and research abilities ranging from basic to applied level centered on pharmaceutical sciences. In the hierarchy

process, the lecture subject groups start from ‘Essential GS Course’ and ‘Introduction,’ ‘Advanced Course,’ ‘Experimental

Techniques,’ and ‘Advanced Seminar’ are offered in this order during two years of study. By contrast, in the plural

processes, the subject groups, which cross three areas mentioned as ‘Chemical area,’ ‘Biological area,’ and

‘Pharmaceutical area,’ are offered after ‘Introduction.’ Based on this curriculum, students study a broad knowledge in

early-stage with gradual enhancement of their proficiency level and gain the latest knowledge in the specific area. Then,

students can foster a global view by expert English subjects, classes in English, and in addition ‘Free Course Entries.’

Using the knowledge acquired from the classes, the school cultivates communication abilities in research and

problem-solving abilities for unknown issues through working on ‘Drill Course’ and ‘Practical Course’ in expert course as

well as achieving the research outcomes on specific problems followed by writing a dissertation and its presentation and

discussion.

●Diploma Policy (DP) The goal of this program is to produce students who have obtained research abilities on an academic discipline centered

on pharmaceutical sciences. Specifically, the school fosters human resources acquiring (1) a broad knowledge ranging

from basic to applied in pharmaceutical sciences, (2) global viewpoints, (3) ethics view on executing research, (4)

communication abilities on research, (5) willingness and attitude for self-improvement, and (6) qualities on extraction of

unknown issues and on suggestion for their solution. To achieve this, the proficiency level of students is determined based

on examinations and/or reports in lecture subject groups. Additionally, to determine the proficiency level in research

abilities acquiring through drill and practical courses, the students must submit a thesis (master’s degree) describing

research outcomes and conduct an oral presentation and discussion, which are reviewed by Graduate School

Committees. Students who have passed the entire process are granted the Master of Pharmaceutical Sciences.

