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Winter Japanese Course Registration Form
Date: From January 2024 until March 2024
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/fwnynv2FqTnNDp5XA
Chinese→
https://forms.gle/2vH5piLvJf2uAMjE8
Portuguese→
https://forms.gle/T4HvbYWvFWVTpYq77
Vietnamese→
https://forms.gle/WSkx9rT5GPiy5ybf7
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* Indicates required question
Email
*
Your email
Please re-enter the email address from above
Your answer
Name (also in katakana if you know it)
*
Your answer
Address
*
Your answer
Tel. No.
*
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 read a little
Can't read
Hiragana
Katakana
Can read
Can read a little
Can't read
Hiragana
Katakana
Japanese Ability (Writing)
*
Can write
Can write a little
Can't write
Hiragana
Katakana
Can write
Can write a little
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
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