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Spring Japanese Course Registration Form
Date: From May 2023 until July 2023
Place: In person (7 course) or Online (via Zoom)
Inquiries: By phone at: 027-321-1201 or by email at:
office@takasaki-irs.org
The registration form is available in other languages too:
Japanese→
https://forms.gle/NQ1PPzo65mWGBCCP8
Chinese→
https://forms.gle/j1r8UeCZRx71mVkM7
Portuguese→
https://forms.gle/Fw3pX3ZALZiztpuG9
Vietnamese→
https://forms.gle/non98NbcRiRGV2eA6
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* Indicates required question
Name (also in katakana if you know it)
*
Your answer
Address
*
Your answer
Tel. No.
*
Your answer
Email
*
Your answer
Nationality
*
Your answer
Native language
*
Your answer
Gender
*
Male
Female
Other
How long have you been in Japan?
*
Less than 6 months
More than 6 months but less than 1 year
1 to 3 years
3 to 5 years
More than 5 years
Visa type
*
Your answer
Place of work
*
Your answer
Japanese Ability (Reading)
*
Can read
Can't read
Hiragana
Katakana
Can read
Can't read
Hiragana
Katakana
Japanese Ability (Writing)
*
Can write
Can't write
Hiragana
Katakana
Can write
Can't write
Hiragana
Katakana
Japanese Ability (Speaking Level)
*
Can't speak at all
Know basic greetings
Can have a simple conversation
Daily conversation Ok
Fine in all situations
What is your JLPT level?
*
N5
N4
N3
N2
N1
I don't have any JLPT certification
Have you attended a TIRS Japanese class before?
*
No, never attended before
Yes, attended before
If you have attended a TIRS Japanese class before, when?
Your answer
Language Learning Goals
*
Improve conversational ability
Learn to read
Learn to write
Learn to listen
Learn Japanese for the workplace
Take JLPT N5
Take the JLPT N4
Take the JLPT N3
Take the JLPT N2
Take the JLPT N1
Other
Required
Choose the course you want to take (First Choice)
*
Chuo Kouminkan (Tuesdays : 10:00am-11:30am)
Chuo Kouminkan (Thursdays : 7:00pm-8:30pm)
Chuo Kouminkan (Saturdays : 1:30pm-3:00pm)
Nakai Kouminkan (Wednesdays : 6:30pm-8:00pm)
Gunma Fukushi kaikan (Mondays : 7:00pm-8:30pm)
Shinmachi Culture hall (Wednesdays : 10:00am-11:30am)
Shinmachi Culture hall (Saturdays : 10:00am-11:30am)
Online Course
Choose the course you want to take (Second Choice)
Chuo Kouminkan (Tuesdays : 10:00am-11:30am)
Chuo Kouminkan (Thursdays : 7:00pm-8:30pm)
Chuo Kouminkan (Saturdays : 1:30pm-3:00pm)
Nakai Kouminkan (Wednesdays : 6:30pm-8:00pm)
Gunma Fukushi kaikan (Mondays : 7:00pm-8:30pm)
Shinmachi Culture hall (Wednesdays : 10:00am-11:30am)
Shinmachi Culture hall (Saturdays : 10:00am-11:30am)
Online Course
Clear selection
Choose the course you want to take (Third Choice)
Chuo Kouminkan (Tuesdays : 10:00am-11:30am)
Chuo Kouminkan (Thursdays : 7:00pm-8:30pm)
Chuo Kouminkan (Saturdays : 1:30pm-3:00pm)
Nakai Kouminkan (Wednesdays : 6:30pm-8:00pm)
Gunma Fukushi kaikan (Mondays : 7:00pm-8:30pm)
Shinmachi Culture hall (Wednesdays : 10:00am-11:30am)
Shinmachi Culture hall (Saturdays : 10:00am-11:30am)
Online Course
Clear selection
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