Inquiry form

＊NAME

Age

Gender

----　 Male　 Female 　　　

＊NATIONALITY

＊E-mail

Current Address

Occupation

--Select-- Office Worker Social Worker Self Employed Enemployed Post Graduate Student College student Vocational school student University student High school student Junior high school student Others 　　　

Have you been to Japan?

NO 1 time 2 times 3～4 times 　　　　　　　 5 times or more

From when and how long would you like to study?

From When? 2025 2026 2027 2028

January February March April May June July August September October November December

How long? 2week 3week 4week 5week 6week 7week 8week 9week 10week 11week 12week 6month 1year

＊Which is an interesting program?

Intensive Course	Conversation Course	Practical course for beginners
Summer Holiday Course	Spring Holiday Course	Holiday Course
Manga Course	Tea Ceremony Course	Sushi Course
Business Japanese Brush-up Course	Online Private Lessons

How long did you study Japanese in total?

NO Less than 2 weeks 1 month 2 months 3 months～4 months 5 months～6 months 6 months～8 months 9 months～12 months 1 year and 3 months～1 year and 6 months 1 year and 6 months～2 years 2 years～2 years and 6 months 2 years and 6 months～3 years 3 years or more

Have you ever taken the JLPT?

NO N 4 N 3 N 2 N 1

Have you passed?

Please select if you have taken the JLPT YES No

Accommodation

Homestay Private Dormitory/Guest House Other --Select--

How did you get to know our school?

Hiragana times Telephone book Poster Handbill Newspaper Free paper Study abroad agency The friend's introduction Yahoo MSN Google Instagram Internet Other search engines --Select--