RSJP EXP2 Application Form

Ritsumeikan Summer Japanese Program Express 2 (On-site Program) 

Thank you for applying for RSXP2. 

After sending the application, an automated email will be sent to you. 
If you didn’t receive it, please send the application again or contact

    Personal Information

    * = Mandatory


    First Name (*)

    Middle Name

    Last Name (*)

    NickName(if any)

    Date of Birth(*)

    Year Month Date


    E-Mail Address(*)

    Your Current Mailing address(*)

    Zip/Postal Code

    Phone Number(*)

    Name of Home University(*)

    Year at the University(*)

    Your expected date of graduation(*)



    How would you describe yourself?
    Example: Quiet, Outgoing, Studious, Talkative etc.

    What would you like to do/learn in Japan?
    Example: Tradition, Culture, History, Literature or others.

    Anywhere you have been recently?


    Is English your first language?

    If your answer is “NO”, are you able to understand lecture conducted fully in English?

    Indicate your TOEIC, TOEFL and IELTS score and the date of the test.

    Your health condition.

    Tell us your health conditons.

    (1) Do you take medicine regularly?(*)

    If yes, please describe the name of the medicine

    Please make sure to bring enough amount of medicine that covers your length of stay in Japan. Foreign prescriptions are not acceptable at pharmacies in Japan. To purchase a prescribed medicine in Japan, you will be required to go to see a doctor first.

    (2) History of past illness(*)

    If Yes, please describe in detail. Example: Anxiety, Depression, ADHD, any major surgeries, etc.

    (3) Current health condition

    Please describe in detail if any current disease or disorder is present. Example: Anxiety, Depression, ADHD, PTSD, Pneumonia,
    Tuberculosis, Diabetes, etc.

    (4) Please indicate any special dietary, medical requirements, or allergies you have.

    In Japanese culture activity, you will have chance to cook and eat Japanese food. Since ingredients such as fish are used for Japanese food even soup stock, please mention your dietary information if you have any.

    * If you answered “YES” for (1). or wrote some conditions on (3), please attach your doctor’s note including sentences that approves your participation for this program.

    Emergency Contact Information(*)

    Emergency Contact Person
    E Mail
    Phone Number

    Education Background(*)

    Japanese Language Courses in Progress or Completed(*)

    List the following information for each formal Japanese Language Courses you have or will complete.

    Please let us know your physical hours, not credit hours, minutes or number of days.

    Class Name Physical Hours From To Institution
    hours / /
    hours / /
    hours / /

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

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

    Textbooks Completed Chapters
    Japanese Language Proficiency(*)

    Speaking Listening Reading Writing

    Japanese Language Proficiency Test
    Test Level Score Year
    Old Test
    New Test

    Upload your documents(*)

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

    Transcript(pdf/gif/png/jpg/jpeg) Essay(pdf/gif/png/jpg/jpeg) Enrollment(pdf/gif/png/jpg/jpeg)
    Photo(pdf/gif/png/jpg/jpeg) Passport(pdf/gif/png/jpg/jpeg) Consent(pdf/gif/png/jpg/jpeg)
    Health Certificate(pdf/gif/png/jpg/jpeg)

    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.