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Compulsory

Compulsory Elective Optional

1 Research EthicsEducational Affairs Committee;faculty members of the Instituteof Liberal Arts and Science

02901 1 Q1

2 Introduction to　Researchers Educational AffairsCommittee 02902 1 Q1

3 Scientific English Gary Ross 02903 1 Q1

4 English Lessons for Pharmaceutical Sciences Gary Ross 02002 1 Q2

5 Introduction to Pharmachemistry Toriba, Ogawa, Yoshimura 02038 1 Q1

6 Introduction to Advanced Organic Chemistry Matsuo, Ohmiya, Yoshimura 02039 1 Q2

7 Introduction to Biopharmaceutical Sciences Yamashita, Iyori,Wakasugi,Sasaki 02040 1 Q1

8 Introduction to Precision Medicine Kato, Nakajima, Kaneda,Tamai, Takahashi 02041 1 Q1

9 Advanced Course of PharmachemistryOhmiya, Ogawa,Nakagawa-Goto,Toriba,Yoshimura,Matsuo,Kunishima

02042 1 Q4

10 Advanced Course of Organic Chemistry Nakagawa-Goto,Kunishima 02043 1 Q3

11 Advanced Course of Bioregulation System Yoshida, Matsunaga, Suzuki,Kuraishi 02044 1 Q2

12 Advanced Course of Biopharmaceutical Drug Discovery Matsunaga, Yoshida, Sasaki,Suzuki 02045 1 Q3

13 Advanced Course of Pharmacological Studies for DrugDevelopment

Tamai, Kato, Kaneda, Tsuboi,Takahashi 02046 1 Q4

14 Advanced Course of ADME Studies for Drug Development Nakajima,Fukami,Kato,Shirasaka 02047 1 Q3

15 Experimental Techniques in Pharmachemistry Tang Ning, Uchiyama 02048 1 Q1

16 Experimental Techniques in Biopharmaceutical Sciences Kuraishi, Iyori, Wakasugi 02049 1 Q1,Q2

17 Experimental Techniques in Precision Medicine Research Fukami, Takahashi, Kato,Kaneda, Shirasaka 02050 1 Q1,Q2

18 Advanced Seminar on Pharmacｈemistry Faculty members ofChemistry 02051.1 1 Q1-4

19 Advanced Seminar on Biopharmaceutical Sciences Faculty members of Biology 02052.1 1 Q1-4

20 Advanced Seminar on Precision Medicine Tsuboi, Nakajima, Tamai,Kato,Kaneda, 02053.1 1 Q1-4

21 Learning Recent Advancement in Pharmaceutical Sciences Primary academic supervisor -. 6 Q1-4

22 Pharmaceutical Sciences Practice I Faculty members in charge ofthe subject - 1 Q1-4

23 Pharmaceutical Sciences Practice Ⅱ Faculty members in charge ofthe subject - 1 Q1-4

24 Pharmaceutical Research Practice I Primary academic supervisor - 1 Q1-4

25 Pharmaceutical Research Practice II Primary academic supervisor - 1 Q1-4

26 Research Training in Pharmaceutical Sciences Primary academic supervisor - 8 Q1-4

27 Pharmaceutical Sciences Overseas Study Program I Primary academic supervisor - 1 Q1-4

28 Pharmaceutical Sciences Overseas Study Program II Primary academic supervisor - 1 Q1-4

29 Interdisciplinary Seminar Primary academic supervisor - 1 Q1-4

Class Subject Name TermCredit

TimetableNo.Academic Supervisor

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Requirements for Course Completion Requirements for course completion

To complete the Master’s Level Section of Integrated Course in the Division of Pharmaceutical Sciences, you must meet all four requirements below:

- You must be in residence for a minimum of two years at the university; - You must acquire a minimum of 30 credits; - You must take an English proficiency test; - You must pass both the defense of your master’s thesis and the final examination;

Students with outstanding research accomplishments may be considered for early graduation from the master course on the condition that they have been in residence for at least two years including the master’s course.

For details, please contact your primary supervisor. English proficiency test

From the current viewpoint of developing global human resources, the master’s course students in Kanazawa University are obliged to take part in English proficiency tests, in order to improve their English proficiency and to encourage staying overseas as a researcher at an early stage of the course. To this purpose, taking an English proficiency test is included as a part of the final examination.

As of June 2019, to support learning English for master’s course students at 1st grade (M1), the students may receive a book coupon equivalent to 3,000 yen as a scholarship. If the test fee is more than 10,000 yen, a book coupon equivalent to 5,000 yen may be given. This support is subject to change each year; the details will be notified through Acanthus Portal, etc.

Period While in the master’s course Reporting method Submit the score/ result to the student affairs office. The deadline will be notified. Applicable examination

TOEIC，TOEIC-IP，TOEFL，IELTS，GTEC，CET，CASEC and Cambridge Examination

Exam exemption criteria

１.Students who have a score of 760 points or more of TOEIC, 80 points or more of TOEFL-iBT, 550 points or more of TOEFL-ITP, 6.0 points or more of IELTS, on the submission date

２. Employee ３. English native speakers; as below

Ireland,United States,Antigua and Barbuda,U.K,Israel,India,Uganda,Eritrea, Australia,Guyana,Ghana,Canada,Cameroon,Gambia,Kiribati,Cook Islands, Grenada,Kenya,Samoa,Zambia,Sierra Leone,Jamaica,Singapore,Zimbabwe, Sudan,Swaziland,Seychelles,Saint Christopher and Nevis, Saint Vincent and the Grenadines Saint Lucia,Somaliland, Solomon Islands,Tanzania,Tuvalu, Dominican Republic,Trinidad and Tobago,Tonga,Nigeria, Nauru,Namibia, Niue,New Zealand,Pakistan,Vanuatu,The Bahamas,Papua New Guinea, Palau,Barbados,Fiji,Philippines,Belize,Botswana,Marshall Islands,Malawi, Malta,Micronesia,South Africa,South Sudan,Mauritius,Liberia,Rwanda,Lesotho

