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
    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
    *Please attach a picture of yourself in "jpg" , "gif" , or "png" format.
    The file size must be less than 1MB.

    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

    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 Hokaido date Min O'clock Day Month Year  
    Flight No
    Airport pickup service
    *We will welcome you at the airport for an additional cost of 15,000 Yen.
    *Those staying with a host family or a weekly apartment are required to use the 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?
    Message

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