First Name *
Last Name *
Email Address *
Phone Number *
Date of Birth *
Place of Birth *
Street Address *
Apartment, suite, unit, building, floor, etc.
Zip Code *
City *
State *
Nationality *
Native Language *
Occupation *
Job Title *
Employer/Company *
Street *
Zip Code *
City *
Type of Education *
Middle School, High School, Community College, Vocational School, Graduate School...
Name of your School *
Street *
Zip Code *
City *
Your Plan
Starting Date *
Duration of Stay
  Months
Price
0.00
  JPY (+49000 JPY Application Fee)
Duration of Stay
  Months
Price
0.00
  JPY (+49000 JPY Application Fee)
Accommodation Preference *
Emergency Contact *
Please provide the name of a close person who can be contacted if anything should happen to you. Don't worry, this has never happened before. 🙂
What is your relationship to this person? *
Email Address *
Phone Number *
How do you assess your Japanese language skills? *
What has been the best way for you to engage with the Japanese language so far? *
Since when have you been studying Japanese? *
Have you ever passed a Japanese language test? *
General Health Condition *
Health questions are routinely asked by the school and authorities. You do not need a medical certificate and can assess your health condition yourself.
Are you currently undergoing treatment or therapy? *
Are you currently taking prescription medications or have you taken any in the past few years? *
Have you had any surgeries or hospitalizations in the past few years? *
Do you suffer from any chronic or infectious diseases?
IF YOU ANSWERED YES TO ANY OF THE ABOVE QUESTIONS, PLEASE PROVIDE DETAILS ABOUT THE ILLNESS AND TIME PERIOD. LANGUAGE SCHOOLS REQUIRE THIS INFORMATION FROM EVERY APPLICANT
Are you vaccinated? List all the vaccinations you know you have received.
Is there anything else you would like to share with us?
We will get in touch with you shortly and will then have enough time to discuss all the details. 🙂
I hereby accept the General Terms and Conditions, the Privacy Policy, and the Cancellation Policy.
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