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(1) Course registration ①Compulsory subjects

GS Course: Research Ethics（1 credits） Pharmaceutical English: English Lessons for Pharmaceutical Sciences（1 credits） Basic practice: Learning Recent Advancement in Pharmaceutical Sciences（6 credits） Practical training: Pharmaceutical Sciences Practice I （1 credits）

Pharmaceutical Sciences Practice Ⅱ （1 credits）

Special practice: Pharmaceutical Research Practice I （1 credits）

Pharmaceutical Research Practice II （1 credits）

Project study: Research Training in Pharmaceutical Sciences （8 credits）

20 credits

②Compulsory elective subjects

GS Course: 2 credits and more Introductions: 2 credits and more Advanced Courses: 2 credits and more Experimental Technique: 1 credits and more Advanced Seminar: 1 credits and more

10 credits and more

③Optional subjects

Overseas Study Programs and Interdisciplinary Seminar

Total 30 credits and more

Recommended subjects Area Laboratory Recommended subjects (# of credits) Chemical area Pharmaceutical and Organic

Chemistry, Clinical and Analytical Sciences，Bioorganic Chemistry， Synthetic Organic Chemistry， Molecular Pharmacognosy (Nakagawa-Goto)， Uchiyama Research Group，and Collaborative Research Group with the Institute of Nature and Environmental Technology

Introduction to Pharmachemistry (1) Introduction to Advanced Organic Chemistry (1) Advanced Course of Pharmachemistry (1) Advanced Course of Organic Chemistry (1) Experimental Techniques in Pharmachemistry (1) Advanced Seminar on Pharmachemistry (1)

Biological area Host Defense and Responses, Human Molecular Genetics, Vaccinology and Applied Immunology, Hygienic Chemistry, Molecular Pharmacognosy (Sasaki), and Yamashita Research Group

Introduction to Biopharmaceutical Sciences (1) Advanced Course of Bioregulation System (1) Advanced Course of Biopharmaceutical Drug Discovery (1) Experimental Techniques in Biopharmaceutical Sciences (1) Advanced Seminar on Biopharmaceutical Sciences (1)

Pharmaceutical area

Membrane Transport and Pharmacokinetics, Molecular Pharmacotherapeutics, Drug Metabolism and Toxicology，

Introduction to Precision Medicine (1) Advanced Course of Pharmacological Studies for Drug Development (1) Advanced Course of ADME Studies for Drug

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Molecular Pharmacology, Clinical Pharmacy and Healthcare Sciences and Physical Chemistry

Development (1) Experimental Techniques in Precision Medicine Research (1) Advanced Seminar on Precision Medicine (1)

※Students in the Laboratory of Hygienic Chemistry may be able to choose another area. Contact the supervisor forinformation.

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Research Guidance 1. Research Guidance System

The Division of Pharmaceutical Sciences employs a guidance system with multiple teachers to improve

the quality of research guidance.

1) Research guidance group (1) Each student is assigned to a research guidance group consisting of one primary supervisor

and one supervisor.

(2) The formation of each research guidance group is decided at committee meetings of each division.

(3) Primary supervisors bear the responsibility of providing guidance to help students prepare

plans for taking subjects and research plans, carry out research, prepare an interim research report and master’s thesis, as well as degree applications.

(4) Supervisors assist primary supervisors.

2. Research guidance and degree application procedure

The following is the schedule for research guidance and the degree application procedure so that

students may meet the requirements within a specified course term. (1) Students must receive counseling from a research guidance group immediately after entering

the school and prepare the "[Form 1](P.13) Research Plan" and "[Form 2](P.14) Academic

and Research Plan" for submission to the primary supervisor. Form 1 contains a complete description of research plan during the academic years and Form 2 contains an academic

and research plan for each academic year.

