Application for 2017 ICU Summer Courses in Japanese

Register your information by filling in this form.
(Deadline February 28, 2017)
You will receive a reply e-mail when your web-application is accepted.
 
Please follow the instructions in the reply e-mail to continue the application process.
 
【NOTE】
You can't save this form. If you make any mistakes please contact  scj@icu.ac.jp

Applicant's Information
Write in the following order : FAMILY NAME,(space) First name (space) Middle name.
※Family name in "CAPITAL LETTER"
※Only the first letter of First and Middle name in "Capital letter"
e.g.YAMADA, Taro Natsu
e.g.;山田 太郎 夏
*Gender
(Please list all nationalities you have. e.g. USA, Japan)
*Does your nationality require a visa to enter Japan?
Contact Information

(確認用)
*You will receive a confirmation email (auto-reply) as soon as you submit this form.
If you don't receive a reply email, please contact  scj@icu.ac.jp

(確認用=confirmation)
Number and Street City State/Province zip code/postal code Country
Parent(s)/Guardians Information
* If different from your mailing address
Applicant's Educational Background
Higher Education (e.g. college or university)
(City State/Province&Country)
(from Year/Month to Year/Month)
e.g.:2003/4-2006/3
If you select "Currently enrolled", please specify the year.
If not currently enrolled in a college or university, state present activity and position.
Please check here if you have applied for student status at ICU following the Summer Courses in Japanese.
Statement of Purpose
Please explain in 250 words or less why you wish to study Japanese, how this study relates to your future academic interests or career goals and why it is crucial at this point in your study to attend the ICU Summer Courses in Japanese.
Questionnaire Concerning Japanese Language
Language Classes
Please refer to our website for information about language classes.
http://scj.info.icu.ac.jp/home/language-classes/
*Have you ever studied Japanese?
Those who mark "No" here should use the website listed to learn Hiragana and Katakana as a prerequisite for the program.
http://subsite.icu.ac.jp/jlp/learningJapanese.html
*I wish to enroll in the class for Special Japanese (C-sp)
C-sp caters for students learning Japanese as a first language and/or heritage language.
Read and Write Japanese
*I can write[ all / some / none ] Hiragana.
*I can read [ all / some / none ] Hiragana.
*I can write [ all / some / none ] Katakana.
*I can read [ all / some / none ] Katakana.
I can write about Kanji
I can read about Kanji
Educational background of Japanese as a foreign language If you have studied Japanese as a foreign language, please give details.(hours per week, name of institution, name of text books)
*Please list most recent history first.
e.g.;2000/5-2003/5
Institution and country
e.g.:International Christian University, Japan
Textbooks&Chapters completed by the time you come to ICU
e.g.;2000/5-2003/5
Institution and country
e.g.:International Christian University, Japan
Textbooks&Chapters completed by the time you come to ICU
Please write Japanese Language qualification (e.g. JLPT, AP test, GCSE, IB, BJT etc) you have obtained, or will obtain by the time you come to ICU.
(e.g.: JLPT, AP test, GCSE, IB, etc)
  Background related to Japan and Japanese language
place, period (length), purpose,etc
*Do / did you speak Japanese at home?
Housing
*Housing preferences
On-campus dormitory Local Homestay Social Residence Higashi Koganei Own Arrangement
First preference
Second Preference
Confirmation
*Please check "Agree" if you agree with the statement below
I declare that the information I have provided in this application page and in any attached documents is true and correct.
After you have entered the necessary information, please press 「確認画面へ」=confirmation page .