2024 RSJP Exp Applicaiton

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    Personal Information

    * = Mandatory

    Title(*)

    First name(*)

    Middle name

    Last name(*)

    Date of Birth(*)

    Year Month Date

    Current Mailing Information(*)

    Street(*)

    City/Town(*)

    State/Province(*)

    Health Information

    Please indicate any special dietary, medical requirements, or allergies you may have.

    Emergency Contact Information(*)

    Emergency Contact Person(*)

    Relationship(*)

    Japanese Education Background(*)

    Japanese Language Courses in Progress or Completed

    List the following information for each formal Japanese Language Courses you will or have completed. Please let us know your physical hours, not credit hours, minutes nor number of days. If you do not have any Japanese learning experience, please write NONE.

    Class Name(*)

    Physical Hours

    From

    To

    Institution

    /

    /

    /

    /

    /

    /

    If you studied Japanese outside of university such as in high school or at a language school, please list the course(s) you took including hours of study and name of the institution.

    Please list all the text books you have used, including the chapters of each book you have completed.

    Textbooks(*) or None

    Completed Chapters(*) or None

    Japanese Language Proficiency(*)

    Speaking

    Listening

    Reading

    Writing

    Japanese Language Proficiency Test

    Test

    Level

    Score

    Year

    JLPT


    Accommodation

    Please select your preferred accommodation(single room) during the program. The number of rooms is limited, and we cannot guarantee availability at your preferred hotel. If you choose "Own Arrangement", please provide us with your accommodation details.

    Hotel

    1st Preference

    2nd Preference

    3rd Preference

    Upload your documents(*)

    Please upload all required documents to complete your application. File sizes must be less than 1 MB each.

    Essay(*)(pdf)

    Enrollment(*)(pdf)

    Passport(*)(pdf)

    Consent(*)(pdf)

    Transcript(*)(pdf)

    Please download and read our "Matter of Observed" and sign before uploading.

    I hereby declare that the information provided is true and correct. I also understand that any willful dishonesty may render for refusal of this application or immediate termination of participation.

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