These forms can be obtained from the following web site. ( http://www.p.kanazawa-u.ac.jp/student/format.html )

(2) Students must submit a program registration of the academic year on the Acanthus Portal

before specified date in accordance with Form 2. The deadlines for each program registration will be announced on the Acanthus Portal at the beginning of each term.

(3) Students must conduct their research according to research plan. If there is a major change

in research plan, notify the research guidance group and modify Form 1 and Form 2 after consulting with the group.

(4) Students must compile research outcomes into a doctoral thesis with the help of the research

guidance group. The prepared doctoral thesis is reviewed and modified by the group and sent to a preliminary examination.

(5) Students must complete a degree application procedure in accordance with the review

requirements for the master’s thesis. (6) Students must undergo the evaluation of the doctoral thesis and final oral examination of the

master’s thesis.

(7) Students who have completed the above steps are evaluated at a committee meeting of each division for final review based on the credit acquisition status and the results of the final

examination. Those who have passed the final review may complete the master’s course and

receive the Master of Philosophy in Pharmaceutical Sciences.

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Guidelines for Research Guidance

January 4, 2012

Approved by the Establishment Preparation Committee of Doctoral Level Section of an Integrated

Course, Division of Pharmaceutical Sciences and Division of Pharmacy for the Doctoral Course

Approved by the Faculty Committee of the Pharmacy Field on July 4, 2012

To be effective as of April 1, 2012

The Division of Pharmaceutical Sciences and the Division of Pharmacy, Graduate School of Medical

Sciences, Kanazawa University, implements the following guidelines for guidance, such as preparing

the doctoral thesis ("research guidance"):

1. The primary supervisor shall use Form 1 of the research plans submitted by the student to

determine plans for research guidance until the student's final academic year upon consultation

with the student and provide it to the student after admission to the school without delay.

2. The primary supervisor shall, at his or her discretion, receive a report describing the progress

of research from the student. Upon consultation with the student, the primary supervisor shall

review and modify the research guidance plans prepared in 1. above if the need arises.

3. The student shall prepare Form 2 of the academic and research plans according to Form 1 of

the research plans and submit it to the primary supervisor at the beginning of each academic

year.

4. The primary supervisor shall retain Forms 1 and 2 of the research plans related to the student

for five years after graduation.

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Course Registration

Essential GS CourseResearch Ethics（Compulsory Subjects）

• Lectures by a lecturer in the Institute of Liberal Arts and Science (4 times)• Lectures by a lecturer in the Division of Pharmaceutical Sciences (1 time)• Refer to the timetable• E-learning at APRIN as below (6 units)

ID and password are provided. You must report your accomplishment to your primary supervisor.

APRIN “Designated Credit Courses ” Responsible Conduct of Research_RCR

・Research Misconduct_RCR・Data Handling_RCR・Authorship_RCR・Plagiarism_RCR

Human Subjects Research: Basic Knowledge（HSR）

・The History and Principles of Bioethics, and theDevelopment of Its Rules_HSR・Handling Personal Information in Research_HSR

The GS Course has three compulsory elective subjects. Two subjects listed below are recommended by the Division of Pharmaceutical Sciences.

APRIN https://edu.aprin.or.jp/

① Access https://edu.aprin.or.jp/ with username andpassword.

② Your courses are shown in the section “Course ofparticipants.”

Answer all questions in the assurance test called “QUIZ” after attending each required lecture. You can complete the training program by achieving 80% or better in each assurance test of required lectures.

③ Students must report to your primary supervisorafter accomplishing all units by showing thecertificate of completion.

