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2021留学生リーダー応募フォーム(2021Camp leaders from foreign countries application form )
下記の質問への記入をお願いします。(Please fill in the questions below.)
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* Indicates required question
NPO法人多言語広場CELULAS主催(Sponsored by NPO Multilingual Piazza CELULAS)
メールアドレス(E-mail address)
*
Your answer
お名前(Name)
*
Your answer
お名前(漢字orかたかな)
Your answer
性別(Gender)
*
女性(Female)
男性(Male)
その他(other)
年齢(Age)
*
Your answer
生年月日(Date of Birth)
*
MM
/
DD
/
YYYY
国籍(Nationality)
*
Your answer
いつ日本に来ましたか？(When did you come to Japan?)
*
MM
/
DD
/
YYYY
いつまで日本に滞在する予定ですか？(How long will you stay in Japan?)
*
MM
/
DD
/
YYYY
学校名/専攻/学年(your school name/majors/grade)
Your answer
宗教(Religion)
Your answer
話せる言語は何ですか？(What languages do you speak？)
*
Your answer
日本語を勉強してどのくらいになりますか？(If applicable, how long have you studied Japanese?)
*
Your answer
日本語会話力自己評価(Self-rating on your Japanese speaking ability)
*
よくできる(good)
普通(fair)
少し(poor)
できない(none)
趣味や特技(Hobbies and special abilities)
Your answer
参加申込の理由、キャンプでやってみたいことは何ですか？(Why would you like to participate in this camp? What do you want to do in this camp?)
*
Your answer
どちらで募集を知りましたか？(How did you hear about this camping program?)
*
友人から(from a friend)
学校の先生から(from a teacher of your school)
CELULASから(from CELULAS)
その他(other)
友人から聞いた方は、その友人の名前を教えてください。(If you get information from a friend, please tell me your friend's name.)
Your answer
電話番号(Mobile phone number)
*
Your answer
郵便番号(zip-code)
Your answer
住所(Address)
*
Your answer
最寄り駅名(Nearest station)
*
Your answer
6月27日の説明会に参加できますか？(Can you participate in the briefing on June 27th?)
*
はい(Yes)
いいえ(No)
未定(undecided)
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