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:
-Please select-
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Canada
Central African Republic
Chad
Chile
China
China (Hong Kong)
China (Macau)
Colombia
Comoros
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czechia
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong SAR (China)
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau SAR (China)
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
North Korea
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
If other:
Gender:
Male
Female
Date of birth:
Address:
Post Code:
Street name/number:
Country:
-Please select-
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Canada
Central African Republic
Chad
Chile
China
China (Hong Kong)
China (Macau)
Colombia
Comoros
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czechia
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong SAR (China)
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau SAR (China)
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
North Korea
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
If other:
Type of visa that I currently hold/intend to hold:
-Please select-
Travel/Short term
Student
Religious visa
Instructor
Permanent resident/Spousal
Other
Highest level of education completed:
Select
Graduate School
Undergraduate studies
Technical/Commmunity/TAFE College
Senior High School
Other
other:
Email Address:
Telephone Number:
Passport No.:
I am in the process of applying for a passport.
Enrollment Information
Start date of course:
-Please select-
2017/AUG/05
2017/NOV/04
2018/FEB/03
2018/MAY/05
2018/AUG/04
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.
1 day before commencement
2 days before commencement
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?
- Please select -
Homestay
Residence Hane - Type A
Residence Hane - Type B
Residence L - 2DK
Residence L - 3DK
Student Village - Small room / North Wing
Student Village - Small room / South Wing
Student Village - Large room
Villa 1
Villa 3
Villa 4
Villa 5
Not applicable
What is your second preference if that isn't available?
- Please select -
Homestay
Residence Hane - Type A
Residence Hane - Type B
Residence L - 2DK
Residence L - 3DK
Student Village - Small room / North Wing
Student Village - Small room / South Wing
Student Village - Large room
Villa 1
Villa 3
Villa 4
Villa 5
Not applicable
What is your third preference if that isn't available?
- Please select -
Homestay
Residence Hane - Type A
Residence Hane - Type B
Residence L - 2DK
Residence L - 3DK
Student Village - Small room / North Wing
Student Village - Small room / South Wing
Student Village - Large room
Villa 1
Villa 3
Villa 4
Villa 5
Not applicable
I need Yamasa to arrange futons/bedding for me.
Yes
No
If Yes:
- Please select-
I do not need futon from Yamasa
rent for 2 weeks
rent for 3 weeks
rent for 4 weeks
rent for 5 weeks
rent for 6 weeks
rent for 7 weeks
rent for 8 weeks
rent for 9 weeks
rent for 10 weeks
rent for 11 weeks
rent for 12 weeks
purchase (JPY25900)
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
and
cancellation/refund policy
.
Please contact
admissions@yamasa.org
if you require further information.