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Introduction to Researchers（Compulsory Elective） Take compulsory lectures (5 lectures) and optional lectures (at least 3 lectures) listed below. ＜Compulsory＞

Introduction Orientation for students（Corresponds to 2 lectures; in Japanese） ・Introduction to Researchers: Introduction of the course, Research Ethics,

Prevention of harassments ・Chemical management: Handling of waste, poisons and deleterious

compounds, Media utilization Career paths Lectures on career paths including a Doctor course (3 lectures)

・Carrier design 1: Introduction of carrier design ・Carrier design 2: Making of your career plan ・Carrier design 3: Report about career design

＜Optional＞ Take at least three lectures from the Rules for research 1 and 2.

Rules for research 1 Students can take three lectures listed below. Students must report to their primary supervisor by showing the certificate when you took lectures. <April to May> Basic lecture for animal experiments, Lecture for chemical

substance, Seminar for safety handling of RI, Lecture for SciFinder <June> Seminar for safety handling of X-ray <Several times per a year> Lecture for clinical researches <Web Class> Seminar for safety handling of recombinant DNA experiments Other lectures approved by your primary supervisor.

Rules for research 2 E-learning at APRIN. Two sections are regarded as one lecture. Students must report to their primary supervisor when you accomplished all units by showing the certificates. [A list for indicated sections] Safety of Research（BIO） ・Basic knowledge of safety of research

・Research using chemical substances Care and Use of Laboratory Animals（ACU）

・Basic knowledge of animal experiments_ACU

・What you should consider when conducting animal experiments_ACU

Clinical Trials（GCP） ・Overview for drug development ・Process and regulation of clinical trials

Scientific English（Compulsory Elective） ・Students take lectures in groups. The group will be announced. ・For details, students should follow the supervisor's instructions.

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Academic English English Lessons for Pharmaceutical Sciences（Compulsory） ・Students take lectures in groups.The group will be announced. ・For details, students should follow the supervisor's instructions.

Subjects for special area Students must acquire at least 1 credit from the subjects in the area of your laboratory.

Introduction（Compulsory Elective） ・Students must acquire at least 2 credits from 4 subjects.

Advanced Course（Compulsory Elective） ・Students must acquire at least 2 credits from 6 subjects.

Experimental Techniques（Compulsory Elective） ・Students must acquire at least 1 credit and more from 3 subjects.

Advanced Seminar（Compulsory Elective） ・Students must acquire 1 credit during 2 years. ・Students must submit reports【Form3】(P.15) as well as flyers of the seminar to the supervisor or

assigned lecturer. ・To calculate the lecture time, add 30 min to each seminar time. To approving a credit, total of 720 min

are needed. Notice: Seminars selected for Interdisciplinary Seminar cannot be recognized as Advanced Seminar.

Basic practice Learning Recent Advancement in Pharmaceutical Sciences (First＆Second Year)（Compulsory） ・For details, please contact your primary supervisor.

Laboratory practice Pharmaceutical Sciences Practice I（First Year），Pharmaceutical Sciences Practice Ⅱ (Second Year)（Compulsory） Students must take part as teaching assistants in the experiment and practical training of undergraduate students with following responsibilities and submit report to the supervisor: ・Planning and preparations ・Practice ・Validation, evaluation The class in charge will be announced.

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Special practice Pharmaceutical Research Practice I（First Year）（Compulsory） ・Oral presentation of own research ・Students must attend the defense meeting of master’s or doctoral thesis, and submit report to the

supervisor. ・Details will be announced by supervisors.

Pharmaceutical Research Practice II (Second Year)（Compulsory） ・Preparation and submission of your master’s thesis ・Students must have an interview with a sub-examiner for your master’s thesis, summarize the

contents in a report [Form 4](P.16), obtain confirmation and a seal for it from the sub-examiner and submit it to the primary supervisor.

・Oral presentation of the master's thesis.

Research Training Research Training in Pharmaceutical Sciences (First＆Second Year)（Compulsory） ・For details, please contact your primary supervisor.

