The Yamasa Institute
A ichi C enter for J apanese S tudies
Innovative, International & Non Profit
supported by the Hattori Foundation (est. 1919)

Academic Program Catalog

Virtual Tour

Summary

Site Map

Online Application Form for Mini Course

DO NOT complete this form unless you enrolling in the Mini Course:

Please ensure that you have written down the name and commencement date of the program you wish to enroll in before you start completing the form.

Whenever you write a calendar date - please write the year first, then the month, then the day. For Example: if you want to write 2015/OCTOBER/05 then write it as 2015/10/05 - if you do not then the form will not transfer into the database correctly.

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

COMPLETE ALL SECTIONS

Personal Information

Name in Full
Nationality: (If dual nationality, indicate the country of the passport you plan to enter Japan on.)
If you did select "- Other nationality -" above	,	please answer next two questions:
a) Your nationality:
b) Do you live in Japan?
Sex		Male Female
Date of birth: (Example: if 1969/OCTOBER/04 then write 69/10/04)
Place of Birth
Marital Status
Highest level of education COMPLETED
If other please state:
Home Address		(enter at least one address)
Address in Japan: (If you don't have an address in Japan, please leave this blank.)
Email Address
Telephone Number
Fax number
Passport No. (If you don't have a passport yet, please email it to us later.)
Passport Valid Until:(Example: if 2008/OCTOBER/31 then write 2008/10/31)

Course Information

Check in date:
Length of course:
Accommodation preference:
Have you been to Japan before?:		Yes No
Total number of visits:
Total length of stays in Japan:		(an approximation is OK)
Visa status on previous visit(s):		Tourist Trainee Working holiday College student Employment Other Dependent spouse Pre-college student (Tick one or more)
Do you have any family in Japan?:		Yes No
If Yes please give details:
Have you formally studied Japanese before?		Yes No
Where did you study Japanese?
What texts/materials did you study?
Approximately how many hours of class contact hours did you receive?
What are your main reasons for studying Japanese:

(Please note that if this box is not checked this application cannot be sent)
I confirm that I have read, fully understand and agree with the Yamasa Institute's terms of service, refund and privacy policies as published on yamasa.org .
If you need further information about these please contact admissions@yamasa.org.

C O M M U N I T Y M E M B E R S
	forgot password? update your details	privacy policy faqs and help	feedback membership

Hattori Foundation (est.1919) - The Yamasa Institute
1-2-1 Hanehigashi-machi, Okazaki City, Aichi Prefecture, JAPAN 444-0832
Tel: +81 (0)564 55 8111 Fax: +81 (0)564 55 8113 Email: Click Here