APPLICATION

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APPLICATION

  • Fill out the necessary contents and send the application form. We will reply within 2 days. Application forms sent after 6PM or on the weekends and holidays will be accepted the next school day.
  • If you are unable to submit the application form, please contact us at the address below and a member of our staff will assist you.

    Preferred Name

    Passport Name

    Passport No,

    Date of Birth

     Day  Month  Year
    *If you are under 30 years old, please consider the Hokkaido, Nagoya, or Kyoto campuses.

    Sex

    Nationality

    Occupation

    Post-code

    Address

    Address :

    State :  Country :

    Telephone

    Fax

    E-Mail

    Emergency contact name

    Emergency contact telephone number

    Emergency contact e-mail address

    Emergency contact　please write again as confirmation

    *Please attach a picture of yourself in "jpg" , "gif" , or "png" format.
    The file size must be less than 5MB.

    Course Information

    Course 1

    Course

    Course Start Date

    Course End Date

    If you wish to continue a different course after the one you indicated above,please fill out the following section.

    Course 2

    Course

    Course Start Date

    Course End Date

    Course 3

    Course

    Course Start Date

    Course End Date

    Accommodation Information

    Private appartments are only available for stays of one month or more, if you would like a private appartment for a stay of under one month, please contact us for more information.

    Require arrangement


    *Please select the accommodation, if you selected "YES".

    Arrival date

    Departure date

    Do you like children?

    Do you smoke?

    Are you allergic to anything?

    　

    Do you have any chronic diseases?

    　

    Do you like pets?

    Are you vegetarian?

    What kind of food do you like?

    What kind of food do you hate?

    What is your hobby?

    If you have any requests for your host family, please write them here.

    Please write down your message to hostfamily.

    Message Fill in the message box if you have any special requests.

    Flight Infomation

    Arrival date

    Min  O'clock Day Month Year  

    Flight No

    Port of Arrival

    Departure from Fukuoka date

    Min O'clock Day Month Year  

    Flight No

    Airport pickup service


    *We will welcome you at the airport for an additional cost.
    *Those staying with a host family are required to use our pick-up service.
    *If you have not booked yet, please let us know your flight information after it is confirmed.

    Level of Japanese *All fields are required, so we can find a suitable class for you.

    Level

    Level criteria is here.

    Where have you studied Japanese?

    Could you write the school's name?

    How often do you study Japanese?

    Times in a WeekHours Per Week

    How long have you studied Japanese?

    Years Months

    Please write the name of the textbook you previously used.


    *Please write the the textbook title and level (e.g. Minna no Nihongo 1, Minna no Nihongo 2, Genki 1, Genki 2)

    Please write the name of the textbook you're using now.

    Textbook Name
      Progress/Chapter/Unit
    Textbook Name
      Progress/Chapter/Unit
    Textbook Name
      Progress/Chapter/Unit
    *Please write the the textbook title and level (e.g. Minna no Nihongo 1, Minna no Nihongo 2, Genki 1, Genki 2)

    Have you taken the JLPT?

    When did you take it? Year Taken

    HIRAGANA

    KATAKANA

    KANJI

    Please write a detailed message about your Japanese ability.


    *Please write as many details as possible. This message will help place you in the appropriate class.

    Message

    How did you find us?

    Agency Name

    First time at JaLS?

    How many times have you visited us?require field

    When was your last visit?require field

    Which of the following locations have you visited the most recently?require field

    Message

           Terms and Conditions, click here.