Free Courses: Overseas Study Pharmaceutical Sciences Overseas Study Program I，Pharmaceutical Sciences Overseas Study Program II (First＆Second Year) （Optional） ・Research training in the fields of pharmaceutical sciences in overseas education and research

institutions, companies, and so on may be approved for credits. ・Students must stay 3 days and more at the institute or company approved by the supervisor and host

researcher. ・Students must submit a document summarizing the objectives of the training in advance (Free form). ・Students must submit a report (Form 5;P.17) as well as an letter (Free form) from host researcher as

an evidence of acceptance. ・The committee for educational affairs judges the propriety as oversea study program. The supervisor

grants credit.

Free Courses: Interdisciplinary Fusion Interdisciplinary Seminar (First＆Second Year) （Optional） Either 1 or 2 described below can be approved for credit. Combination of 1 and 2 cannot be approved. 1. Students must attend seminars that are not assigned as the Advanced Seminar in the area of their

laboratory. Students must submit reports to supervisors. ・Students must contact supervisor to confirm whether the concerned seminar can be approved as

Interdisciplinary Seminar.

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・Students must submit reports [Form 6] (P.18) as well as flyer of the seminar to supervisor.・To count lecture time, add 30 min. to each seminar time. In order to approve credits, a total of 720

min. is needed.Notice: Seminars selected for the Interdisciplinary Seminar cannot be recognized as an Advanced Seminar.

2. Generally, internships for 5 days and more are approved for credit.・The participation to internships, at the institute or company in the field of pharmaceutical sciences to

which students make entry by themselves or recommended by the supervisor, should be approved bythe supervisor.

・Students must submit a curriculum vitae [Form 7-1](P.19), the internship statement and contract [Form7-2](P.20), and a copy of application form of insurance to the Pharmacy Student Affairs Section.

・Students must submit pre-learning documents (free form) and report [Form 7-3](P.21) before and afterthe internships, respectively, to supervisor.

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[Form 1] Academic Year 2020

Research Plan Integrated Course of Master Level

Graduate School of Medical Sciences, Division of

Student Number

Name

Signature Name of Primary Supervisor

Signature

Research Theme

Purpose

Description

Research Plan

1st year 2nd year 3rd year 4th year

Date: / /

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[Form 2]

Year 20 Academic and Research Plan Integrated Course of Master Level

Graduate School of Medical Sciences, Division of

Student Number

Name

Signature Name of Primary Supervisor

Signature

Research Theme

Description

Courses

Class title Credit Instructor Class title Credit Instructor

Notes 1. Course registration must be completed on the Acanthus Portal. 2. After completing course registration, be sure to check the list of course registration authorizations on the Acanthus Portal.

Date: / / -14-

Advanced Seminar

Date: / /

Name Student Number Grade Laboratory

Title of Seminar Title of Lecture

Lecturer

Date / / （ ） ： ～ ： （ min.）

Summary

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Pharmaceutical Research Practice II Report

Student Number Laboratory

Name

Sub-examiner’s Laboratory Name

Venue of Interview Date / / / : 〜 :

Summary of interview

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Pharmaceutical Sciences Overseas Study Program Report 1．Personal Information

Name

Student Number Grade

Laboratory

2．Primary Supervisor

Primary Supervisor Signature

Comment

3．Training Organization

Name of Country

Training Organization/ Division

Supervisor

Training Period / / ～ / /

4．Training Contents（Report the time & activities per day）

※ Continue to the back side if you need more space.

