Short-term Course Application Form
Please read the Cancellation and Refund Policies carefully before applying.
Cancellation and Refund Policies 2024

Please send us the application form and prepare the following health declaration, after sending it to the person in charge we will issue a bill.
Health Declaration（Download）

Name

E-mail

Please note that following domains cannot receive e-mails from us. @web.de / @gmx.de/ @t-online.de

Phone

Date of Birth

yyyy-mm-dd(1999-02-01)

Sex

Select Nationality

Nationality

Do you live in Japan?

Address

Visa Status

Period of studying Japanese

A method of learning Japanese

Japanese Test

EJUJLPTJ-TESTOthersNone

Result of Japanese Test

Reasons for studying in Japan

To pass exam (JLPT or EJU)To improve my oral skillsFor future employmentTo go into higher education in JapanOther

School

Tokyo-Takadanobaba CampusTokyo-Ikebukuro CampusTokyo-Shibuya CampusOsaka CampusKyoto CampusNagano Campus

*The Shibuya Campus is for beginners only (up to N4). *Please use a separate form to apply for the Short-Term Career Japanese course. Short-term Career Japanese Application Form

Course starting date

Course finishing date

【About Class Time】 * There are either morning (8:50 to 12:00) or afternoon (13:00 to 16:10) classes. It cannot be selected.

*JAPAN TIME

Accomodation-Do you need accommodation arrangement?

If YES, where do you want to stay?

If Yes, Check in date

If Yes, Check out date

If Yes, Accommodation type

Airport pick-up - Do you need airport pick-up?

Date of Arrival

Date of Departure

Have you ever been rejected to enter to Japan?

If Yes, please state the reason.

How did you get to know about our school first?

If you choose "Other," please write how you found this website.

If you chose "Agency", please write down the name of the agency you are in contact with.

I hereby declare that the above information is true and correct.

I have confirmed the refund policy.

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