If you intend to study for longer than 3 months or are not sure of which visa you require please click here.

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 15/10/05 - if you do not then the form will not transfer into the database correctly.

Personal Information

Name in Full
Nationality: (If dual nationality, indicate the country of the passport you plan to enter Japan on.)
Sex	Male Female
Date of birth: (Example: if 1989/OCTOBER/04 then write 89/10/04)
Place of Birth
Marital Status
Current Occupation
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 2015/OCTOBER/31 then write 2015/10/31)

Course Information

Program/Course at Yamasa you wish to study:
Select start/finish dates and intensity level:	Expected start of course: Month: Day: Expected end of course: Month: Day: Expected number of lessons per week:
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:

Accommodation Information

Will you require Yamasa's housing office to arrange accommodation for you?	Need N/A
When do you expect to arrive in Okazaki? (Note you can change this later.) If other please explain details.
Please select 5 accommodation options.	All 5 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?
What is your fourth preference if that isn't available?
What is your fifth preference if that isn't available?
I need Yamasa to arrange futons/bedding for me.	Yes No
If you answered Yes to the question above. I authorize Yamasa to	I wish to
I will be bringing a laptop computer with me.	Yes No
I will reserve my place by:	Transfer of tuition deposit and payment of remaining instalment 35 days before enrollment or earlier. Remittance of tuition fee in full with accommodation paid on arrival. 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? If 'YES' please answer the questions below. If 'NO' you have completed this form. After you confirm that you have read the Terms of Service, Refunds and Privacy Policy, you can click the send button.	Yes No
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?
Have you been to Japan before?	Yes No
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.

(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
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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