Shigoto no Nihongo (Module 2) - How to function effectively in the workplace.
Application Form

Whenever you write a calendar date, please write the year first, then the month, then day to insure smooth transfer to our database. Please do not use more than six digits in total (i.e. September 30^th 1978 = YY/MM/DD = 78/09/30).

If an error occurs, please contact admissions@yamasa.org.

Minimal Requirements

Applicants are required to satisfy either of the following conditions and have a Japanese ability to understand classes.

1. A person who has passed level 4 or higher on the Japanese Language Proficiency Test.
2. A person who has a Japanese ability equivalent to level 4 or higher of the Japanese Language Proficiency Test.
3. A person who has studied Japanese for at least 600 hours.

Personal Information

Have you ever studied Japanese before? Please note that this course requires students to be able to speak Japanese at least at an everyday conversation level.	Yes No If you never studied Japanese before, this application cannot be completed.
Family Name (Surname):
Given Name(s):
Middle Name(s):
Nationality:	If other:
Gender:	Male Female
Date of birth:
Address:
Post Code:
Street name/number:
Country:	If other:
Type of visa that I currently hold/intend to hold:
Highest level of education completed:	other:
Email Address:
Telephone Number:
Passport No.:	I am in the process of applying for a passport.

Enrollment Information

Start date of course:	The length of this course is 8 weeks.
If you studied Japanese before, please describe your Japanese ability:

Accommodation Information

Will you require Yamasa's housing office to arrange accommodation for you?	Yes No If "No", skip this (Accommodation Information) section.
When do you expect to arrive in Okazaki? (Note you can change this later.) If other please explain details.
All rooms are single.	Please contact us if you wish a shared room.
Please select 3 accommodation options.	All 3 options must be different or the form can`t be sent.
What is your first preference for accomodation for your program?
What is your second preference if that isn't available?
What is your third preference if that isn't available?
I need Yamasa to arrange futons/bedding for me.	Yes No If Yes:
I will reserve my place by:	Transfer of tuition deposit and payment of remaining instalment within the next 30 days after applying. Remittance of tuition and accommodation fees together in advance. For students seeking Homestays： Remittance of ALL tuition fees at least 2 months in advance.
If you are taller than 182cm/6ft, please state height:

Homestay Information

At some stage during your studies, would you like to do a homestay or homevisit?	Yes No If "No", skip this (Homestay Information) section.
Do you smoke?	Yes No
Do you mind if there is a smoker in the homestay family?	Yes No
Are you allergic to animals or do you dislike any pets?
Are there any Japanese food dishes you dislike?/Any food allergies?
Do you have any other allergies or special requests?
Have you any prior experience of homestays?
Would you be willing to travel by bus and/or train if a homestay was located outside Okazaki?	Yes No Depends on how long it takes to get from Yamasa to the homestay (Please give more details if acceptance depends on how far the homestay is from Yamasa)
What are your main reasons for wishing to participate in the homestay/homevisit program?
Please write a short outline of your hobbies/interests:
Please write a short outline detailing your family, work/school. It is best to include information that can give a family an insight into your lifestyle, personality etc.:

Arrival Information

I will use Yamasa Airport Pickup Service (This service cost 12 000,- Yen):	No Yes
I will use Okazaki Station Free Pickup Service:	No Yes

Please note that if this box is not checked, the form cannot be sent.
I confirm that I have read, fully understand and agree with the Yamasa Institute's privacy policy.
Please contact admissions@yamasa.org if you require further information.