5． When submitting this report, attach the proof of acceptance for the training. -17-

Interdisciplinary Seminar Date: / /

Name Student Number Grade Laboratory

Title of Seminar Title of Lecture Lecturer Date / / （ ） ： ～ ： （ min.）

Summary

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金 沢 大 学

履 歴 書

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氏 名： 印

生年月日： 年 月 日

所 属： 金沢大学大学院医薬保健学総合研究科（博士前期課程）

専攻・学年： 創薬科学専攻 年

大学での連絡先：〒

TEL 携帯TEL

E-mail

現 住 所：〒

TEL

帰 省 先：〒

TEL

略 歴： 年 月 立 高等学校 科卒業

年 月

年 月

年 月

年 月

年 月

研究テーマ：

概 要：

備 考：

写真糊付

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【様式７-１】

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インターンシップ届出書兼誓約書

年 月 日

学生部長 殿

学域・研究科 学類・専攻

学年 学籍番号

氏名（※署名） ㊞ 携帯電話番号

このたび、私は、下記のとおりインターンシップに参加しますので、届け出ます。また、インターンシップに参加するにあたり、下記事項を遵守することを誓います。

種 別

１．「正課中」 科目名（ ）

２．「学校行事」※単位認定希望の場合は、１に○を付けて科目名を記載してください。単位認定を希望しない場合は、２に○を付けてください。

実施期間 年 月 日 ～ 年 月 日（実働 日）

受入機関

企業等名：

部署名：

住所：〒

連絡先：

加入保険

※加入している保険の番号に○を付けてください。

１．学生教育研究災害傷害保険 ２．学研災付帯賠償責任保険

３．[大学生協]生命共済 ４．[大学生協]学生賠償責任保険

５．その他（ ）※インターンシップに参加する学生は、必ず「傷害保険」（１・３の保険等）及び「損害賠償責任保険」（２・４の保険等）の両方に加入する必要があります。※１・２の保険の加入状況は、保健管理センターまたは就職支援室で確認できます。※１～２の保険に加入した場合は、「払込票兼受領証」の写しを添付してください。（ただし、就職支援室で加入が確認できた場合は、添付不要です。）※３～５の保険に加入している場合は、加入を証明する書類（加入証等）の写しを添付してください。※５の保険に加入している場合は、必ずインターンシップが補償の対象となっていることを確認してください。

事前研修□就職支援室主催（DVD含む） □学類主催 □その他（ ）※未参加の場合は、就職支援室で DVD を借り、必ず受講してください。

申込方法□直接企業等へ □就職ナビサイト（リクナビ・マイナビ等）から

□大学経由 □その他（ ）

本書類を学生部長へ提出し受理された場合、そのインターンシップは学生教育研究災害傷害保険及び学研災付帯賠償責任保険の対象として承認されたものとします。

≪遵守事項≫

１．実習期間中は、受入機関の就業規則およびこれに基づく諸規則の定めに従います。 ２．受入機関の諸規則、規範を守り、実習期間中は管理・監督責任者の指示に従います。 ３．実習に際しては、次の事項を遵守します。

（１）受入機関の名誉を毀損するような行動はいたしません。 （２）受入機関の営業を妨害するような行動はいたしません。 （３）実習中に知り得た機密事項については、SNSや掲示板等への書き込み等も含め、

一切外部に漏洩しません。 ４．故意または過失により受入機関に損害を与えた場合は、直ちに弁償します。 ５．実習中に自己の不注意により万一災害を受けた場合は、受入機関に迷惑をかける

ことなく、自己の責任において処理します。

以上、誓約いたします。

【様式７-２】

-20-

提出日： 年 月 日

イ ン タ ー ン シ ッ プ 報 告 書

金沢大学大学院 医薬保健学総合研究科

所属・学年 学籍番号 学生氏名

専攻・ 年

派遣先企業名

派遣期間 年 月 日～ 年 月 日（実働 日間）

派遣先所在地

実習内容

インターンシップ派遣の感想

下級生に伝えたいこと

※氏名の欄を隠し，薬学学務係窓口で閲覧できるようにしますので，ご了承ください。

【様式７-３】

-21-

April 2020

Pharmacy Student Affairs Section, Kanazawa University

Kakuma-machi, Kanazawa, 920-1192 Japan

TEL (076)234 – 6983

FAX (076)234 - 6844

E-mail y-gakumu@adm.kanazawa-u.ac.jp